Fall Risk in Patients with Ankylosing Spondylitis

Alkan, Hakan; Yıldız, Necmettin; Sarsan, Ayşe; Atalay, Nilgün Şimşir; Sevinç, Özgür; Topuz, Oya; Ardıç, Füsun

doi:10.5606/tjr.2013.2849

Cited by 7 publications

(23 citation statements)

References 14 publications

(29 reference statements)

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“…There were 3 cross-sectional studies. Studies were conducted in 2 countries -Turkey (n = 2) 10,11 and Brazil (n = 1). 9 The number of patients across the 3 studies was 441 and ranged from 55 9 to 306.…”

Section: Key Characteristics Of Included Studiesmentioning

confidence: 99%

“…9 All 3 studies included patients with a diagnosis of ankylosing spondylitis (AS), where it was the sole focus for 2 studies. 10,11 In addition to AS, Mewes et al studied patients with axial SpA as well.…”

Section: Key Characteristics Of Included Studiesmentioning

confidence: 99%

“…All 3 studies collected the retrospective 12-month fall history of patients, through the use of verbal interviews. [9][10][11] One study clearly stated their definition of a fall to be "An unintentional coming to the ground or other lower level without sustaining a violent blow, loss of consciousness, or sudden onset of paralysis, as occurs with a stroke or epileptic seizure", 10 while the remaining 2 studies did not include a fall definition. 9,11 Falls prevalence was calculated based on the number and percentage of patients who fell at least once [9][10][11] during the 12-month F I G U R E 1 PRISMA flow chart of our systematic review duration prior to the individual study durations.…”

Section: Falls Prevalencementioning

confidence: 99%

“…[9][10][11] Their increased fall risk could be attributed to various SpA disease-related factors, including poor postural balance 9,10,12 and reduced mobility. [9][10][11] Patient-related factors such as the fear of falling can also increase fall risk in SpA patients. 11 Falls and their associated complications can be debilitating, some of which include immobility, activity limitation and the fear of falling.…”

mentioning

confidence: 99%

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Prevalence and risk factors for falls in patients with spondyloarthritis: A systematic review

Lim

Kwan

et al. 2021

Int J of Rheum Dis

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Falls are a significant public health issue and pose a huge burden for healthcare resources around the world. 1 The World Health Organization (WHO) reported that "falls are the second leading cause of accidental or unintentional injury deaths worldwide". 2 Complications of falls include severe injuries such as hip fractures 3 which have been shown to be associated with significant functional decline and mortality. 4 Spondyloarthritis (SpA) refers to a group of inflammatory rheumatic conditions, including ankylosing spondylitis, psoriatic arthritis, inflammatory bowel-related arthritis and reactive arthritis. 5 While these are

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Section: Key Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Key Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Falls Prevalencementioning

confidence: 99%

mentioning

confidence: 99%

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Prevalence and risk factors for falls in patients with spondyloarthritis: A systematic review

Lim

Kwan

et al. 2021

Int J of Rheum Dis

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“…Similar to RA, loss of balance is also a concern in patients with AS and may increase the risk of falls and fractures [ 51–53 ]. This affects patients with high disease activity more frequently than those with low disease activity [ 51 , 54 ]. Loss of balance in AS patients is often associated with severe joint deformities, poor posture and impaired spinal mobility [ 53–55 ].…”

Section: Disease-related Risksmentioning

confidence: 99%

Managing morbidity and treatment-related toxicity in patients with ankylosing spondylitis

Bergman¹,

Lundholm

2017

Rheumatology

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AS is the prototypical member of the family of spondyloarthropathies, and is characterized by seronegativity, axial predominance and new bone formation, which underlie symptoms of inflammatory back pain, enthesopathy and extra-articular manifestations, including anterior uveitis, psoriasis and colitis. Patients with AS typically experience a wide variety of morbidities. These include both morbidities related to the disease itself—most prominently progressive, irreversible, structural damage to the axial or peripheral skeleton—and morbidities stemming from treatments for the disease, including toxicities from NSAID use, and increased risk of infections and immunogenicity concerns with biologics. AS is also associated with a number of comorbidities. We review the risks associated with AS, its comorbidities and its treatments, as well as strategies that can be used to mitigate these risks in patients with AS.

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Risk of Falls in Patients With Ankylosing Spondylitis

Dursun¹,

Sarkaya²,

Özdolap³

et al. 2015

JCR Journal of Clinical Rheumatology

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Assessment of pain, stiffness, fatigue, and lower-extremity involvement as well as asking for a history of falls will highlight those at high risk for further falls. In addition to the general exercise program adopted for all patients, we suggest that a balance rehabilitation program should be valuable for the patients with risk factors for fall. Exercise may improve fear of falling and BASFI and BASMI scores. However, further study is needed to investigate these hypotheses. We believe that clinicians should train and support the patients via reducing fear of falls and maintaining good posture and functional capacity.

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Fall Risk in Patients with Ankylosing Spondylitis

Cited by 7 publications

References 14 publications

Prevalence and risk factors for falls in patients with spondyloarthritis: A systematic review

Prevalence and risk factors for falls in patients with spondyloarthritis: A systematic review

Managing morbidity and treatment-related toxicity in patients with ankylosing spondylitis

Risk of Falls in Patients With Ankylosing Spondylitis

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