{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T16:45:50Z","timestamp":1788281150300,"version":"build-2803163510"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,3,22]],"date-time":"2025-03-22T00:00:00Z","timestamp":1742601600000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study aims to compare physical activity (PA) levels and exercise\u2010related perceptions, including barriers and facilitators, between radiographic axial spondyloarthritis (r\u2010axSpA) and non\u2010radiographic axial spondyloarthritis (nr\u2010axSpA) patients, and to explore the relationships between PA, exercise perceptions and clinical parameters in axSpA patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional design was used to recruit 123 axSpA patients, comprising 83 r\u2010axSpA and 40 nr\u2010axSpA. Clinical parameters, including disease activity, pain, spinal mobility, enthesopathy, physical function, fatigue, sleep quality, quality of life, fibromyalgia symptoms, kinesiophobia, and mental health, were assessed. PA levels were measured using the International Physical Activity Questionnaire\u2010Short Form, while exercise perception was evaluated using the Exercise Benefits\/Barriers Scale. Multivariable regressions examined the relationships between PA, exercise perception, and clinical variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Physical activity levels were comparable between subgroups (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.654), but r\u2010axSpA patients reported significantly higher exercise barriers (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.023). In the r\u2010axSpA group, the most commonly endorsed benefit was \u201cExercise improves my flexibility\u201d (94%), while in the nr\u2010axSpA group, it was \u201cExercise increases my physical fitness\u201d (95%). In both groups, the most common barrier was \u201cExercise tires me\u201d. Higher PA was linked to improved physical function and reduced kinesiophobia in nr\u2010axSpA, and lower anxiety in r\u2010axSpA (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05). Regression analysis revealed that PA level was related to symptom duration and enthesopathy, while exercise benefits were associated with health status, depression, physical function, and barriers with fatigue in axSpA patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Tailored interventions are essential to promote exercise participation in axSpA patients by addressing subgroup\u2010specific barriers and clinical factors.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.70081","type":"journal-article","created":{"date-parts":[[2025,3,23]],"date-time":"2025-03-23T17:33:33Z","timestamp":1742751213000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Exploring Exercise Perceptions and Physical Activity Levels in Radiographic and Non\u2010Radiographic Axial Spondyloarthritis: A Comparative Study"],"prefix":"10.1002","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7113-5912","authenticated-orcid":false,"given":"Serpil","family":"Demirulus","sequence":"first","affiliation":[{"name":"Division of Rheumatology Department of Physical Medicine and Rehabilitation Karadeniz Technical University School of Medicine  Trabzon Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1998-0988","authenticated-orcid":false,"given":"Gamze","family":"Kilic","sequence":"additional","affiliation":[{"name":"Division of Rheumatology Department of Physical Medicine and Rehabilitation Karadeniz Technical University School of Medicine  Trabzon Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4348-8398","authenticated-orcid":false,"given":"Murat","family":"Karkucak","sequence":"additional","affiliation":[{"name":"Division of Rheumatology Department of Physical Medicine and Rehabilitation Karadeniz Technical University School of Medicine  Trabzon Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2728-5934","authenticated-orcid":false,"given":"Erhan","family":"Capkin","sequence":"additional","affiliation":[{"name":"Division of Rheumatology Department of Physical Medicine and Rehabilitation Karadeniz Technical University School of Medicine  Trabzon Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,22]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469\u20107580.2006.00540.x"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.5606\/ArchRheumatol.2018.6833"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2004.12.010"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0165\u20101781(89)90047\u20104"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067\u2010024\u201007246\u20102"},{"issue":"12","key":"e_1_2_11_7_1","first-page":"2281","article-title":"A New Approach to Defining Functional Ability in Ankylosing Spondylitis: The Development of the Bath Ankylosing Spondylitis Functional Index","volume":"21","author":"Calin A.","year":"1994","journal-title":"Journal of Rheumatology"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.211052"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0301965"},{"issue":"7","key":"e_1_2_11_10_1","first-page":"946","article-title":"A Modification of the Health Assessment Questionnaire for the Spondyloarthropathies","volume":"17","author":"Daltroy L. 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