Postural stability and the relationship with enthesitis in ankylosing spondylitis: A cross-sectional study
Künye
Tolu, S., Hindioğlu, N., Kiraz, İ. E. ve Calkin Korkmaz, M. (2019). Postural stability and the relationship with enthesitis in ankylosing spondylitis: A cross-sectional study. Medicine Science, 8(3), 613-619. https://doi.org/10.5455/medscience.2019.08.9030Özet
This study aims to investigate the static and dynamic postural stability in ankylosing spondylitis (AS), and to evaluate their relationships with clinical parameters, postural
measurements, and enthesitis. Sixty-four patients with AS (37 males, 27 females; mean age 41.06±8.89 years) and 42 healthy individuals (23 males, 19 females; mean age
38.45±8.46 years) were involved in the study. The static and dynamic postural stability of all participants were assessed using the Biodex Balance System. Patients’ posture
was evaluated using chest expansion, tragus-wall distance, and the modified Schober’s test. The disease activity (Bath Ankylosing Spondylitis Disease Activity Index:
BASDAI), functional status (Bath Ankylosing Spondylitis Functional Index: BASFI), spinal mobility (Bath Ankylosing Spondylitis Metrology Index: BASMI), enthesitis
score (Maastricht Ankylosing Spondylitis Enthesitis Score: MASES), pain (Visual Analogue Scale: VAS), quality of life (Ankylosing Spondylitis Quality of Life: ASQoL)
and depression (Beck Depression Inventory: BDI) of all patients were evaluated. Similar demographic data were found in both groups. Significant differences were
acquired between the patient and control groups regarding all postural stability tests (p<0.05). The BASDAI, BASMI, BASFI, MASES, VAS pain, modified Schober’s
test, ASQoL, and BDI were associated with sway velocity on a firm surface with eyes closed. There was a significant correlation between MASES and all tests of sway
velocity. Dynamic postural stability in the sagittal plane and whole tests (except on foam surface eyes closed test) of sway velocity were affected negatively in patients with
Achilles enthesitis. Static and dynamic postural stability impairments are seen in AS. Enthesitis significantly impaired static postural stability and increased postural sway.
Kaynak
Medicine ScienceCilt
8Sayı
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