Skip to main content

The evaluation of the static and dynamic balance disorders in patients with psoriatic arthritis

Rheumatology International volume 38, pages 2063–2068 (2018)Cite this article

Abstract

To evaluate the static and dynamic balances in psoriatic arthritis (PsA) and to investigate their relationship with clinical and functional parameters. Patients diagnosed with PsA and healthy controls were recruited consecutively into the study. The demographic variables such as age, sex, body mass index of the subjects were noted. Radiographic images were examined for the detection of foot deformities. ‘Foot and Ankle Outcome Score’ (FAOS) was used to assess foot function. The dynamic and static balance of the patients was evaluated by ‘Berg Balance Scale’ (BBS) and ‘Neurocom Balance Master’ device. The fatigue (Multidimensional Assessment of Fatigue: MAF), depression (Beck Depression Inventory: BDI) and sleep disorders (Pittsburgh Sleep Quality Index: PSQI) of all patients were evaluated. This study included 50 PsA patients and 50 healthy controls with mean ages of 45.02 (SD 12.81) and 45.12 (SD 10.56), respectively. Demographic data of both groups were similar. Concerning the balance tests, there were significant differences (p < 0.05) between patient and control groups about the all tests of sway velocity (except on foam surface eyes closed test), end sway of tandem walk test, movement time of bilateral step up over test and lift up index of left step up over test. There was no significant correlation between static and dynamic balance parameters with MAF, BDI, PSQI, foot deformities and FAOS. The static and dynamic balance impairments are seen in PsA. As the balance parameters had no significant correlation with functional and clinical data, they are acceptable as independent parameters during the course of the disease.

This is a preview of subscription content, access via your institution.

Access options

Buy single article

Instant access to the full article PDF.

43,34 €

Price includes VAT (Finland)
Tax calculation will be finalised during checkout.

References

  1. Gladman DD, Antoni C, Mease P, Clegg DO, Nash P (2005) Psoriatic arthritis: epidemiology, clinical features, course, and outcome. Ann Rheum Dis 64(2):ii14–ii17

    PubMed  PubMed Central  Google Scholar 

  2. Veale DJ, Fearon U (2018) The pathogenesis of psoriatic arthritis. Lancet 391(10136):2273–2284

    CAS  Article  Google Scholar 

  3. Patience A, Helliwell PS, Siddle HJ (2018) Focussing on the foot in psoriatic arthritis: pathology and management options. Expert Rev Clin Immunol 14(1):21–28

    CAS  Article  Google Scholar 

  4. McHugh N, Balachrishnan C, Jones S (2003) Progression of peripheral joint disease in psoriatic arthritis: a 5-yr prospective study. Rheumatology 42(6):778–783

    CAS  Article  Google Scholar 

  5. Penha PJ, João SMA, Casarotto RA, Amino CJ, Penteado DC (2005) Postural assessment of girls between 7 and 10 years of age. Clinics 60(1):9–16

    Article  Google Scholar 

  6. Horak FB (2006) Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? Age 35(Suppl 2):ii7–ii11. https://doi.org/10.1093/ageing/afl077

    Article  Google Scholar 

  7. Pompeu JE, Romano RSL, Pompeu SMAA, Lima SMAL (2012) Static and dynamic balance in subjects with ankylosing spondylitis: literature review. Revista Brasileira de reumatologia 52(3):413–416

    Article  Google Scholar 

  8. Kenis-Coskun O, Giray E, Eren B, Ozkok O, Karadag-Saygi E (2016) Evaluation of postural stability in children with hemiplegic cerebral palsy. J Phys Ther Sci 28(5):1398–1402

    Article  Google Scholar 

  9. Hyslop E, Woodburn J, McInnes IB, Semple R, Newcombe L, Hendry G, Rafferty D, De Mits S, Turner DE (2010) A reliability study of biomechanical foot function in psoriatic arthritis based on a novel multi-segmented foot model. Gait Posture 32(4):619–626. https://doi.org/10.1016/j.gaitpost.2010.09.004

    Article  PubMed  Google Scholar 

  10. Aydoğ E, Bal A, Aydoğ ST, Çakci A (2006) Evaluation of dynamic postural balance using the biodex stability system in rheumatoid arthritis patients. Clin Rheumatol 25(4):462

