Evaluation of limited hand mobility in systemic sclerosis patients by using “prayer sign” and “tabletop sign”
Küçük Resim Yok
Tarih
2021
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Springer Science and Business Media Deutschland GmbH
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objectives: To determine limited joint mobility (LJM) of the hand in patients with systemic sclerosis (SSc). Methods: LJM was evaluated with “prayer sign” and “tabletop sign” tests. LJM staging was done by Rosenbloom classification method. LJM (+) and LJM (?) patients were compared in terms of demographic findings (gender, age and duration of disease), laboratory results (ESR, CRP, anti-nuclear antibody (ANA), anti-topoisomerase I and anti-centromere), and modified Rodnan skin score (mRss) results. Results: In our study, a total of 217 patients, including 113 patients with a diagnosis of SSc, and 104 as a healthy control group with similar age and gender distribution to these patients, were included. A total of 113 (F=98, M=15) patients (limited cutaneous SSc (lcSSc=71), diffuse cutaneous SSc (dcSSc=42)) were included in this study and LJM positivity was found in 66.4% (lcSSc=38, dcSSc=37). A statistically significant difference was observed in between lcSSc and dcSSc patients according to the presence of LJM (p<0.001). There was a moderate positivity relationship between LJM and mRss (lcSSc r=0.449, p<0.001; dcSSc r=0.565, p<0.001). Conclusions: In our study, it was found that LJM staging correlated with mRss and dcSSc patients had more severe LJM findings than lcSSc. We conclude that “prayer sign” and “tabletop sign” tests used in hand evaluation in SSc patients have similar clinical results with mRss and can be simple bedside tests in daily practice.Key Points• This is the first study examining limited joint mobility (LJM) with “prayer sign” and “tabletop sign” tests in systemic sclerosis (SSc) patients.• “Prayer sign” and “tabletop sign” tests can be easily performed in daily practice.• We found Rosenbloom LJM staging correlated with modified Rodnan skin score.LJM of the hand can be a good prognostic indicator for early stage SSc patients. © 2021, International League of Associations for Rheumatology (ILAR).
Açıklama
Anahtar Kelimeler
Hand function LJM, Prayer sign, SSc, Tabletop sign
Kaynak
Clinical Rheumatology
WoS Q Değeri
Scopus Q Değeri
Q2
Cilt
40
Sayı
7
