Impairment of static upright posture in subjects with undifferentiated arthritis in sacroiliac joint in conjunction with elevation of streptococcal serology

Chang, Cheng-Chiang; Chu, Heng-Yi; Chiang, Shang-Lin; Li, Tsung-Ying; Chang, Shin-Tsu

doi:10.3233/bmr-2009-0217

Cited by 3 publications

(2 citation statements)

References 37 publications

(54 reference statements)

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“…It is speculated that subjects with high levels of streptococcal serology have greater sways on all postural parameters compared to those with low serology. The speculation is consistent with proprioceptive deficits in the SI joint contributing to postural impairments, 76,77 as shown in Figure 2. The use of QSS is the first of its kind to detect active SI joint disorder in the studies of PSRA.…”

Section: Quantitative Sacroiliac Scintigraphy For Spondyloarthropathy Including Ankylosing Spondylitissupporting

confidence: 79%

A Worthwhile Measurement of Early Vigilance and Therapeutic Monitor in Axial Spondyloarthritis: A Literature Review of Quantitative Sacroiliac Scintigraphy

et al. 2021

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Background: Back pain a common cause for hospital visits. Nuclear skeletal scintigraphy, at a high sensitivity, provides a functional imaging for detecting bone diseases. Sacroiliitis is an inflammation of the sacroiliac joint. Bone scan with quantitative sacroiliac scintigraphy (QSS) has been a useful inflammation indicator for sacroiliac joints. However, QSS has been ignored in the rehabilitation practice. Objective: To present the background, mechanisms, and current clinical applications of bone scan with QSS in spondyloarthropathy (SpA). Methods: The authors performed a literature review of QSS through database searching of MEDLINE, Embase, CINAHL, HaPI, Cochrane Review, and citation mining. Studies were included if they had QSS in the methodology performed in adult patients with various diseases. Any articles, including the authors’, that can be performed in a clinical setting were enrolled. Articles explicitly referencing QSS were retained for screening. Results: QSS appearance of SpA, including ankylosing spondylitis, may give rise to early detection. The specificity of sacroiliitis based on QSS increases from 73% to 97%. After investigating the relationship between serum C-reactive protein and sacroiliac joint inflammation in patients with SpA, there appeared to be a significant difference between serum C-reactive protein in serum and in sacroiliac ratio (particularly the middle part of the both joints), indicating a systemic inflammatory response to flair-up of SpA, for example, serum C-reactive protein as an indicator of inflammation. Sacroiliitis also occurs in post-streptococcal reactive arthritis. The involvement of sacroiliac joints in the development of post-streptococcal reactive arthritis had been demonstrated a significant correlation between anti-streptolysin O titres and QSS in patients with post-streptococcal reactive arthritis. Lower extremity periostitis acts as a human model in the study of bottom-up processing for periostitis-induced sacroiliac pain. The use of QSS can also monitor sacroiliac joint dysfunction before and after laser therapy. Improvements of the sacroiliac joint after convalescing of foot periostitis have been reported. Conclusions: Bone scan using QSS is a good screening measurement in scintigraphy rehabilitation for early detection of SpA and raises awareness of physicians toward the next step of diagnosis.

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Section: Quantitative Sacroiliac Scintigraphy For Spondyloarthropathy Including Ankylosing Spondylitissupporting

confidence: 79%

A Worthwhile Measurement of Early Vigilance and Therapeutic Monitor in Axial Spondyloarthritis: A Literature Review of Quantitative Sacroiliac Scintigraphy

et al. 2021

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“…The subjects were asked to maintain a static position with their eyes focused on a target on the wall for 30 seconds. Then, the following stabilometric variables were calculated: mediolateral standard deviation (X SD), anteroposterior standard deviation (Y SD), mediolateral range (X range), anteroposterior range (Y range), effective area, average velocity, mediolateral maximum velocity (X max velocity), and anteroposterior maximum velocity (Y max velocity)14,15,16 ) . Additionally, on the day of recruitment, we used the BBS also to assess the postural balance.…”

