What Impairs Balance in Ankylosing Spondylitis? Posture or Disease Activity?

Gündüz, Osman Hakan; Özcan-Ekşi, Emel Ece; Giray, Esra; Yağcı, İlker

doi:10.5606/archrheumatol.2017.6222

Cited by 17 publications

(9 citation statements)

References 12 publications

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“…Likewise, studies evaluating balance through various methods in the presence of AS showed a higher extent of balance loss in AS when compared to healthy subjects. [29][30][31] Similar to prior clinical studies, the findings of the present study showed that AS patients experienced a greater loss of balance than healthy subjects. Poor balance is a significant risk factor for falls.…”

Section: Discussionsupporting

confidence: 89%

Loss of Balance and Fall Risk, and their Relationship with Disease Activity, Functional Status, Spinal Mobility, Quality of Life and Enthesitis Score in Patients with Ankylosing Spondylitis: A Cross-Sectional Study

Bingöl¹,

Karadağ²

2020

Cumhuriyet Medical Journal

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This study evaluates the loss of balance and fall risk in patients with Ankylosing Spondylitis (AS), and assesses their relationship with disease activity, functional status, spinal mobility, quality of life and enthesitis score. Method: Included in the study were 50 AS patients who were diagnosed in accordance with the modified New York criteria, and 50 healthy volunteers of similar age and gender. For the AS patients, disease activity was assessed using the Bath Ankylosing Spondylitis Activity Index (BASDAI) and Ankylosing Spondylitis Disease Activity Score (ASDAS) C-reactive protein/Erythrocyte sedimentation rate (CRP/ESR); functional status was assessed using the Bath Ankylosing Spondylitis Functional Index (BASFI); spinal mobility was assessed using the Bath Ankylosing Spondylitis Metrology Index (BASMI); and quality of life was assessed using the Ankylosing Spondylitis Quality of Life Questionnaire (ASQoL). Additionally, a Short form-36 (SF-36) was used to assess quality of life in both the AS patients and the healthy control group; while a Timed Up and Go-test (TUG), Functional Reach Test (FRT), Berg Balance Scale (BBS) and Tinnetti's Falls Efficacy Scale (TFES) were used to assess balance and fall risk. Enthesitis in the AS patients was evaluated using Maastricht Ankylosing Spondylitis Enthesitis Score (MASES). Results: A comparison of the AS patients and the healthy controls in terms of BBS, FRT, TUG and TFES revealed balance loss and fall risk to be higher in the AS patient group, to a statistically significant degree (p<0.001). BBS, FRT, TUG and TFES were statistically significantly correlated with BASDAI, BASMI, BASFI, ASDAS-ESR, ASDAS-CRP and ASQoL in AS patients (p<0.05), while no statistically significant

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Section: Discussionsupporting

confidence: 89%

Loss of Balance and Fall Risk, and their Relationship with Disease Activity, Functional Status, Spinal Mobility, Quality of Life and Enthesitis Score in Patients with Ankylosing Spondylitis: A Cross-Sectional Study

Bingöl¹,

Karadağ²

2020

Cumhuriyet Medical Journal

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“…However, when the literature is examined, it has been seen that studies evaluating balance in individuals with AS are limited and there is no specific tool to examine balance. In previous studies, Berg Balance Scale, force plate, Biodex Stability System, and magnometry were used to evaluate dynamic or static balance in AS patients [14][15][16]31]. The use of different measurement tools makes it difficult to interpret the relationship between AS and balance.…”

Section: Discussionmentioning

confidence: 99%

The Association of Physical Activity Level with Body Awareness and Balance in Individuals with Ankylosing Spondylitis

