Ankylosing spondylitis: Integrated clinical and physiological perspectives

This hypothesis paper draws upon clinical epidemiological and physiological perspectives of axial muscle tone relevant to ankylosing spondylitis (AS). Skeletal muscle tonus is the property of intrinsic tension or resistance to stretch with no additional muscle contraction. The interpretations call a...

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Bibliographic Details
Published inClinical and experimental rheumatology Vol. 21; no. 1; pp. 1 - 8
Main Authors MASI, A. T, WALSH, E. G
Format Journal Article
LanguageEnglish
Published Pisa Clinical and Experimental Rheumatology 2003
Subjects
Adolescent
Adult
Age of Onset
Aged
Biological and medical sciences
Child
Diseases of the osteoarticular system
Energy Metabolism
Female
Humans
Inflammatory joint diseases
Male
Medical sciences
Middle Aged
Muscle Tonus
Muscle, Skeletal - physiopathology
Spondylitis, Ankylosing - epidemiology
Spondylitis, Ankylosing - etiology
Spondylitis, Ankylosing - physiopathology
Human
Pathophysiology
Pathogenesis
Spine
Diseases of the osteoarticular system
Inflammatory joint disease
Striated muscle
energy expenditure
Epidemiology
Spondylarthropathy
Chronic
thermogenesis
Vertebral motion
muscle properties
Kinematics
muscle tone
Public health
Ankylosing spondylitis
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Summary:This hypothesis paper draws upon clinical epidemiological and physiological perspectives of axial muscle tone relevant to ankylosing spondylitis (AS). Skeletal muscle tonus is the property of intrinsic tension or resistance to stretch with no additional muscle contraction. The interpretations call attention to novel concepts of the intrinsic axial muscular system contributions to enthesopathic lesions in AS. The axial kinematic chain extends from the entire spine to the posterior aspects of the lower extremities and is essential for postural and mobility functions. Muscles and articular cartilage derive from common embryological precursor cells and are complexly coordinated in the maintenance of postures and dynamic functions. A definitive link between axial muscular dysfunction and respective joint pathology has not yet been demonstrated in AS. However, the following clinical epidemiological and physiological observations raise the possibility of a relationship between axial muscular hypertonicity and AS, which will be reviewed sequentially.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
ISSN:0392-856X
1593-098X