Postural stability and the relationship with enthesitis in ankylosing spondylitis:A cross-sectional study

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

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1. Sieper J, Poddubnyy D. Axial spondyloarthritis. Lancet. 2017;390:73-84.

2. Harper BE, Reveille JD. Spondyloarthritis: clinical suspicion, diagnosis, and sports. Curr Sports Med Rep. 2009;8:29-34.

3. Aydog E, Depedibi R, Bal A, et al. Dynamic postural balance in ankylosing spondylitis patients. Rheumatology. 2006;45:445-8.

4. Murray HC, Elliott C, Barton SE, et al. Do patients with ankylosing spondylitis have poorer balance than normal subjects? Rheumatology. 2000;39:497-500.

5. Bot SD, Caspers M, Van Royen BJ, et al. Biomechanical analysis of posture in patients with spinal kyphosis due to ankylosing spondylitis: a pilot study. Rheumatology. 1999;38:441-3.

6. Debarge R, Demey G, Roussouly P. Radiological analysis of ankylosing spondylitis patients with severe kyphosis before and after pedicle subtraction osteotomy. Eur Spine J 2010;19:65-70.

7. D’Agostino MA, Olivieri I. Enthesitis. Best Pract Res Clin Rheumatol. 2006; 20:473-86.

8. De Nunzio AM, Iervolino S, Zincarelli C et al. Ankylosing spondylitis and posture control: the role of visual input. Biomed Res Int. 2015;2015:948674.

9. Swinkels A, Dolan P. Spinal position sense and disease progression in ankylosing spondylitis: a longitudinal study. Spine (Phila Pa 1976) 2004;29:1240-5.

10. Dursun N, Sarıkaya S, Ozdolap S et al. Risk of falls in patients with ankylosing spondylitis. J Clin Rheumatol. 2015;21:76-80.

11. Vergara ME, O’Shea FD, Inman RD et al. Postural control is altered in patients with ankylosing spondylitis. Clin Biomech. 2012;27:334-40.

12. Van der Linden S, Valkenburg HA, Cats A. Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria. Arthritis Rheum. 1984;27:361-8.

13. Akkoc Y, Karatepe AG, Akar S, et al. A Turkish version of the bath ankylosing spondylitis disease activity index: reliability and validity. Rheumatol Int. 2005;25:280-4.

14. Karatepe AG, Akkoc Y, Akar S, et al. The Turkish versions of the Bath Ankylosing Spondylitis and Dougados Functional Indices: reliability and validity. Rheumatol Int. 2005;25:612-8.

15. Jenkinson TR, Mallorie PA, Whitelock HC, et al. Defining spinal mobility in ankylosing spondylitis (AS). The Bath AS Metrology Index. J Rheumatol. 1994;21:1694-8.

16. Heuft-Dorenbosch L, Spoorenberg A, van Tubergen A, et al. Assessment of enthesitis in ankylosing spondylitis. Ann Rheum Dis. 2003;62:127-32.

17. Duruöz MT, Doward L, Turan Y et al. Translation and validation of the Turkish version of the Ankylosing Spondylitis Quality of Life (ASQOL) questionnaire. Rheumatol Int. 2013;33:2717-22.

18. Beck AT, Ward CH, Mendelson M, et al. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561-71.

19. Arnold BL, Schmitz RJ. Examination of balance measures produced by the biodex stability system. J Athl Train. 1998;33:323-7.

20. Batur EB, Karataş GK. Do postural changes affect balance in patients with ankylosing spondylitis? J Rehabil Med 2017;49:437-40.

21. Sawacha Z, Carraro E, Del Din S, et al. Biomechanical assessment of balance and posture in subjects with ankylosing spondyli¬tis. J Neuroeng Rehabil. 2012;9:63.

22. Gunduz OH, Ozcan-Eksi EE, Giray E, et al. What impairs balance in ankylosing spondylitis? Posture or disease activity? Arch Rheumatol. 2017;32:221-6.

23. Ramiro S, van der Heijde D, van Tubergen A, et al. Higher disease activity leads to more structural damage in the spine in ankylosing spondylitis: 12-year longitudinal data from the OASIS cohort. Ann Rheum Dis. 2014;73:1455-61.

24. Lafond D, Champagne A, Descarreaux M, et al. Postural control during prolonged standing in persons with chronic low back pain. Gait & Posture 2009;29:421-7.

25. Demontis A, Trainito S, Del Felice A, et al. Favorable effect of rehabilitation on balance in ankylosing spondylitis: a quasi-randomized controlled clinical trial. Rheumatol Int. 2016;36:333-9.

26. Scholes M, Stadler S, Connell D, et al. Men with unilateral Achilles tendinopathy have impaired balance on the symptomatic side. J Sci Med Sport. 2018;21:479-82.

27. Rome K, Dixon J, Gray M, et al. Evaluation of static and dynamic postural stability in established rheumatoid arthritis: exploratory study. Clin Biomech. 2009;24:524-6.

28. Duruoz MT, Baklacioglu HS, Sanal Toprak C, et al. The evaluation of the static and dynamic balance disorders in patients with psoriatic arthritis. Rheumatol Int. 2018;38:2063-8.

29. Adam M, Erkan AN, Arslan D, et al. High-frequency sensorineural hearing loss in patients with ankylosing spondylitis: Is it an extraarticular feature of disease? Rheumatol Int. 2008;28:413-7.

30. Amor-Dorado JC, Barreira-Fernandez MP, Vazquez-Rodriguez TR, et al. Audiovestibular manifestations in patients with ankylosing spondylitis. Medicine (Baltimore). 2011;90:99–109.

31. Erbek SS, Erbek S, Yilmaz S, et al. Cochleovestibular dysfunction in ankylosing spondylitis. Audiol Neurootol. 2006;11:294-300.

32. Martins NA, Furtado GE, Campos MJ, et al. Exercise and ankylosing spondylitis with New York modified criteria: a systematic review of controlled trials with meta-analysis. Acta Reumatol Port. 2014;39:298-308.

33. Çınar E, Akkoç Y, Karapolat H, et al. Postural deformities: potential morbidities to cause balance problems in patients with ankylosing spondylitis? Eur J Rheumatol. 2016;3:5-9.

34. Durmus B, Altay Z, Ersoy Y, et al. Postural stability in patients with ankylosing spondylitis. Disabil Rehabil. 2010;32:1156-62.

35. Ward MM. Health-related quality of life in ankylosing spondylitis: a survey of 175 patients. Arthritis Care Res. 1999;12:247-55.

36. Bodur H, Ataman S, Rezvani A, et al. Quality of life and related variables in patients with ankylosing spondylitis. Qual Life Res. 2011;20:543-9.

37. Maksymowych WP, Mallon C, Morrow S, et al. Development and validation of the spondyloarthritis research consortium of Canada (SPARCC) Enthesitis Index. Ann Rheum Dis. 2009;68:948-53.

38. Baysal O, Durmus B, Ersoy Y, et al. Relationship between psychological status and disease activity and quality of life in ankylosing spondylitis. Rheumatol Int. 2010;31:795-800.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: 4
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
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