Postural stability and fall risk in systemic sclerosis patients.

IF 1.1 4区 医学 Q3 REHABILITATION
Köksal Sarıhan, Ayhan Kul
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引用次数: 0

Abstract

Objectives: This study aims to objectively assess the fall risk and postural balance status of systemic sclerosis (SS) patients and investigate its association with various clinical findings.

Patients and methods: The cross-sectional study was conducted between July 2020 and September 2020. The study included 14 patients (12 females, 2 males; mean age: 48.4±12.3 years; range, 21 to 63 years) diagnosed with SS and a control group of 20 healthy volunteers (17 females, 3 males; mean age: 46.8±9.0 years; range, 25 to 60 years). Demographic and clinical data of the participants were noted. Results of anti-nuclear antibodies and anti-Scl-70 antibodies were recorded. The fall index, indicating fall risk, was determined using a posturography device, and postural stability measurements were performed. The Falls Efficacy Scale-International was used to evaluate fall activity. The modified Rodnan skin score was used to assess the degree of cutaneous involvement in SS.

Results: Fall index results were higher in the SS group (p<0.05). The rate of falls in the past year among SS patients was 7.1%. The SS group showed deviations from the normal population in the postural measurement when eyes closed on a solid surface in normal position with the stability index, eyes closed on a pillow with the stability index, and eyes closed on a solid surface with the head tilted 30° forward with the weight distribution index (p<0.05). Fear of falling scores were higher in diffuse-type SS compared to limited-type SS (p<0.01). No differences were observed in other parameters.

Conclusion: This study revealed impaired postural balance and increased fall risk in SS patients compared to the normal population. Evaluation of postural balance and fall risk in SS patients should be done in the early period, and necessary treatments should be applied.

系统性硬化症患者的体位稳定性和跌倒风险。
目的:本研究旨在客观评估系统性硬化症(SS)患者的跌倒风险和姿势平衡状况,并探讨其与各种临床表现的关系。患者和方法:横断面研究于2020年7月至2020年9月进行。本研究纳入14例患者,其中女性12例,男性2例;平均年龄:48.4±12.3岁;年龄在21 - 63岁之间),对照组为20名健康志愿者(17名女性,3名男性;平均年龄46.8±9.0岁;范围:25至60年)。记录参与者的人口学和临床数据。记录抗核抗体和抗scl -70抗体结果。使用姿势记录仪测定跌倒风险指数,并进行姿势稳定性测量。使用国际瀑布功效量表评估跌倒活动。结果:与正常人群相比,SS组的跌倒指数结果更高(p)。结论:本研究显示,与正常人群相比,SS患者的姿势平衡受损,跌倒风险增加。应在早期评估SS患者的姿势平衡和跌倒风险,并采取必要的治疗措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Turkish Journal of Physical Medicine and Rehabilitation
Turkish Journal of Physical Medicine and Rehabilitation Health Professions-Physical Therapy, Sports Therapy and Rehabilitation
CiteScore
2.20
自引率
0.00%
发文量
0
期刊介绍: The Turkish Journal of Physical Medicine and Rehabilitation (Formerly published as Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi) is the official journal of the Turkish Society of Physical Medicine and Rehabilitation. The journal is an international open-access, double-blind peer-reviewed periodical journal bringing the latest developments in all aspects of physical medicine and rehabilitation, and related fields. The journal publishes original articles, review articles, editorials, case reports (limited), letters to the editors. The target readership includes academic members, specialists, residents working in the fields of Physical Medicine and Rehabilitation. The language of the journal is English and it is published quarterly (in March, June, September, and December).
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