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clinician rated

BASMI · Bath Ankylosing Spondylitis Metrology Index

5 items · 10 min · 0–10 (10-point version) · lower is better

1 Before you use it

What it is

The objective companion to BASDAI and BASFI — five clinician-measured items: cervical rotation, tragus-to-wall, lateral lumbar flexion, modified Schober, and intermalleolar distance.

When to reach for it

Baseline and periodic review in established axial spondyloarthritis, and as the objective anchor when BASDAI and BASFI disagree.

2 Giving it

Scoring

Each measurement converted to a 0–2 or 0–10 score depending on the version, then averaged. State which version you used.

Measure the same way every time — landmarks, position and instructions all move the number.

What it doesn’t measure

Disease activity or symptoms — and it is not sensitive to short-term change.

3 Reading the score

Interpreting it

Higher means less mobility.

It changes slowly. BASMI is a structural measure, so month-to-month change is not expected — do not read noise as deterioration.

Is the change real?

No verified MCID or MDC is carried in our library for this measure, so the number on its own cannot tell you a change is real. Compare it to this patient's own baseline and say what changed functionally.

Student trap. Re-measuring it every fortnight and reading the wobble as progression. It's a structural measure — space it out.

Official source: nass.co.uk. We don't host the form.

This is a learning tool. It does not diagnose patients and does not replace your clinical educator.

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