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September 23-24, 2019 | Prague, Czech Republic
2
nd
International Conference on
Palliative Care
Clinical Trials and Pharmacovigilance
Joint Event
&
Relationship between thoracic kyphosis and shoulder muscle strength and shoulder
joint motion in male patients with ankylosing spondylitis
Oguzhan Mete
1
, Devrim Can Saraç
2
, Songul Baglan Yentur
2
, Gizem Tore
2
, Fulden Sari
2
, Nuh Ataş
3
, Berna Göker
3
and
Deran Oskay
2
1,2
Ankara Yıldırım Beyazıt University, Turkey
3
Gazi University, Turkey
Introduction:
Ankylosing Spondylitis (AS) is a rheumatologic
disease that primarily affects the axial skeleton. Spinal
inflammation, increased ossification of the ligaments and
syndesmophytes in the spinal column can cause an increase
in thoracic kyphosis in the AS patients. Negative effects of
thoracic kyphosis on shoulder functions have been reported
in studies performed in different populations. The aim of
our study is to determine the relationship between thoracic
kyphosis and shoulder functions in male patients with AS.
Methods:
Twenty-three (23) male participants (age:
41.18±11.89 year, body mass index: 26.25±5.02kg/m2)
diagnosed with AS according to the Modified New York
criteria were included the study. Thoracic kyphosis angle and
shoulder motion were evaluated with digital inclinometer.
Strength of shoulder muscles were evaluatedwith digital hand-
held dynamometer. Pearson correlation test and Spearman
correlation test were used for statistical analysis.
Results:
Thoracic kyphosis angle showed negative correlations
with dominant side shoulder flexion active range of motion
(AROM) (p<0.001; rho:-0.711), abduction AROM (p:0.007; rho:-
0.545), external rotation AROM (p:0.008;rho:-0.536) and non-
dominant side shoulder flexion AROM (p<0.001;rho:-0.768),
abduction AROM (p:0.008;rho:-0.540), external rotation AROM
(p:0.005;rho:-0.563). Therewas no correlation between thoracic
kyphosisangleandshoulderabductionandflexionmusclestrength.
Discussion:
As a result of our study, it was determined
that in patients with male AS, thoracic kyphosis angle was
correlatedwith shoulder flexion AROM, abduction AROMand
external rotation AROM. There are muscular and mechanical
connections between the spinal column, scapula, clavicle
and humerus. The position changes of these bone structures
biomechanicallyaffecteachother.Wethinkthatasthethoracic
kyphosis angle increases, the shoulder mobility decreases in
male patients with AS because of this reason. In light of this
knowledge,therapeuticapproachestothoracichyperkyphosis
will benefit for the shoulder mobility in AS patients.
Speaker Biography
Songül Baglan Yentur continues her PhD from Gazi University, Turkey and
has completed master programme from the same university. She is a
research assistant at Gazi University, Turkey.
e:
songulbaglan23@hotmail.comJournal of Clinical Research and Pharmacy | Volume 2
J Clin Res Pharm, Volume:2