Evaluation of static and dynamic postural stability in established rheumatoid arthritis: Exploratory study

Rome, Keith; Dixon, John; Gray, Michael P.; Woodley, R.

doi:10.1016/j.clinbiomech.2009.03.005

Cited by 38 publications

(42 citation statements)

References 14 publications

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“…With regard to the gait analysis, our results reveal that patients with EDS‐HT walked more slowly and with shorter step and stride length than the healthy control subjects when comparing normal walking without second task. These findings are in accordance with reported gait changes in patients with RA and FM (33–36). In contrast to most of these studies, we found no significant group differences for cadence.…”

Section: Discussionsupporting

confidence: 93%

Balance, gait, falls, and fear of falling in women with the hypermobility type of Ehlers‐Danlos syndrome

Rombaut¹,

Malfait²,

Wandele³

et al. 2011

Arthritis Care & Research

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Objective. To investigate balance, gait, falls, and fear of falling in patients with the hypermobility type of Ehlers-Danlos syndrome (EDS-HT).Methods. Twenty-two women with EDS-HT and 22 sex-and age-matched healthy control subjects participated in the study. Each subject performed the modified Clinical Test of Sensory Interaction on Balance (mCTSIB) and the Tandem Stance test (TS) on an AccuGait force platform to assess balance by center of pressure-based postural sway measures. The GAITRite walkway system was used to record spatial-temporal gait variables during 3 walking conditions (single task, cognitive task, and functional task). Data about fall frequency and circumstances were collected by retrospective recall, and fear of falling was assessed by the modified Falls Efficacy Scale. Results. Compared with healthy subjects, EDS-HT subjects showed significantly impaired balance, reflected by increased sway velocity, mediolateral and anteroposterior sway excursion, and sway area during mCTSIB and TS. Gait velocity, step length, and stride length were significantly smaller during all walking conditions, and a significant dual-task-related decrement was found for gait velocity, step and stride length, and cadence in the EDS-HT subjects compared to the control group. Ninety-five percent of the patients fell during the past year, and some fear of falling was measured. Conclusion. To our knowledge, this study is the first to establish that EDS-HT is associated with balance and gait impairments, increased fall frequency, and poorer balance confidence, implying a decrease in the safety of standing in everyday life situations. Whether these deficits can be improved by appropriate exercise programs needs to be addressed in future research.

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Section: Discussionsupporting

confidence: 93%

Balance, gait, falls, and fear of falling in women with the hypermobility type of Ehlers‐Danlos syndrome

Rombaut¹,

Malfait²,

Wandele³

et al. 2011

Arthritis Care & Research

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“…The women with an increased fear of falling demonstrated greater foot impairment, disability and more comorbid conditions. The differences in foot-related impairment and disability between cases and controls may have been attributed to factors that include lower limb muscle weakness [26], joint stiffness [25] or postural instability [23]. However, foot pain was not significantly different between the cases and controls.…”

Section: Discussionmentioning

confidence: 80%

“…The sample size was calculated to 20 participants per group by power analysis relating to differences in estimates by a previous study on postural stability in people with RA [23]. This presupposes mean (SD) walking velocity of 1.0 (0.18) m/s for the RA group and the mean (SD) of 1.3 (0.14) m/s for the control group.…”

Section: Discussionmentioning

confidence: 99%

Fear of falling and foot pain, impairment and disability in rheumatoid arthritis: a case-control study

et al. 2015

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“…Previous studies have shown that gait velocity is reduced in people with RA of the knee and is within the range of 60-100 cm/s when they walk at their self-selected speed. 10,11,43 In our study, the average gait velocity increased significantly following ICI (from 79 cm/s to 102 cm/s) but was still slower than the selfselected gait velocity for control participants of similar age reported in other studies. 10,11,43 Like participants in Brostrom and colleagues' study, 18 our participants also increased their walking cadence.…”

