Time of day effect on balance performance, functional capacities and risk of fall in women with rheumatoid arthritis

Bouchaala, Fatma; Laatar, Rabeb; Lahiani, Mariam; Zouabi, Amira; Borji, Rihab; Rebai, Haithem; Sahli, Sonia

doi:10.1080/07420528.2019.1700997

Cited by 6 publications

(5 citation statements)

References 41 publications

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“…For this reason, other risk factors that have a significant influence on balance, such as medication, comorbidities and foot deformities [ 7 ], were not covered in the baseline. Further, according to Bouchaala et al [ 53 ], balance performance varies during the time of the day and culminates in the afternoon at 2 pm. For logistical reasons, however, this influencing factor could not be taken into account because the subjects were invited to the baseline assessment throughout the day.…”

Section: Discussionmentioning

confidence: 99%

Balance and prospective falls in patients with rheumatoid arthritis

Wiegmann

Armbrecht

Borucki

et al. 2022

BMC Musculoskelet Disord

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Background Postural control is associated with fall risk. Patients with rheumatoid arthritis (RA) have a higher risk to fall than healthy subjects. The objective of this study was to identify associations between variables of postural control with prospective falls in patients with RA. Methods For the baseline, the balance performance of 289 men and women with RA, ages 24–85 years, was evaluated by SPPB, FICSIT-4 and Romberg tests. Postural sway for Romberg, semitandem, tandem and one-leg stands were measured with the Leonardo Mechanograph®. Self-reported disability was assessed using the Health Assessment Questionnaire (HAQ) and the Activity-specific Balance Confidence Scale (ABC-scale). Falls were reported in quarterly reports over a year. Univariate and multiple logistic regression analysis were used to explore any associations with falling. Receiver-operating characteristics were determined, and the area under the curve is reported. Results A total of 238 subjects completed the 1-year follow-up, 48 (20.2%) experienced at least one fall during the observational period. Age (OR = 1.04, CI 1.01–1.07), HAQ (OR = 1.62, 1.1–2.38), FICSIT-4 scoring 0–4 (OR = 2.38, 1.13–5.0), and one-leg standing (OR = 2.14, 1.06–4.31) showed significant associations with falls. With regard to the SPPB and ABC-scale, no statistically significant associations with falls were found. The quartiles containing the worst results of medio-lateral sway of Romberg (OR = 2.63, CI 1.03–6.69), total sway of semitandem (OR = 3.07, CI 1.10–8.57) and tandem (OR = 2.86, CI 1.06–7.69), and area of sway of semitandem (OR = 2.80, CI 1.11–7.08) stands were associated with falls. Conclusions The assessment of a one-leg stand seems to be a good screening tool to discriminate between high and low risk of falls in RA patients in clinical practice. A low FICSIT-4 score and several sway parameters are important predictors of falls. Trial registration The study has been registered at the German Clinical Trials Register and the WHO International Clinical Trials Registry Platform (ICTRP) since 16 March 2017 (DRKS00011873).

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Section: Discussionmentioning

confidence: 99%

Balance and prospective falls in patients with rheumatoid arthritis

Wiegmann

Armbrecht

Borucki

et al. 2022

BMC Musculoskelet Disord

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“…The timed up and go test (TUGT) was performed to assess dynamic balance in middleaged women [42] (Figure 1). The TUGT is an internationally accepted functional dynamic test of balance, which has been well-proven to be reliable, valid, low-cost, and easy to apply [43,44]. Each participant was asked to sit with her back against the chair, her arms resting on the armrests of the chair, wearing her regular footwear.…”

Section: Dynamic Balancementioning

confidence: 99%

The Influence of Listening to Preferred versus Non-Preferred Music on Static and Dynamic Balance in Middle-Aged Women

Waer,

Alexe,

Tohănean

et al. 2023

Healthcare

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Although many women perform postural tasks while listening to music, no study has investigated whether preferred music has different effects than non-preferred music. Thus, this study aimed to explore the effects of listening to preferred versus non-preferred music on postural balance among middle-aged women. Twenty-four women aged between 50 and 55 years were recruited for this study. To assess their static balance, a stabilometric platform was used, recording the mean center of pressure velocity (CoPVm), whereas the timed up and go test (TUGT) was used to assess their dynamic balance. The results showed that listening to their preferred music significantly decreased their CoPVm values (in the firm-surface/eyes-open (EO) condition: (p < 0.05; 95% CI [−0.01, 2.17])). In contrast, when the women were listening to non-preferred music, their CoPVm values significantly (p < 0.05) increased compared to the no-music condition in all the postural conditions except for the firm-surface/EO condition. In conclusion, listening to music has unique effects on postural performance, and these effects depend on the genre of music. Listening to preferred music improved both static and dynamic balance in middle-aged women, whereas listening to non-preferred music negatively affected these performances, even in challenged postural conditions.

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“…For the performance of balance, the time-of-day affect according to Bouchaala et al [73] plays a crucial role. In their study of women with RA balance performance and risk of falls fluctuate during the day and was higher in the morning and in the evening compared to 2 pm.…”

Section: Limitationsmentioning

confidence: 99%

Association between sarcopenia, physical performance and falls in patients with rheumatoid arthritis: a 1-year prospective study

Wiegmann

Armbrecht

Borucki

et al. 2021

BMC Musculoskelet Disord

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Background Patients with rheumatoid arthritis (RA) are at increased risk of falls and fractures. Sarcopenia occurs more frequently in RA patients due to the inflammatory processes. Early diagnosis and prevention programmes are essential to avoid serious complications. The present study aims to identify risk factors for falls related to sarcopenia and physical performance. Methods In a 1-year prospective study, a total of 289 patients with RA, ages 24–85 years, were followed using quarterly fall diaries to report falls. At the baseline, medical data such as RA disease duration and Disease Activity Score (DAS28CRP) were collected. Self-reported disability was assessed using the Health Assessment Questionnaire (HAQ). Appendicular skeletal mass was determined by Dual X-ray-Absorptiometry (DXA). Physical performance was evaluated by handgrip strength, gait speed, chair rise test, Short Physical Performance Battery, and FICSIT-4. Muscle mechanography was measured with the Leonardo Mechanograph®. Sarcopenia was assessed according to established definitions by the European Working Group on Sarcopenia in Older People (EWGSOP2) and The Foundation for the National Institutes of Health (FNIH). Univariate and multiple logistic regression analysis were used to explore associations with falling. Receiver-operating characteristics (ROC) were performed, and the area under the curve is reported. Results A total of 238 subjects with RA completed the 1-year follow-up, 48 (20.2%) experienced at least one fall during the observational period. No association was found between sarcopenia and prospective falls. Age (OR = 1.04, CI 1.01–1.07), HAQ (OR = 1.62, 1.1–2.38), and low FICSIT-4 score (OR = 2.38, 1.13–5.0) showed significant associations with falls. Conclusions In clinical practice, a fall assessment including age, self-reported activities of daily life and a physical performance measure can identify RA patients at risk of falling. Trial registration The study has been registered at the German Clinical Trials Register and the WHO International Clinical Trials Registry Platform (ICTRP) since 16 March 2017 (DRKS00011873).

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Time of day effect on balance performance, functional capacities and risk of fall in women with rheumatoid arthritis

Cited by 6 publications

References 41 publications

Balance and prospective falls in patients with rheumatoid arthritis

Balance and prospective falls in patients with rheumatoid arthritis

The Influence of Listening to Preferred versus Non-Preferred Music on Static and Dynamic Balance in Middle-Aged Women

Association between sarcopenia, physical performance and falls in patients with rheumatoid arthritis: a 1-year prospective study

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