Evaluation of Postural Stability and Fall Risk in Patients with Ankylosing Spondylitis

Year 2013, Volume: 38 Issue: 1, 86 - 91, 01.03.2013

Ahmet İnanır Sevil Okan Behçet Filiz

Abstract

Purpose: The purpose of this study is to evaluate the influences of Ankylosing spondylitis on postural balance and the risk of falls. Methods: A total of 73 sobjects were recruited for the study, including 36 with AS (17 men, 19 women) and 37 healthy controls (19 men, 18 women). Patients were evaluated in terms of balance and risk of falls. Balance and risk of falls was assessed with the Biodex Stability System. Results: The mean age, gender and body mass index of the participants did not differ significantly between (p=0.308, p=0.724, p=0.766, respectively). When groups were evaluated in terms of postural stability indexes Overall Stability Index (OSİ), Antero-Posteior Stability Index (APSİ) and Medio-Lateral Stability Index (MLSİ) had no statistically significant difference (p=0.190, p=0.437 ve p=0.144), respectively). Fall Risk Index (FRI) evaluations showed that as patients" test scores were higher than control group (p=0.001). (Table 1). Conclusions: In this study, we present numerical data that suggests that AS are associated with risk of falling.

Keywords

Ankylosing Spondylitis, Balance Disorder, Risk of Falling

Ankilozan Spondilitli Hastalarda Postüral Denge ve Düşme Riskinin Değerlendirilmesi

Abstract

Amaç: Bu çalışmanın amacı Ankilozan spondilitin postüral denge ve düşme riski üzerine olan etkilerini değerlendirmektir. Gereç ve yöntem: Çalışmaya toplamda 73 birey alındı; bireylerin 36"sı Ankilozan spondilit (17 erkek, 19 kadın), 37"si ise sağlıklı gönüllülerden (19 erkek, 18 kadın) oluşmakta idi. Hastalar ve sağlıklı bireyler denge ve düşme riski açısından test edildi. Denge ve düşme riski Biodex Denge Sistemi ile değerlendirildi. Bulgular: Her iki grup arasında yaş, cinsiyet ve vücut kitle indeksleri açısından anlamlı farklılık saptanmadı (sırasıyla, p=0.308, p=0.724, p=0.766). AS ve kontrol grupları denge indeksleri açısından incelendiğinde postüral stabilite indekslerinden hiçbirinde (Genel Stabilite İndeksi (GSİ), Antero-Posterior Stabilite İndeksi (APSİ) ve Medio-Lateral Stabilite İndeksi (MLSİ)) kontrol grubuna göre istatistiksel olarak anlamlı farklılık saptanmazken (sırasıyla, p=0.190, p=0.437 ve p=0.144) Düşme Riski İndeksi (DRİ) açısından değerlendirildiğinde ise her iki grup arasında istatistiksel olarak anlamlı farklılık saptandı (p=0.001) (Tablo 1). Sonuç: Bu çalışmada, Ankilozan spondilitli hastaların postüral stabilite testlerinde her ne kadar anlamlı bozulma görülmese de düşme riski ile ilişkili olduğu saptanmıştır.

Keywords

Ankilozan spondilit, denge bozukluğu, düşme riski

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