Buke,

Cetisli-Korkmaz,

Basakci-Calik

et al. 2023

Aktuelle Rheumatologie

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Background This study aimed to examine the association of physical activity level with body awareness and balance in individuals with ankylosing spondylitis (AS). In addition, the effects of disease-specific parameters on static and dynamic balance functions were investigated. Material and Methods Sixty-four volunteers (36 female, 28 male) were included. AS disease activity, functional level, and spinal mobility were evaluated with disease-specific indexes. Physical activity level was assessed with the International Physical Activity Questionnaire, body awareness with the Body Awareness Questionnaire, static balance with the Single Leg Stance Test, and dynamic balance with the Timed Up and Go Test and the Four Square Step Test. Results There was a relationship between physical activity level and body awareness (p<0.05), but no correlation was found with the disease-specific assessments and balance measurements (p>0.05). While BASFI was found to be significantly associated with both static and dynamic balance, it was noted that BASMI was just related with FSST (p<0.05), and BASDAI was not correlated with any balance test (p>0.05). Conclusion As a result of our study, we observed that physical activity level was associated with body awareness, but not with balance. Also, it was recorded that the functional status of individuals with AS is closely related with static and dynamic balance and dynamic balance is partially influenced by spinal mobility.

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“…In the same study, mediolateral sway was similar in AS patients and controls. Gündüz et al[ 21 ] demonstrated impairment of both static and dynamic balance in AS patients, with static balance impaired in the eyes-closed condition. Vergara et al[ 2 ] reported a significantly greater CoP displacement in the AS group when tested on a ‘force platform’ with the eyes closed.…”

Section: Discussionmentioning

confidence: 99%

The relationship of multifidus and gastrocnemius muscle thickness with postural stability in patients with ankylosing spondylitis

Mesci,

Mesci

2023

Turk J Phys Med Rehab

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Objectives: This study aimed to investigate potential changes in the thickness of the multifidus and gastrocnemius muscles and to demonstrate the association of muscle thickness with postural stability in ankylosing spondylitis (AS) patients. Patients and methods: The cross-sectional observational study enrolled 32 AS patients (23 males, 9 females; mean age: 39.4±7.2 years; range, 18 to 65 years) diagnosed according to the modified New York criteria and 32 healthy controls (22 males, 10 females; mean age: 36.6±7.5 years; range, 18 to 65 years) between April 2017 and October 2018. Plantar center of pressure (CoP) excursions were recorded using a pressure platform to evaluate postural stability. The thickness of the lumbar multifidus and gastrocnemius muscles was measured using ultrasound. Results: Patients with AS showed reduced muscle thickness at the multifidus (p<0.05) muscle and medial gastrocnemius (p=0.002) and lateral gastrocnemius (p=0.002) muscles compared to controls. Increased CoP excursions were observed only in the anteroposterior direction in the double-leg (standard) stance with the eyes closed (p=0.003) and in both anteroposterior and mediolateral directions in tandem and single-leg stances (all p<0.05). Center of pressure excursions in standard stance with the eyes closed were negatively correlated with all muscle thickness values (all p<0.05). In the single-leg stance, CoP excursions were negatively correlated with muscle thickness of medial gastrocnemius (p=0.008) and lateral G (p=0.016) muscles. Conclusion: Early planning of exercise programs taking muscle loss into account can help improve balance and thereby prevent falls and fractures in AS patients.

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What Impairs Balance in Ankylosing Spondylitis? Posture or Disease Activity?

Cited by 17 publications

References 12 publications

Loss of Balance and Fall Risk, and their Relationship with Disease Activity, Functional Status, Spinal Mobility, Quality of Life and Enthesitis Score in Patients with Ankylosing Spondylitis: A Cross-Sectional Study

Loss of Balance and Fall Risk, and their Relationship with Disease Activity, Functional Status, Spinal Mobility, Quality of Life and Enthesitis Score in Patients with Ankylosing Spondylitis: A Cross-Sectional Study

The Association of Physical Activity Level with Body Awareness and Balance in Individuals with Ankylosing Spondylitis

The relationship of multifidus and gastrocnemius muscle thickness with postural stability in patients with ankylosing spondylitis

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