轴性脊柱关节炎的姿势、平衡和步态:一项病例对照研究。

IF 3.2 3区 医学 Q2 RHEUMATOLOGY
Rheumatology International Pub Date : 2024-11-01 Epub Date: 2024-09-04 DOI:10.1007/s00296-024-05710-5
Erdem Türk, Fatma Gül Yurdakul, Tuba Güler, Hatice Bodur
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引用次数: 0

摘要

轴性脊柱关节炎(axSpA)是一种慢性炎症性疾病,主要累及轴性骨骼,但也可能出现外周关节受累和关节外受累。本研究旨在定量分析 axSpA 患者的姿势、平衡和步态参数,并评估相关因素。这项横断面病例对照研究包括 51 名 axSpA 患者(30 名男性,21 名女性;平均年龄为 40.94 ± 10.48 岁)和 51 名年龄和性别匹配的健康对照者。在 axSpA 患者中,使用了强直性脊柱炎疾病活动度评分 CRP、巴斯强直性脊柱炎疾病活动度指数 (BASDAI)、巴斯强直性脊柱炎功能指数 (BASFI)、巴斯强直性脊柱炎计量指数 (BASMI)、马斯特里赫强直性脊柱炎关节炎评分 (MASES) 和强直性脊柱炎生活质量 (ASQoL) 量表。体位分析使用的是 DIERS formetric(Diers GmbH,德国施朗根巴德)录像机-立体成像设备。HUR SmartBalance BTG4(HUR-labs Oy,芬兰科科拉)平衡平台用于姿势平衡和稳定性极限(LOS)测量。参与者使用伯格平衡量表(BBS)、功能性前伸测试(FRT)和定时上下测试(TUG)进行评估。Zebris FDM 3 型(Zebris Medical GmbH,德国)行走平台用于测量参与者的时空参数。姿势参数比较显示,axSpA 组患者的矢状不平衡和颈椎深度距离比健康组患者增加(P < 0.004)。功能平衡参数比较显示,axSpA 组的 BBS 和 FRT 评分明显低于对照组(P < 0.001),而 TUG 评分则明显高于对照组(P < 0.001)。评估动态平衡的 LOS 值在 axSpA 组明显较低,表明存在障碍。在测量表示静态平衡的姿势摇摆时,发现所有 23 个子参数都相似。在分析时空步态参数时,axSpA 组与对照组相比,足角(P= 0.028)和步幅(P= 0.004)增加,而步长(P= 0.004)和步幅(P= 0.004)减少。在 axSpA 组中,步速降低(P = 0.004)。如果将轴SpA分为放射学轴SpA和非放射学轴SpA进行单独分析,则会在姿势、平衡和步态参数方面观察到类似的结果。没有观察到明显差异。我们发现,与姿势、平衡和步态分析最密切相关的临床评估是 BBS、FRT、TUG 和 BASFI。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Posture, balance and gait in axial spondyloarthritis: a case-control study.

Posture, balance and gait in axial spondyloarthritis: a case-control study.

Axial spondyloarthritis (axSpA) is a chronic inflammatory disease that primarily involves the axial skeleton but may also present with peripheral joint involvement and extra-articular involvement. The present study aims to quantitatively analyze posture, balance, and gait parameters in patients with axSpA and and assess associated factors. This cross-sectional case-control study included 51 axSpA patients (30 males, 21 females; mean age 40.94 ± 10.48 years) and 51 age- and sex-matched healthy controls. In patients with axSpA, the Ankylosing Spondylitis Disease Activity Score CRP, the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), the Bath Ankylosing Spondylitis Functional Index (BASFI), the Bath Ankylosing Spondylitis Metrology Index (BASMI), the Maastrich Ankylosing Spondylitis Enthesitis Score (MASES), and the Ankylosing Spondylitis Quality of Life (ASQoL) scale were used. For postural analysis, DIERS formetric (Diers GmbH, Schlangenbad, Germany) videoraster- stereography device was utilized. HUR SmartBalance BTG4 (HUR-labs Oy, Kokkola, Finland) balance platform was used for postural balance and limit of stability (LOS) measurement. Participants were evaluated using Berg Balance Scale (BBS), Functional Reach Test (FRT) and Timed Up and Go Test (TUG). The Zebris FDM type 3 (Zebris Medical GmbH, Germany) walking platform was used to measure the spatiotemporal parameters of the participants. Comparison of postural parameters showed that sagittal imbalance and cervical depth distance were increased in the axSpA group than in the healthy participants (p < 0.004). Comparison of functional balance parameters showed that BBS and FRT scores were significantly lower (p < 0.001) in the axSpA group than in the control group, while TUG scores were significantly higher (p < 0.001). The LOS values, which evaluate dynamic balance were significantly lower, indicating impairment, in the axSpA group. In the measurement of postural sway, which indicates static balance, all 23 subparameters were found to be similar. When analyzing the spatiotemporal gait parameters, in the axSpA group compared with those in the control group; Foot angles (p= 0.028) and stride width (p = 0.004) were increased, whereas step lengths (p = 0.004) and stride lengths (P = 0.004) were decreased. In the axSpA group the gait speed was decreased (p = 0.004). When axSpA was analyzed separately as radiographic and nonradiographic axSpA, similar findings were observed in posture, balance, and gait parameters. No significant difference was observed. We found that the clinical assessments most closely associated with posture, balance, and gait analyses were BBS, FRT, TUG, and BASFI.

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来源期刊
Rheumatology International
Rheumatology International 医学-风湿病学
CiteScore
7.30
自引率
5.00%
发文量
191
审稿时长
16. months
期刊介绍: RHEUMATOLOGY INTERNATIONAL is an independent journal reflecting world-wide progress in the research, diagnosis and treatment of the various rheumatic diseases. It is designed to serve researchers and clinicians in the field of rheumatology. RHEUMATOLOGY INTERNATIONAL will cover all modern trends in clinical research as well as in the management of rheumatic diseases. Special emphasis will be given to public health issues related to rheumatic diseases, applying rheumatology research to clinical practice, epidemiology of rheumatic diseases, diagnostic tests for rheumatic diseases, patient reported outcomes (PROs) in rheumatology and evidence on education of rheumatology. Contributions to these topics will appear in the form of original publications, short communications, editorials, and reviews. "Letters to the editor" will be welcome as an enhancement to discussion. Basic science research, including in vitro or animal studies, is discouraged to submit, as we will only review studies on humans with an epidemological or clinical perspective. Case reports without a proper review of the literatura (Case-based Reviews) will not be published. Every effort will be made to ensure speed of publication while maintaining a high standard of contents and production. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted.
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