Spondyloarthritis and Disparities in Cervical Spine Rotation

In my patients with spondyloarthritis / ankylosing spondylitis I monitor regularly cervical spine rotation. I’ve found disparities in cervical spine rotation in this group of patients with axial inflammatory diseases. I thought that handedness or dominant side and training might be the main influencers of the degree of movement in cervical spine rotation. Right- or left-handedness did not show a significant variation. Most people showed a slightly better rotation to the right side compared with the left side. But this shatters the hypothesis that training influences cervical spine rotation, because in Germany you have to look over the left shoulder, if you want to change the lane (“Schulterblick”) in traffic. Maybe not all people do it according to the lessons they had in driving school.

Now, I’m interested how it is in countries with left-hand traffic. Do you see more patients with spondyloarthritis / ankylosing spondylitis, who show reverse disparities in cervical spine rotation? Do you a tendency of better rotation to the left side?

Please tell us!

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