Published In
Archives of Rheumatology
Volume: 34 Issue: 1, March 2019
Pages: 018-025
History
Published Online: March 31, 2019
This work is licensed under a Creative Commons Attribution 4.0 International License.
Emel Ece ÖZCAN EKŞİ
Department of Physical Medicine and Rehabilitation, Antalya Atatürk State Hospital, Antalya, Turkey
Esra GİRAY
Department of Physical Medicine and Rehabilitation, Marmara University Medical School, Istanbul, Turkey
Yeliz BAHAR ÖZDEMİR
Department of Physical Medicine and Rehabilitation, Marmara University Medical School, Istanbul, Turkey
İlker YAĞCI
Department of Physical Medicine and Rehabilitation, Marmara University Medical School, Istanbul, Turkey
Hakan GÜNDÜZ
Department of Physical Medicine and Rehabilitation, Marmara University Medical School, Istanbul, Turkey
Emel Ece ÖZCAN EKŞİ, Esra GİRAY, Yeliz BAHAR ÖZDEMİR, İlker YAĞCI, & Hakan GÜNDÜZ. (2019). A Preliminary Study on the Correlation Between Spinopelvic Parameters and Balance in Ankylosing Spondylitis. Archives of Rheumatology, 34(1), 018–025. https://doi.org/10.5606/ArchRheumatol.2019.6719
Abstract
Objectives: This study aims to identify the relationship between balance and sagittal spinopelvic alignment in ankylosing spondylitis (AS) and compare patients with or without lumbopelvic mismatch in terms of balance.
Patients and methods: We enrolled 41 patients (22 males, 19 females; mean age 41.3±8.9 years; range 21 to 57 years) into the study. Sagittal spinopelvic alignment was evaluated measuring thoracic kyphosis, lumbar lordosis, sacral slope, pelvic tilt and pelvic incidence on lateral standing X-rays of the whole spine including the femoral heads. Patients were grouped according to presence of lumbopelvic mismatch (lumbar lordosis- pelvic incidence >10o). Clinical parameters including age, body mass index, pain (Visual Analog Scale), disease activity (Bath Ankylosing Spondylitis Disease Activity Index), and disease duration were recorded. Posture was evaluated measuring tragus-to-wall distance, modified Schober’s test and chest expansion. A computerized pressure plate system (NeuroCom Balance Master®) was used for evaluating static and dynamic balance. Correlations between sagittal spinopelvic alignment parameters and balance were analyzed. Patients with or without lumbopelvic mismatch were compared in terms of balance.
Results: Patients took shorter steps, as thoracic kyphosis increased and sacral slope decreased (r= -0.391, p=0.012; r=0.344, p=0.028). Patients with lumbopelvic mismatch had significantly higher sway velocity on firm base with eyes closed and on foam base when the eyes open and closed . They also walked more slowly compared to patients without lumbopelvic mismatch (p>0.05).
Conclusion: Lumbopelvic mismatch impaired both static and dynamic balance, while increased thoracic kyphosis and decreased sacral slope impaired only the dynamic balance in patients with AS. Further studies with larger sample size and longer follow-ups need to be conducted to identify the mechanism of spinal deformities and balance disorders in patients with AS.
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Article Info
Published In
Journal
Archives of Rheumatology
Volume / Issue
Vol. 34 No. 1 (2019): The Archives of Rheumatology
Pages
018-025
History
Published Online
March 31, 2019
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Affiliations
1
Emel Ece ÖZCAN EKŞİ
Department of Physical Medicine and Rehabilitation, Antalya Atatürk State Hospital, Antalya, Turkey
2
Esra GİRAY
Department of Physical Medicine and Rehabilitation, Marmara University Medical School, Istanbul, Turkey
3
Yeliz BAHAR ÖZDEMİR
Department of Physical Medicine and Rehabilitation, Marmara University Medical School, Istanbul, Turkey
4
İlker YAĞCI
Department of Physical Medicine and Rehabilitation, Marmara University Medical School, Istanbul, Turkey
5
Hakan GÜNDÜZ
Department of Physical Medicine and Rehabilitation, Marmara University Medical School, Istanbul, Turkey
Cite this Article
Emel Ece ÖZCAN EKŞİ, Esra GİRAY, Yeliz BAHAR ÖZDEMİR, İlker YAĞCI, & Hakan GÜNDÜZ. (2019). A Preliminary Study on the Correlation Between Spinopelvic Parameters and Balance in Ankylosing Spondylitis. Archives of Rheumatology, 34(1), 018–025. https://doi.org/10.5606/ArchRheumatol.2019.6719
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