Bath ankylosing spondylitis functional index BASFI Calculator

1. Can you put on your socks or tights without outside help and without outside means (eg stocking pullers)?
(0=easy, 10=impossible)
2. Can you bend forward to pick up a pen from the floor without help?
(0=easy, 10=impossible)
3. Can you pick up something from a high shelf without help (eg pliers)?
(0=easy, 10=impossible)
4. Can you get up from a seat in armrests, without using your hands or any help?
(0=easy, 10=impossible)
5. Can you go from lying on your back to standing without help?
(0=easy, 10=impossible)
6. Can you stand for 10 minutes without support and without pain?
(0=easy, 10=impossible)
7. Can you climb 12-15 steps without holding on to the handrail or using other support and with only one foot per step?
(0=easy, 10=impossible)
8. Can you look over your shoulder without turning around?
(0=easy, 10=impossible)
9. Can you perform activities requiring physical effort (eg physiotherapy, gardening or sports)?
(0=easy, 10=impossible)
10. Can you stay active all day, whether at home or at work?
(0=easy, 10=impossible)

Score :

The Bath Ankylosing Spondylitis Functional Index (BASFI) is a widely recognized tool used to assess functionality and measure the impact of Ankylosing Spondylitis (AS) on daily activities. It is a self-reported questionnaire that allows individuals with AS to provide their own assessment of their functional abilities.

The BASFI consists of 10 questions that cover different areas of functionality, such as getting up from a chair, reaching high shelves, bending, and performing daily tasks. Each question is scored on a numerical scale ranging from 0 to 10, where 0 indicates no difficulty and 10 represents maximum difficulty in performing the task. The individual's responses are then used to calculate the overall BASFI score.

By assessing specific tasks and activities, the BASFI provides a comprehensive evaluation of functional limitations experienced by individuals with AS. It takes into account the impact of AS on mobility, self-care, and physical activities, which are key aspects of daily life. The BASFI score provides an objective measure of the level of functional impairment and helps healthcare professionals monitor changes over time.

The BASFI questionnaire is designed to be easily completed by individuals with AS. It allows them to reflect on their functional abilities and provide an assessment based on their own experiences. The self-report nature of the BASFI ensures that it captures the individual's perception of their functional limitations and the impact of AS on their daily activities.

The BASFI score is an important tool in assessing functionality in AS patients. It helps healthcare professionals evaluate the impact of AS on functional abilities, track changes over time, and guide treatment decisions. The BASFI score can be used as a valuable outcome measure in clinical trials and research studies, providing standardized data on functional limitations in AS.

Ankylosing spondylitis

Ankylosing spondylitis (AS) is a chronic inflammatory arthritis primarily affecting the spine. It belongs to a group of conditions known as spondyloarthritis, which also includes related disorders like psoriatic arthritis, reactive arthritis, and enteropathic arthritis.

Here are some key points about ankylosing spondylitis:

  1. Inflammation and fusion: Ankylosing spondylitis causes inflammation in the joints of the spine, particularly in the sacroiliac joints where the spine connects to the pelvis. Over time, this inflammation can lead to the fusion of the vertebrae, resulting in a rigid spine. Fusion can also affect other joints, such as the hips and shoulders.

  2. Symptoms: The most common symptom of AS is chronic back pain and stiffness, which is usually worse in the morning or after periods of inactivity. Other symptoms may include pain and stiffness in the neck, hips, and shoulders, fatigue, loss of appetite, weight loss, and limited chest expansion due to involvement of the rib joints.

  3. Progression and variability: Ankylosing spondylitis is a progressive condition that varies widely in its severity and progression rate among individuals. Some people may experience mild symptoms and minimal spinal fusion, while others may have more severe symptoms and extensive fusion.

  4. Diagnosis: Diagnosis of ankylosing spondylitis involves a combination of clinical evaluation, imaging tests (such as X-rays and MRI), and laboratory tests (such as blood tests to detect markers of inflammation like C-reactive protein and HLA-B27 genetic test, which is positive in about 90% of people with AS).

  5. Treatment: There is no cure for ankylosing spondylitis, but various treatment approaches can help manage symptoms and slow disease progression. Treatment options may include nonsteroidal anti-inflammatory drugs (NSAIDs), disease-modifying antirheumatic drugs (DMARDs), biologic medications, physical therapy, exercise, and lifestyle modifications.

