The Investıgatıon Of Relatıonshıp Between Functıon Of Upper Extremıty And Scapular Kınematıc Wıth Thoracıc Kyphosıs Angle In Patıents Wıth Male Ankylosıng Spondylıtıs

Thesis Type: Postgraduate

Institution Of The Thesis: Gazi University, Turkey

Approval Date: 2017

Thesis Language: Turkish

Student: Oğuzhan Mete

Supervisor: DERAN OSKAY


This study was aimed to investigate the relationship between function of upper extremity and scapular kinematic with thoracic kyphosis angle in patients with male Ankylosing Spondylitis (AS). 18 patients with AS and 16 healthy volunteers were involved into the study. Thoracic kyphosis angle and shoulder range of motions were evaluated with digital inclinometer. Muscle strengths were evaluated with digital dynamometer. Disability level of upper extremity was evaluated with Turkish Version of Disability of Arm, Shoulder and Hand Questionnaire (DASH-T). Hand grip strength was evaluated with hydraulic hand dynamometer. Hand dexterity level was evaluated with Nine Hole Peg Test (9-HPT). Scapula kinematic analysis with the electromagnetic system at 30-60-90° lifting and lowering of the arm elevation were recorded. As a results of the study, shoulder range of motions, strengths of anterior and middle parts of deltoid muscles, serratus anterior muscle, middle and lower parts of trapezius muscles and hand grip strength reduced and DASH-T score increased in patients with AS comparing to control group (p<0.05). As a result of scapular kinematic analysis, upward rotation of scapula of non-dominant side increased at 30-60-90° lifting and lowering of the arm elevation in patients with AS (p<0.05). As the thoracic kyphosis angle and upper extremity functions were investigated in patients with AS; the relationships between thoracic kyphosis angle and range of motions of shoulder flexion, abduction and external rotation, dominant and non-dominant side of anterior and middle parts of deltoid, serratus anterior, middle part of trapezius, dominant side upper part of trapezius, non-dominant side lower part of trapezius muscles strengths and hand grip strength were observed (p<0.05). In light of this results; it was observed that the upper extremity functions and scapular kinematics of male AS patients were effected and some parameters of upper extremity functions are related to thoracic kyphosis angle.