SUMMARY
Introduction. The effect of physical activity on disease activity and enthesitis in patients with spondyloarthritis is unknown. We aimed to describe clinical and enthesis features and disease activity of spondyloarthritis patients and to assess the association between physical activity and disease activity.
Methods. We conducted a cross-sectional study including consecutive patients followed for radiographic axial spondyloarthritis. For each patient, we performed ultrasonography of entheses and assessed disease activity. Physical activity level was assessed using the University of California and Los Angeles (UCLA) activity scale and the Tegner activity scale.
Results. We examined 518 entheses in 37 patients. There were 29 men (78%) and 8 women (22%). The mean age was 44.62 ± 12.31 years. Exercise was performed in 51% of patients. The median (IQR 25%-75%) UCLA activity scale was 4 (4-5) and the median (IQR 25%-75%) Tegner physical activity scale was 3 (3-5). Exercise was associated with a lower risk of disease activity (OR 0.123, p = 0.022, 95%CI 0.020-0.742). We didn’t find a significant difference in enthesis ultrasound characteristics between the patients practicing or not practicing exercise. Patients doing exercise had a significantly lower risk of having ≥ 3 ultrasonographic enthesophytes and plantar aponeurosis enthesophytes. Nevertheless, those who engage in physical activity have a significantly higher risk of hypoechogenicity in the lateral epicondylar tendons.
Conclusions. Our study showed that exercise was associated with lower clinical disease activity. Physical activity can be responsible for ultrasonographic tendon insertion damage, but it doesn’t accentuate the structural damage. The promotion of physical activity should be considered a healthcare priority.
Exercise is Effective for Disease Activity Control with Various Effects on Entheses: An Ultrasound-Based Study
Maroua Slouma, Siwar Ben Dhia, Lobna Kharrat, Celia Bellagha, Hedia Bellali, Imen Gharsallah
Original Article, 352-360
Keywords: entheses, exercise., physical activity, spondyloarthritis, ultrasonography.,
Table of Content: Vol. 14 (No.2) 2024 April/June
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Improving how Orthopedic Journals Report Research Outcomes Based on Sex and Gender
Seth S. Leopold, Robert N. Hensinger, Andrew J. Schoenfeld, Marc Swiontkowski, Michael J. Rossi, Kimberly J. TempletonEditorial, 231-234 -
Ref: Serra G. et al. The effect of hydrokinetic therapy on patients with low back pain: a systematic review and meta-analysis (doi: 10.32098/mltj.01.2023.10)
Eduarda Hirle dos Santos, Jefferson Rosa CardosoLetter to the Editor and Corresponding author's Comment, 235-238 -
Orthobiologics Injection Therapies in the Treatment of Muscle and Tendon Disorders in Athletes: Fact or Fake?
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Yuvraj Gowtham Krishna, Hitesh Shah, Monappa Aroor Naik, Peruvaje Ramakrishna Krishnaprasad, Karthikeya Damodar Hebbar, Yelluru Lakshmisha Rao, Bukkambudhi Virupakshamurthy MurlimanjuOriginal Article, 300-306 -
The Screening Value of Single Leg Squat and Vertical Drop Jump for Predicting Lower Limb Injuries in Professional Male Football Players
Haniyeh Mohammadi, Raheleh Ghaffari, Mahdi HosseinzadehOriginal Article, 307-312 -
The Effect of Short-Set High-Load and Long-Set Low-Load Isometric Exercises Based on Stress-Strain Isometric Time-Dependent Strength Trial on Weightlifters Performing Resistance Training Periodization
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Sadra Khan, Deepak Malhotra, Meenu Dhingra, Mohammad Ahsan, Shibili Nuhmani, Mohd Arshad BariOriginal Article, 344-351 -
Exercise is Effective for Disease Activity Control with Various Effects on Entheses: An Ultrasound-Based Study
Maroua Slouma, Siwar Ben Dhia, Lobna Kharrat, Celia Bellagha, Hedia Bellali, Imen GharsallahOriginal Article, 352-360 -
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Alessandro Bartoli, Nicola Maffulli, Gabriella Oliva, Salvatore Ziello, Francesco OlivaReview, 361-366 -
Comparison of the Effect of Sportsmetrics Soccer Training on Movement Performance in Soccer Players with and without Anterior Cruciate Ligament Reconstruction
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