Balance assessment in patients with peripheral arthritis: applicability and reliability of some clinical assessments

Norén, Anne Marie; Bogren, Ulrika; Bolin, Jenny; Stenström, Christina H.

doi:10.1002/pri.228

Cited by 72 publications

(42 citation statements)

References 21 publications

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“…Subjects walked with shoes on, 2 circuits along the 150-mm wide track. The touches and number of oversteps were counted (28). More than 2 oversteps or touches were considered as decreased functional balance.…”

Section: Assessmentsmentioning

confidence: 99%

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Physical activity, physical fitness, and general health perception among individuals with rheumatoid arthritis

Eurenius

Stenström

2005

Arthritis & Rheumatism

139

119

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Objective. To describe self-reported physical activity and physical fitness and to identify correlates of physical activity and general health perception. Methods. Data on self-reported physical activity, physical fitness, activity performance, and disease activity were collected from a sample of 298 patients with rheumatoid arthritis (RA). Results. Forty-seven percent of our sample reported physical activity behaviors that did not comply with public health recommendations. A majority of the patients had decreased lower-limb muscle function (72%), grip force (94%), joint motion (94%), and functional balance (68%). Correlations between self-reported physical activity and other variables were r s ‫؍‬ 0.25 or less. Variation in general health perception was explained (total adjusted R 2 ‫؍‬ 0.65) by pain and activity performance. Conclusion. Our findings indicate that there is a case for recommendations on and support for healthy physical activity behaviors among people with RA.

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Section: Assessmentsmentioning

confidence: 99%

“…Poor aerobic fitness is a significant risk factor for all-cause mortality (19,20). Reduced aerobic fitness has been found in studies involving individuals with RA (5,6,(21)(22)(23), as have decreased muscular strength (6,21,22,24,25) and endurance (6), limited flexibility (5,26), and poor standing balance (27,28).…”

Section: Introductionmentioning

confidence: 99%

Physical activity, physical fitness, and general health perception among individuals with rheumatoid arthritis

Eurenius

Stenström

2005

Arthritis & Rheumatism

139

119

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“…Every step on and outside the lines was registered, and the higher the number the worse the score. The test is reported to be reliable and valid (36). The Index of Muscle Function (IMF) consists of tests of general mobility, muscle strength, balance/coordination, and endurance.…”

mentioning

confidence: 99%

Effect of a walking skill training program in patients who have undergone total hip arthroplasty: Followup one year after surgery

Heiberg

Bruun‐Olsen

Ekeland

et al. 2012

Arthritis Care & Research

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“…Probably, this is another probable reason of the "ceiling effect", which may have affected our findings. The problem of "ceiling effect" was also pointed out in a previous study by Noren et al (23) who assessed the different applicability of clinical balance tests in patients with rheumatoid arthritis (RA). They found that although patients with better functional status performed better, BBS and "timed up-and-go test" results were also confounded by "ceiling effect.…”

Section: Discussionmentioning

confidence: 93%

Postural deformities: potential morbidities to cause balance problems in patients with ankylosing spondylitis?

et al. 2016

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Objective: This study aimed to assess the impact of postural deformities caused by ankylosing spondylitis (AS) on balance problems. Material and Methods: This study included 29 patients with AS and 21 healthy controls. For assessing exercise capacity and dynamic balance, timed up and go test, five times sit-to-stand test, gait speed, and 6-min walk test were performed. Romberg tests were used to evaluate static balance and proprioception, whereas Dynamic Gait Index (DGI), Functional Gait Assessment (FGA), Berg Balance Scale (BBS), Activity Specific Balance Confidence Scale (ABC), Dizziness Handicap Inventory (DHI), and functional reach test were used to assess dynamic balance and the risk of falling. Using Bath Ankylosing Spondylitis Metrology Index (BASMI) scores, patients with AS were divided into two groups: those with scores 0-4 were assigned to subgroup AS1, and those with scores 5-10 were assigned to subgroup AS2.Results: In the whole group of patients with AS, five times sit-to-stand test, tandem Romberg test with eyes closed, and BBS and ABC scores were significantly worse than the healthy controls (p<0.05). In the AS2 subgroup having more severe and advanced disease, five additional parameters, including timed up and go test, 6-min walk test, functional reach test, FGA, and DHI scores were also significantly worse than the healthy controls (p<0.05). Comparing the two subgroups with each other, only BBS scores were significantly worse in the AS2 subgroup than in the AS1 subgroup. Conclusion:Although in clinical practice, poor balance is not a common problem in AS, possibly because of compensatory mechanisms, patients with AS have poorer static and dynamic balance than healthy subjects. Significantly worse BBS scores in the AS2 subgroup than in the AS1 subgroup may suggest the presence of more dynamic balance problems in advanced disease; however, future studies comprising larger samples are necessary to confirm this assumption.

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Balance assessment in patients with peripheral arthritis: applicability and reliability of some clinical assessments

Abstract: Applicable and reliable assessment methods of clinical balance were identified for individuals with moderate and severe disability, whereas more discriminative tests need to be developed for those with limited disability.

Cited by 72 publications

References 21 publications

Physical activity, physical fitness, and general health perception among individuals with rheumatoid arthritis

Physical activity, physical fitness, and general health perception among individuals with rheumatoid arthritis

Effect of a walking skill training program in patients who have undergone total hip arthroplasty: Followup one year after surgery

Postural deformities: potential morbidities to cause balance problems in patients with ankylosing spondylitis?

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