A modification of the Health Assessment Questionnaire for the spondyloarthropathies.
A functional status measure was developed by adding 5 items to the Health Assessment Questionnaire (HAQ-S), and compared to anthropometric measures of spinal mobility. Forty-four patients with spondylitis were evaluated by the HAQ-S and measures of spine flexibility (finger-to-floor, Smythe test, neck rotation, and chest expansion). Modification of the HAQ raised the mean difficulty score by 29% from 0.38 (SD = 0.49) to 0.49 (SD = 0.51), indicating increased ability to capture functional limitations. Neck rotation correlated most strongly with the HAQ-S score (r = -0.57), which suggests an important role for this measure in clinical management and followup of spondylitis.
Department of Medicine, Harvard Medical School, Boston, MA.
L H
LH
Daltroy
M G
MG
Larson
N W
NW
Roberts
M H
MH
Liang
D000328:Adult; D000886:Anthropometry; D015444:Exercise / Q000502:physiology; D005260:Female; D006306:Health Surveys; D006801:Humans; D007592:Joint Diseases / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D012650:Self Disclosure; D013122:Spinal Diseases / Q000503:physiopathology*; D013131:Spine / Q000473:pathology / Q000503:physiopathology; D013166:Spondylitis / Q000473:pathology* / Q000503:physiopathology; D011795:Surveys and Questionnaires / Q000592:standards; D013909:Thorax / Q000473:pathology / Q000503:physiopathology