Section: Methodsmentioning

confidence: 99%

Balance Deficits are Correlated with Bronchial Obstruction Markers in Subjects with Asthma

et al. 2014

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[Purpose] Balance deficits are increasingly recognized in chronic obstructive pulmonary disease, but little is known regarding this issue in asthma. Our primary aim was to assess the correlation between postural balance and pulmonary function in adults with asthma. Secondarily, we aimed to correlate balance with functional capacity and body mass index in these subjects. [Methods] A cross-sectional study of 26 adults with asthma was performed in which they were subjected to stabilometry, pulmonary function testing, a 6-minute walking test, and nutritional assessment. [Results] We found significant correlations of forced expiratory volume at one second (ρ=−0.49) and total lung capacity (ρ=0.39) with mediolateral displacement with feet apart/eyes open. Significant correlations were observed between peak expiratory flow and a number of stabilometric parameters. There were several significant correlations between airway-specific conductance and the tasks performed on the force platform, especially one with the feet apart/eyes open. The Berg Balance Scale revealed significant correlations with mediolateral displacement, mediolateral range, and anteroposterior range for feet together/eyes closed (ρ=−0.49). There were no significant correlations between stabilometry, body mass index, and six-minute walking distance. [Conclusion] In adults with asthma, there is an association between balance and the bronchial obstruction markers. This finding may contribute to improvement of rehabilitation programs for these subjects.

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Randomized Controlled Trial of Laser Therapy Versus Conventional Therapy in the Treatment of Medial Tibial Stress Syndrome

Chen

Chuang

Chang

et al. 2016

Int. J. Orthopedics Rehabil.

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Introduction: Medial tibial stress syndrome (MTSS) can induce defective biomechanics and cause sacroiliac (SI) joint stress. The purpose of this study was to investigate whether successful therapy of MTSS normalizes SI joint stress. Methods: Fifty-three patients with MTSS and SI joint stress confirmed by nuclear scintigraphy were enrolled in this prospective trial. Patients were randomly assigned to receive laser therapy or conventional therapy. Patients in the laser therapy group underwent 15 laser sessions over a 5-day period (60 seconds in duration, three times per day). The SI ratio was measured using quantitative sacroiliac scintigraphy (QSS) before and after therapy. Outcome measures included Lower Extremity Functional Scale (LEFS). Generalized estimating equation models were used to evaluate the associations of LEFS. We adjusted for the correlations between QSS and different parts of the SI joint, and adjusted for potential confounders as well. Results: Age, body weight, and duration did not correlate with QSS or lateralization. There was no significant difference in QSS and laterality of MTSS. However, the LEFS measured after therapy were significantly increased 38.45 (P < 0.0001) from LEFS measured before therapy. The QSS was significantly lower after therapy (P < 0.0001), indicating that successful therapy of MTSS has a buttom-up effect on SI joint stress (P < 0.0001). There was also a significant association between the middle part and the lower part of the SI joint. The QSS for the middle part on both sides was significantly higher than that for the lower part (P = 0.0250). Conclusion: SI joint stress due to bottom-up processing of MTSS can be normalized after successful therapy of MTSS by either laser therapy or conventional therapy.

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Impairment of static upright posture in subjects with undifferentiated arthritis in sacroiliac joint in conjunction with elevation of streptococcal serology

Abstract: Subjects with high level of streptococcal serology demonstrated increased sway on all postural control measures as compared to those with low serology. Proprioceptive deficits in the SI joint might contribute to the postural impairment measured in this study.

Cited by 3 publications

References 37 publications

A Worthwhile Measurement of Early Vigilance and Therapeutic Monitor in Axial Spondyloarthritis: A Literature Review of Quantitative Sacroiliac Scintigraphy

A Worthwhile Measurement of Early Vigilance and Therapeutic Monitor in Axial Spondyloarthritis: A Literature Review of Quantitative Sacroiliac Scintigraphy

Balance Deficits are Correlated with Bronchial Obstruction Markers in Subjects with Asthma

Randomized Controlled Trial of Laser Therapy Versus Conventional Therapy in the Treatment of Medial Tibial Stress Syndrome

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