Static Foot Posture and its Relationship with Clinical Variables in Axial Spondyloarthritis Patients

Yasemin Mirza; Jennifer Piatt; Alican Bayram; Adem Küçük

doi:10.53424/balikesirsbd.1892948

Static Foot Posture and its Relationship with Clinical Variables in Axial Spondyloarthritis Patients

Abstract

Objective: This study aimed to assess static foot posture in patients with axial spondyloarthritis (axSpA) and to examine its association with clinical and postural variables. Materials and methods: Forty-one patients with axSpA and 41 age- and sex-matched healthy controls were included. Static foot posture was evaluated using a podoscope combined with three-dimensional scanning and computerized analysis software. Spinal posture was measured with a digital inclinometer, and spinal mobility was assessed using the Bath Ankylosing Spondylitis Metrology Index (BASMI). Disease activity, functional status, and quality of life were evaluated using the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), and Ankylosing Spondylitis Quality of Life questionnaire (ASQoL), respectively. Results: No significant difference was found between groups regarding the Arch Index (AI) (p = 0.143). However, non-neutral foot postures, including pronated and supinated patterns, were significantly more frequent in the axSpA group (p < 0.001). Lumbar lordosis differed significantly between patients and healthy controls (p < 0.001). Subgroup analysis demonstrated that pain severity was significantly higher in patients with pes planus and pes cavus compared with those with neutral foot posture (p = 0.035 and p = 0.045, respectively). Additionally, AI was significantly associated with pain severity at rest and during activity. Conclusion: Altered static foot posture is common in axSpA. Foot involvement and its functional implications should be evaluated as part of routine clinical assessment, irrespective of disease activity.

Keywords

Ethical Statement

Institutional review board approval was secured from the Non-Interventional Clinical Research Ethics Committee at Necmettin Erbakan University (Reference Number: 2024/4830, dated March 1, 2024).

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Details

Primary Language

English

Subjects

Physical Activity and Health, Biomechanics in Sports Science

Journal Section

Research Article

Authors

Yasemin Mirza ^*
0000-0002-4367-2355
Türkiye

Jennifer Piatt
0000-0001-5527-8059
United States

Alican Bayram
0000-0001-6570-6344
United States

Adem Küçük
0000-0001-8028-1671
Türkiye

Publication Date

June 30, 2026

Submission Date

February 23, 2026

Acceptance Date

May 8, 2026

Published in Issue

Year 2026 Volume: 15 Number: 2

DOI

https://doi.org/10.53424/balikesirsbd.1892948

IZ

https://izlik.org/JA34MZ63ST

Cite

RIS / Bibtex

APA

Mirza, Y., Piatt, J., Bayram, A., & Küçük, A. (2026). Static Foot Posture and its Relationship with Clinical Variables in Axial Spondyloarthritis Patients. Balıkesir Sağlık Bilimleri Dergisi, 15(2), 293-301. https://doi.org/10.53424/balikesirsbd.1892948

AMA

1.Mirza Y, Piatt J, Bayram A, Küçük A. Static Foot Posture and its Relationship with Clinical Variables in Axial Spondyloarthritis Patients. BAUN Health Sci J. 2026;15(2):293-301. doi:10.53424/balikesirsbd.1892948

Chicago

Mirza, Yasemin, Jennifer Piatt, Alican Bayram, and Adem Küçük. 2026. “Static Foot Posture and Its Relationship With Clinical Variables in Axial Spondyloarthritis Patients”. Balıkesir Sağlık Bilimleri Dergisi 15 (2): 293-301. https://doi.org/10.53424/balikesirsbd.1892948.

EndNote

Mirza Y, Piatt J, Bayram A, Küçük A (June 1, 2026) Static Foot Posture and its Relationship with Clinical Variables in Axial Spondyloarthritis Patients. Balıkesir Sağlık Bilimleri Dergisi 15 2 293–301.

IEEE

[1]Y. Mirza, J. Piatt, A. Bayram, and A. Küçük, “Static Foot Posture and its Relationship with Clinical Variables in Axial Spondyloarthritis Patients”, BAUN Health Sci J, vol. 15, no. 2, pp. 293–301, June 2026, doi: 10.53424/balikesirsbd.1892948.

ISNAD

Mirza, Yasemin - Piatt, Jennifer - Bayram, Alican - Küçük, Adem. “Static Foot Posture and Its Relationship With Clinical Variables in Axial Spondyloarthritis Patients”. Balıkesir Sağlık Bilimleri Dergisi 15/2 (June 1, 2026): 293-301. https://doi.org/10.53424/balikesirsbd.1892948.

JAMA

1.Mirza Y, Piatt J, Bayram A, Küçük A. Static Foot Posture and its Relationship with Clinical Variables in Axial Spondyloarthritis Patients. BAUN Health Sci J. 2026;15:293–301.

MLA

Mirza, Yasemin, et al. “Static Foot Posture and Its Relationship With Clinical Variables in Axial Spondyloarthritis Patients”. Balıkesir Sağlık Bilimleri Dergisi, vol. 15, no. 2, June 2026, pp. 293-01, doi:10.53424/balikesirsbd.1892948.

Vancouver

1.Yasemin Mirza, Jennifer Piatt, Alican Bayram, Adem Küçük. Static Foot Posture and its Relationship with Clinical Variables in Axial Spondyloarthritis Patients. BAUN Health Sci J. 2026 Jun. 1;15(2):293-301. doi:10.53424/balikesirsbd.1892948