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🦴 Ankylosing Spondylitis BASDAI Activity Simulator

The Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) is a patient-reported measure used to evaluate the degree of disease activity in patients with ankylosing spondylitis. This simulation enables users to input self-assessed symptoms and signs to determine the BASDAI score.

Rheumatology Disease Activity Scores2DModerate60 FPS
basdai-ankylosing-spondylitis-simulator ↗ Open standalone

Fatigue Level Assessment

Fatigue is one of five patient-reported domains feeding the BASDAI score.

  • 0–10: Scale range (visual analogue scale)
  • 7 days: Recall window (past-week average)
  • 1 of 5: Domain weight (BASDAI questions)
  • Patient: Reported by (self-assessment)

Why fatigue matters

Fatigue often precedes flares and tracks with systemic inflammation.

Placeholder: fatigue score is entered directly on the BASDAI questionnaire.

Spinal and Hip Pain Rating

Axial pain is the hallmark symptom of ankylosing spondylitis.

  • 0–10: Scale range (visual analogue scale)
  • SI joints: Common sites (spine, hips)
  • 1 of 5: Domain weight (BASDAI questions)
  • Inflammatory: Pattern (worse with rest)

Axial pain pattern

Pain typically improves with movement and worsens after inactivity.

Placeholder: spinal/hip pain anchors the axial component of the score.

Peripheral Joint Pain and Swelling

Peripheral arthritis can accompany axial disease in some patients.

  • 0–10: Scale range (visual analogue scale)
  • Knees, ankles: Common joints (asymmetric pattern)
  • 1 of 5: Domain weight (BASDAI questions)
  • ~30%: Prevalence (placeholder figure)

Peripheral involvement

Swelling and tenderness outside the spine are scored separately.

Placeholder: peripheral joint symptoms add a distinct BASDAI input.

Morning Stiffness Duration and Severity

Stiffness duration and intensity form two related BASDAI questions.

  • 0–120 min: Duration range (slider input)
  • 0–10: Severity scale (visual analogue scale)
  • 2 of 5: Domain weight (duration + severity)
  • >30 min: Typical flare (placeholder threshold)

Stiffness scoring

Longer, more severe morning stiffness raises the composite score.

Placeholder: stiffness duration and severity are averaged together.

BASDAI Score and Activity Threshold

A score of 4 or higher generally indicates active disease.

  • 0–10: Score range (composite index)
  • ≥ 4: Active threshold (clinical cutoff)
  • Score-based: Biologic candidacy (plus NSAID failure)
  • Periodic: Reassessment (placeholder interval)

Interpreting the score

The gauge marks where the current inputs fall against the threshold.

Placeholder: scores at or above 4 suggest escalation of therapy.
⚙ Under the hood

The Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) is a patient-reported measure used to evaluate the degree of disease activity in patients with ankylosing spondylitis. This simulation enables users to input self-assessed symptoms and signs to determine the BASDAI score.

CanvasBiomedicine

2D · HTML5 Canvas 2D · 60 FPS target · runs fully client-side, no install

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