Evidence map›Paper›PMID 41075137›Full record

ArticleClinical rheumatology2025

Respiratory muscle strength in radiographic axial spondyloarthritis: clinical significance and predictors.

Devrim Can Sarac, Israfil Inanc, Eren Baskan, Ayten Ozkan, Sercan Gucenmez, Esra Ugur, Dilek Solmaz, Servet Akar, Deniz Bayraktar

Abstract read
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In one paragraph

Article in Clinical rheumatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Devrim Can SaracDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Izmir Katip Celebi University, Izmir, Turkey. fzt.devrimcan@gmail.com.ORCID http://orcid.org/0000-0003-2465-7990
Israfil InancDepartment of Physiotherapy and Rehabilitation, Institute of Health Sciences, Izmir Katip Celebi University, Izmir, Turkey.ORCID http://orcid.org/0000-0003-2345-1683
Eren BaskanDepartment of Physiotherapy and Rehabilitation, Institute of Health Sciences, Izmir Katip Celebi University, Izmir, Turkey.ORCID http://orcid.org/0009-0004-3389-7798
Ayten OzkanDivision of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Izmir Katip Celebi University, Izmir, Turkey.ORCID http://orcid.org/0000-0002-4020-6340
Sercan GucenmezRheumatology Clinic, Ataturk Research and Training Hospital, Izmir Katip Celebi University, Izmir, Turkey.ORCID http://orcid.org/0000-0001-7785-4061
Esra UgurDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Izmir Katip Celebi University, Izmir, Turkey.ORCID http://orcid.org/0009-0007-6673-3361
Dilek SolmazDivision of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Izmir Katip Celebi University, Izmir, Turkey.ORCID http://orcid.org/0000-0002-9035-689X
Servet AkarDivision of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Izmir Katip Celebi University, Izmir, Turkey.ORCID http://orcid.org/0000-0002-3734-1242
Deniz BayraktarDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Izmir Katip Celebi University, Izmir, Turkey.ORCID http://orcid.org/0000-0002-2852-8910

Funding

Türkiye Bilimsel ve Teknolojik Araştırma Kurumu 1919B012218802
6 · The paper itself

Abstract

INTRODUCTION/

objectiveRespiratory muscle function may be impaired in axial spondyloarthritis (axSpA) due to mechanical limitations of the thoracic spine and chest wall. However, the extent of respiratory muscle weakness and its clinical associations remain largely underexplored.

methodsThis comparative cross-sectional study included 51 patients with radiographic axSpA (r-axSpA) and 52 healthy controls. Maximal inspiratory (PI

resultsAlthough the PI

conclusionAlthough respiratory muscle strength was mostly preserved in r-axSpA, a substantial subgroup exhibited inspiratory muscle weakness associated with adverse clinical outcomes. Identifying these patients may guide tailored interventions for optimal care. KEY POINTS: A substantial proportion of patients with radiographic axSpA demonstrate inspiratory muscle weakness despite preserved average respiratory pressures. Patients with inspiratory muscle weakness exhibit diminished lung volumes, decreased spinal mobility, higher pain levels, and poorer quality of life compared to those without weakness. Inspiratory muscle strength is independently predicted by spinal pain at rest and forced vital capacity.

Indexed as

Axial SpondyloarthritisRespiratory MechanicsAdultCase-Control StudiesCross-Sectional StudiesFemaleHumansMaleMiddle AgedMuscle StrengthRegression AnalysisAnkylosing spondylitisMuscle weaknessPainRespiratory musclesSpinal mobility

Identifiers

PMID41075137

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