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Rheumatology Advance Access originally published online on November 8, 2005
Rheumatology 2006 45(4):445-448; doi:10.1093/rheumatology/kei192
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© The Author 2005. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Dynamic postural balance in ankylosing spondylitis patients

E. Aydog, R. Depedibi, A. Bal, E. Eksioglu, E. Ünlü and A. Çakci

Health Ministry, Ankara Diskapi Education and Research Hospital, Clinic of Physical Medicine and Rehabilitation, Ankara, Turkey.

Correspondence to: E. Aydog, Hosdere Caddesi 23/14, A. Ayranci, 06550, Ankara, Turkey. E-mail: eaydog{at}yahoo.com

Objectives. In this study, our objectives were to investigate whether patients with ankylosing spondylitis (AS) have a poorer dynamic balance than normal subjects, and to study the relationship between balance and posture.

Methods. Seventy patients (57 men, 13 women) with AS and 35 (31 men, 4 women) controls matched for age, weight, height and body mass index were tested using the Biodex Stability System (Biodex Medical Systems, Shirley, NY, USA). Anteroposterior (AP), mediolateral (ML) and overall (OA) indices were obtained with bilateral stance at platform stabilities of 8 and 4. Subjects were tested with ‘eyes open’ at all times. Correlation analyses were performed between stability indices (OA, AP, ML) and disease duration, cervical rotation (CR), tragus to wall distance (TWD), lumbar side flexion (LSF), lumbar flexion (LF), intermalleolar distance (IMD) and Bath Ankylosing Spondylitis Metrology Index (BASMI) total score.

Results. No significant difference was found between the AS patients and healthy subjects with respect to all three stability indices at levels 4 and 8. A positive correlation was found only between ML stability index and TWD at level 8 (r, 0.249; P = 0.038). No other positive correlation was detected between stability indices and CR, TWD, LSF, LF, IMD, total BASMI score and disease duration.

Conclusions. AS has no negative effect on postural stability. The only clinically significant association was found between dynamic postural balance and TWD.

KEY WORDS: Ankylosing spondylitis, Postural balance, BASMI, Biodex Stability System


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