Clinical Examination of Balance and Stability in Rheumatoid Arthritis Patients

Mengshoel, Anne Marit; Clarke-Jenssen, Anne-Cathrine; Fredriksen, Berit; Paulsen, Taran

doi:10.1016/s0031-9406(05)60627-x

Cited by 7 publications

(13 citation statements)

References 13 publications

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“…In the literature, there is no universally agreed definition of the term balance (5,6). However, from an intuitive clinical viewpoint, human balance may be described as the ability of a person not to fall (6,7), an ability which is required for a number of daily actions, like sitting, standing up and moving about (5,8 Á/10). As such, balance is an essential component of functioning.…”

Section: Introductionmentioning

confidence: 99%

Measuring balance in sub-acute stroke rehabilitation

Gustavsen

Mengshoel

2006

Advances in Physiotherapy

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The objectives of this study were to investigate if more aspects of balance abilities could be obtained by using the Berg Balance Scale (BBS) in addition to the balance items (sitting/sitting to standing/walking) of the Motor Assessment Scale (MAS), and to examine change. Forty-four patients in a sub-acute stroke rehabilitation unit were scored on the MAS and the BBS on admission and discharge. Balance was investigated by correlation analyses. Change was explored by calculating ceiling effects at admission, number of patients changing scores and Standardized Response Means (SRMs). Spearman's correlation coefficients between the MAS and the BBS ranged from 0.58 to 0.94, p 5/0.01. The ceiling effects were high, range: 48 Á/57% for the MAS items, 46 Á/100% for the BBS items. Below ceiling, the number of patients changing scores ranged from six (26%) to 10 (45%) patients on the MAS items and from two (15%) to 10 (50%) patients on the BBS items. The SRMs ranged from (/0.2 to 0.5 for the MAS items and from 0.0 to 0.5 for the BBS items. In this study, no more aspects of balance abilities were obtained by using the BBS in addition to the MAS. Change was limited on both instruments.

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Section: Introductionmentioning

confidence: 99%

Measuring balance in sub-acute stroke rehabilitation

Gustavsen

Mengshoel

2006

Advances in Physiotherapy

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“…However, only a few studies, with controversing results, are available on the changes in postural control when the hip joint is affected 17, 18, 19. Arthritic joint damage leads to capsular and other joint structure pathologies, which impairs proprioception and postural stability 15, 16, 20. Postural control is a very complex function that combines sensory input, central processing, and neuromuscular responses.…”

Section: Discussionmentioning

confidence: 99%

“…Postural control is a very complex function that combines sensory input, central processing, and neuromuscular responses. Its sensory components include the vestibular, visual and different somatosensory signals, provided by receptors in joint capsules, ligaments, surrounding muscles and in the skin 15, 16, 21. Patients with OA are known to frequently suffer from pain.…”

Section: Discussionmentioning

confidence: 99%

Assessment of postural stability in women with hip osteoarthritis: A case–control study

Słomka

Rongies

Sierdziński

et al. 2019

Acta Orthopaedica et Traumatologica Turcica

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ObjectiveThe aim of the study was to assessment the impact of hip osteoarthritis on postural stability.MethodsOne hundred and twenty-five randomly selected women 20–85 years old (mean age of 49 ± 24.4 years) were assigned to three groups based on age, health status and activity level. Group 1 (cases) – elderly women with diagnosed hip osteoarthritis, group 2 (control) - women without hip osteoarthritis, and group 3 (control) - healthy young women. Assessment of postural stability were measured using a WIN-POD Pel 38 electronic podometer. Statistica 10 software was used to perform t-test resulting in significance level of p < 0.05.ResultsSignificant differences in pedobarographic balance measurements were observed between the study groups with eyes opened or closed (deviation length eyes open: group 1–3 and 2–3 p < 0.0001; eyes closed group 1–2 p = 0.19; 1–3 and 2–3 p < 0.0001; deviation area eyes open: group 1-3 and 2–3 p < 0.0001; eyes closed group 1–3 and 2–3 p < 0.0001; deviation velocity eyes open: group1-3 and 2–3 p < 0.0001; eyes closed group 1–2 p < 0.010, 1–3 and 2–3 p < 0.0001). The poorest postural stability was observed in patients with hip osteoarthritis (deviation length eyes open vs eyes closed 180.8/201.7 p = 0.028, deviation area 128.7/145.7 p = 0.771, deviation velocity 5.1/6.1 p < 0.0001), and the best postural stability was observed in young women (deviation length 111.3/137.5 p < 0.0001, deviation area 57/76.9 p = 0.003, deviation velocity 3.4/4.2 p < 0.0001).Conclusion(1) Osteoarthritic degeneration of the hip joint results in a significant disturbance in proprioception. This finding was reflected by the inferior stability parameters collected from subjects with hip osteoarthritis when asked to stand with their eyes closed. These finding were not observed in the other groups. (2) The disorder of the body stability of people with osteoarthritis may be a relative indication for the implantation of hip arthroplasty.

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“…RA is characterized by the localization of inflammatory flares primarily to the synovial membrane of the joints (Mengshoel et al, 2000), while the involvement of the cartilage in osteoarthritis results in a secondary effect on the joint capsule and synovium (Heinegård and Saxne, 2011). A number of studies have reported balance disorders in patients with OA or RA localized to the knee or ankle joints (Barrett et al, 1991;Fridén et al, 1990;Hassan et al, 2001;Hinman et al, 2002;Marks et al, 1993;Renström and Konradsen, 1997;Tropp and Odenrick, 1988).…”

Section: Introductionmentioning

confidence: 99%

“…Sensory components include the vestibular, visual and different somatosensory information, i.e., receptors in joint capsules, ligaments, surrounding muscles and in the skin (Cross and McCloskey, 1973;McChesney and Woollacott, 2000;Missaoui et al, 2008;Schmidt, 1975;Zimny, 1988). Pathologies in and around the joints may affect the quality of sensory information resulting in decreased proprioception and disrupting the automatic postural responses to sensory inputs (Hurley, 1997;Mengshoel et al, 2000;Missaoui et al, 2008;Sturnieks et al, 2004). Nevertheless, some authors suggested that the intracapsular components have little influence on standing balance in the hip, while the stretch receptors of the adjacent tendons and muscles might have a greater influence on proprioception than the joint capsule (Arokoski et al, 2006;Ischii et al, 1999).…”

Section: Introductionmentioning

confidence: 99%