1. What are the Berlin criteria for inflammatory low back pain?
(1). Morning stiffness > 30 minutes.
(2). No relief with improved rest after activity.
(3). Waking up with pain in the latter part of the night because of back pain.
(4). Alternating hip pain.
IBP is considered if the patient has chronic back pain for >3 months and it meets at least 2 of the above 4. The sensitivity of this criterion is 70.3% and the specificity is 81.2%.
2. what are the ASAS criteria for inflammatory low back pain?
(1). Improvement of symptoms after activity.
(2). Nocturnal pain.
(3). Incognito onset.
(4). Onset before 40 years of age.
(4). No improvement of symptoms after rest.
Inflammatory low back pain was considered if the patient had chronic back pain for >3 months and met at least 4 of the above 5 criteria, with a sensitivity of 77% and specificity of 9I.7%.
3. What are the Amor criteria (1991) for determining seronegative spondylolisthesis?
(1) Nocturnal pain or morning stiffness in the low back (l score).
(2) Asymmetric oligoarthritis (2 points).
(3) Hip pain (1 point unilaterally, 2 points bilaterally).
(4) Weenie-like fingers or toes (2 points).
(5) Heel pain or definite tendon telangiectasia (2 points).
(6) Iriditis (2 points).
(7) Non-gonococcal urethritis or arthritis occurring within 1 month before the onset of arthritis (1 point).
(8) Acute diarrhea or arthritis occurring within I month prior to the onset of the disease (1 point).
(9) With psoriasis, glomerulitis, inflammatory bowel disease (ulcerative colitis, Crohn’s disease) (2 points)
(11) X-rays show resisting arthritis bilateral buckle H level, unilateral hand dish level (3 points).
(12) HLA-B27 positive or first-degree relative with ankylosing spondylitis, Reiter syndrome, psoriasis, chronic colitis or iritis (2 points).
(13) Symptoms improve within 48 hours after taking NSAIDs and worsen after stopping them (2 points).
(14) Spondyloarthropathy may be diagnosed with a full score of 6.