  6. Multidisciplinary approach: Ankylosing spondylitis is typically managed by a multidisciplinary team, including rheumatologists, physiotherapists, occupational therapists, and sometimes orthopedic surgeons. Regular monitoring, education about self-management, and support are important aspects of long-term management.

It's important to note that while I strive to provide accurate and up-to-date information, it's always recommended to consult with a healthcare professional for a proper diagnosis and personalized treatment plan for ankylosing spondylitis.

Bath ankylosing spondylitis functional index BASFI Calculator

The Bath Ankylosing Spondylitis Functional Index (BASFI) is a tool used to assess the functional limitations and disability in individuals with ankylosing spondylitis, a form of arthritis that primarily affects the spine. The BASFI score is calculated based on the patient's self-reported answers to a set of questions related to their ability to perform certain activities.

While I can provide you with an overview of the BASFI questionnaire, it is important to note that I cannot administer or calculate the BASFI score directly. The BASFI questionnaire typically consists of ten questions, each rated on a 0-10 scale:

  1. How do you manage to get up from a sitting position?
  2. How do you manage to get up from a lying position?
  3. How do you manage to bend forward to pick up a pen from the floor?
  4. How do you manage to do your household chores?
  5. How do you manage to walk about outside?
  6. How do you manage to get dressed?
  7. How do you manage to get in/out of a car or use public transport?
  8. How do you manage to turn over in bed?
  9. How do you manage to look over your shoulder while driving or crossing the road?
  10. How do you manage to get in/out of the bath?

Each question is scored from 0 to 10, with 0 indicating no difficulty and 10 indicating the highest level of difficulty. The scores from all the questions are then averaged to determine the overall BASFI score, ranging from 0 to 10.

To calculate your BASFI score, you would need to complete the questionnaire and assign a score to each question based on your level of difficulty. However, it is recommended to consult a healthcare professional who can administer the questionnaire and interpret the results accurately.

Please keep in mind that the BASFI score is just one component of a comprehensive assessment of ankylosing spondylitis. It is always best to consult with a healthcare provider who specializes in rheumatology or ankylosing spondylitis for a thorough evaluation and personalized management plan.

Interpreting the BASFI Score

By comparing the BASFI score at different time points, healthcare professionals can assess the effectiveness of treatment strategies in improving functionality and quality of life for individuals with ankylosing spondylitis. Additionally, the BASFI score provides a standardized measure that allows for comparisons across patients and research studies, facilitating the evaluation of treatment outcomes and the effectiveness of new interventions.

It is important to note that the BASFI score is based on patient self-report, and there may be variations in how individuals interpret and rate their functional limitations. Additionally, the BASFI focuses primarily on physical functionality and may not capture other aspects of the disease, such as pain or psychological impact. Therefore, the BASFI score should be used alongside clinical judgment, physical examination, and other measures of disease activity to obtain a comprehensive assessment of functionality in individuals with ankylosing spondylitis.

Clinical Applications and Limitations

The BASFI has several clinical applications in the management of ankylosing spondylitis (AS). It is a valuable tool for assessing functionality, monitoring disease progression, evaluating treatment response, and guiding therapeutic decisions. The BASFI score provides healthcare professionals with a standardized measure of functional limitation, allowing for better comparison of patients' functionality over time and across different treatment interventions. It can help identify individuals with higher levels of functional impairment who may require more aggressive treatment approaches or additional support services.

The BASFI score is also useful in clinical trials and research studies, enabling researchers to assess the impact of new therapies or interventions on functionality in individuals with AS. It provides a quantitative measure that can be used to evaluate treatment outcomes and compare the effectiveness of different treatment modalities.

However, there are limitations to consider when using the BASFI. The score relies on self-reported data, which may be influenced by subjective perceptions, recall bias, or other factors that can affect the accuracy of the responses. It is important to interpret the BASFI score in conjunction with other clinical assessments and objective measures to obtain a comprehensive understanding of an individual's functionality.

Another limitation is that the BASFI primarily focuses on physical functionality and may not capture other dimensions of disability, such as psychological or social aspects. This may limit its ability to fully assess the impact of AS on an individual's overall well-being and quality of life. Healthcare providers should consider incorporating other assessment tools or patient-reported outcomes to obtain a more holistic understanding of the impact of AS on functionality.