RT Journal Article T1 Patients with Axial Spondyloarthritis Show an Altered Flexion/Relaxation Phenomenon A1 Aranda-Valera, I. Concepcion A1 Garrido-Castro, Juan Luis A1 Martinez-Galisteo, Alfonso A1 Pena-Amaro, Jose A1 Gonzalez-Navas, Cristina A1 Cuesta-Vargas, Antonio A1 Jimenez-Reina, Luis A1 Collantes-Estevez, Eduardo A1 Lopez-Medina, Clementina K1 axial spondyloarthritis K1 surface electromyography (sEMG) K1 flexion relaxation ratio K1 functional assessment K1 clinimetric properties K1 Low-back-pain K1 Flexion-relaxation phenomenon K1 Ankylosing-spondylitis K1 Surface electromyography K1 Lumbar flexion K1 Emg K1 Responsiveness K1 Enthesitis K1 Criteria AB Axial spondyloarthritis (axSpA) is a chronic rheumatic disease characterized by the presence of inflammatory back pain. In patients with chronic low back pain, the lumbar flexion relaxation phenomenon measured by surface electromyography (sEMG) differs from that in healthy individuals. However, sEMG activity in axSpA patients has not been studied. The purpose of this study was to analyze the flexion relaxation phenomenon in axSpA patients. A study evaluating 39 axSpA patients and 35 healthy controls was conducted. sEMG activity at the erector spinae muscles was measured during lumbar full flexion movements. sEMG activity was compared between axSpA patients and the controls, as well as between active (BASDAI >= 4) and non-active (BASDAI = 4) and non-active (BASDAI 0.8 for 1/FRR) and criterion validity. ROC analysis showed good discriminant validity for axSpA patients (AUC = 0.835) vs. the control group using 1/FRR. An abnormal flexion/relaxation phenomenon exists in axSpA patients compared with controls. sEMG could be an additional objective tool in the evaluation of patient function and disease activity status. PB Mdpi YR 2021 FD 2021-05-01 LK https://hdl.handle.net/10668/28321 UL https://hdl.handle.net/10668/28321 LA en DS RISalud RD Apr 10, 2025