Section: Discussionmentioning

confidence: 46%

“…[43][44][45] Pain was reduced, while movement excursion increased, post ICI, leading to an increase in step length. Previous studies have shown that gait velocity is reduced in people with RA of the knee and is within the range of 60-100 cm/s when they walk at their self-selected speed.…”

Section: Discussionmentioning

confidence: 99%

Kinematic Analysis of Gait Following Intra-articular Corticosteroid Injection into the Knee Joint with an Acute Exacerbation of Arthritis

Mehta

Shay²,

Szturm³

et al. 2011

Physiotherapy Canada

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Purpose: The objective of this study was to examine the effects of intra-articular corticosteroid injection (ICI) on ipsilateral knee flexion/extension, ankle dorsiflexion/plantarflexion (DF/PF), and hip abduction/adduction (abd/add) during stance phase in people with an acute exacerbation of rheumatoid arthritis (RA) of the knee joint. The study also assessed the effects of ICI on spatiotemporal parameters of gait and functional status in this group. Methods: Nine people with an exacerbation of RA of the knee were recruited. Kinematic and spatiotemporal gait parameters were obtained for each participant. Knee-related functional status was assessed using the Knee injury and Osteoarthritis Outcome Score (KOOS). Spatiotemporal gait parameters and joint angles (knee flexion, ankle DF/PF, hip abd/add) of the affected side were compared pre-and post-ICI. Results: Data for eight people were available for analysis. Median values for knee flexion and ankle PF increased significantly following ICI. Gait parameters of cadence, velocity, bilateral stride length, bilateral step length, step width, double-support percentage, and step time on the affected side also showed improvement. Pain and knee-related functional status as measured by the KOOS showed improvement. Conclusions: This study demonstrated a beneficial short-term effect of ICI on knee-joint movements, gait parameters, and knee-related functional status in people with acute exacerbation of RA of the knee.Key Words: gait; intra-articular injections; biomechanics; arthritis, rheumatoid; knee. RÉ SUMÉObjectif : L'objectif de cette é tude est de se pencher sur les effets des injections intra-articulaires de corticosté roïdes (IIC) sur la flexion et l'extension du genou homolaté ral, sur la flexion dorsale et plantaire de la cheville (FD/FP) et sur l'abduction/adduction (abd/add) de la hanche au cours de la phase d'appui chez les personnes avec exacerbation aiguë de la polyarthrite rhumatoïde du genou. L'é tude a é galement é valué les effets des ICI sur les paramè tres spatiotemporels de dé marche et de statut fonctionnel chez ce groupe. Mé thode : Neuf personnes avec exacerbation de PR du genou ont é té recruté es. Les paramè tres ciné matiques et spatiotemporels de la dé marche ont é té obtenus pour chaque participant. Le statut fonctionnel lié au genou a é té é valué à l'aide de l'é chelle KOOS (Knee injury and Osteoarthritis Outcome Score). Les paramè tres spatiotemporels de la dé marche et les angles des articulations (flexion du genou, FD/FP de la cheville, abd/add de la hanche) du cô té affecté ont é té comparé s avant et aprè s les injections. Ré sultats : Les donné es pour huit personnes é taient disponibles pour analyse. Les valeurs mé dianes pour la flexion du genou et la FP de la cheville ont grandement augmenté à la suite des injections. Les paramè tres de dé marche tels que la cadence, la vé locité , la longueur de foulé e bilaté rale, la longueur de pas bilaté rale, la largeur des pas, le pourcentage de double appui et la duré e des pas pour le...

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Evaluation of static and dynamic postural stability in established rheumatoid arthritis: Exploratory study

Cited by 38 publications

References 14 publications

Balance, gait, falls, and fear of falling in women with the hypermobility type of Ehlers‐Danlos syndrome

Balance, gait, falls, and fear of falling in women with the hypermobility type of Ehlers‐Danlos syndrome

Fear of falling and foot pain, impairment and disability in rheumatoid arthritis: a case-control study

Kinematic Analysis of Gait Following Intra-articular Corticosteroid Injection into the Knee Joint with an Acute Exacerbation of Arthritis

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