Rheumatology Medical News about Ankylosing spondylitis, Work disability, Spinal mobility

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Work disability in ankylosing spondylitis: Differences among working and work-disabled patients
Clinical Rheumatology, 08/21/09

Cakar E et al. – Study reports that older age at onset, longer time since the diagnosis, longer diagnosis delay, and some physical impairments like decrease in spinal mobility and hip involvement may preclude ankylosing spondylitis (AS) patients from leading a productive work life.

Methods

An investigation of work disability among AS pts, and related factors and differences among disabled and nondisabled groups
Among 121 male AS pts:
- Patient demographics and duration of disease were noted, and
- Employment status and disability were questioned
Measures of functionality, axial mobility, health-related quality of life, and depression were used

Results

Out of 121 AS pts:
- 31.4% pts continued their work lives with no change
- 44.6% changed to a lighter job, and
- 24% were retired due to AS
Differences in age at onset of the disease, time since the diagnosis, CRP levels, and hip involvement were statistically significant
Mean retirement age of the pts was 36±4.2 yrs
Frequency of hip involvement was higher in the work-disabled group
Spine was evidently affected more seriously, and CRP values were higher in the work-disabled group

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