    Article  Google Scholar 

  11. Bezza A, Niamane R, Amine B, El Maghraoui A, Bensabbah R, Hajjaj-Hassouni N (2004) Involvement of the foot in patients with psoriatic arthritis. A review of 26 cases. Joint Bone Spine 71(6):546–549

    CAS  Article  Google Scholar 

  12. Aydog E, Depedibi R, Bal A, Eksioglu E, Unlu E, Cakci A (2005) Dynamic postural balance in ankylosing spondylitis patients. Rheumatology 45(4):445–448

    Article  Google Scholar 

  13. Ekşi EEÖ, Giray E, Özdemir YB, Yağcı İ, Gündüz H (2019) A preliminary study on the correlation between spinopelvic parameters and balance in ankylosing spondylitis

  14. Gündüz OH, Özcan-Ekşi EE, Giray E, Yağci I (2017) What impairs balance in ankylosing spondylitis? Posture or disease activity? Arch Rheumatol 32(3):221–226

    Article  Google Scholar 

  15. Rome K, Dixon J, Gray M, Woodley R (2009) Evaluation of static and dynamic postural stability in established rheumatoid arthritis: exploratory study. Clin Biomech 24(6):524–526

    CAS  Article  Google Scholar 

  16. Şanal Toprak C, Duruöz MT, Gündüz OH (2018) Static and dynamic balance disorders in patients with rheumatoid arthritis and relationships with lower extremity function. A Prospective Controlled Study, and Deformities

  17. Taylor W, Gladman D, Helliwell P, Marchesoni A, Mease P, Mielants H (2006) Classification criteria for psoriatic arthritis: development of new criteria from a large international study. Arthritis Rheumatol 54(8):2665–2673

    Article  Google Scholar 

  18. Karatepe AG, Günaydın R, Kaya T, Karlıbaş U, Özbek G (2009) Validation of the Turkish version of the foot and ankle outcome score. Rheumatol Int 30(2):169–173

    Article  Google Scholar 

  19. Ağargün MY, Kara H, Anlar Ö (1996) The validity and reliability of the Pittsburgh sleep quality index. Turk Psikiyatri Derg 7(2):107–115

    Google Scholar 

  20. Hisli N (1989) Beck Depresyon Envanterinin üniversite öğrencileri için geçerliği, güvenirliği. Psikoloji dergisi 7(23):3–13

    Google Scholar 

  21. Yildirim Y, Ergin G (2013) A validity and reliability study of the Turkish Multidimensional Assessment of Fatigue (MAF) scale in chronic musculoskeletal physical therapy patients. J Back Musculoskel Rehabil 26(3):307–316

    Article  Google Scholar 

  22. Tinetti ME, Richman D, Powell L (1990) Falls efficacy as a measure of fear of falling. J Gerontol 45(6):P239–P243

    CAS  Article  Google Scholar 

  23. Koçyiğit H, Aydemir Ö, Fisek G, Ölmez N, Memiş A (1999) The validity and reliability of Turkish version of the Short Form 36 (SF-36). Turkish J Drugs Therap 12:102–106

    Google Scholar 

  24. Küçükdeveci AA, Sahin H, Ataman S, Griffiths B, Tennant A (2004) Issues in cross-cultural validity: example from the adaptation, reliability, and validity testing of a Turkish version of the Stanford Health Assessment Questionnaire. Arthritis Care Res 51(1):14–19

    Article  Google Scholar 

  25. Sahin F, Yilmaz F, Ozmaden A, Kotevoglu N, Sahin T, Kuran B (2008) Reliability and validity of the Turkish version of the Berg Balance Scale. J Geriatric Phys Ther 31(1):32–37

    Article  Google Scholar 

  26. Van den Bosch F, Coates L (2018) Clinical management of psoriatic arthritis. Lancet 391(10136):2285–2294

    Article  Google Scholar 

  27. Furman JM (1997) Practical management of the balance disorder patient. Audiology 36(4):237–238

    Article  Google Scholar 

  28. Amor-Dorado JC, Barreira-Fernandez MP, Llorca J, Gonzalez-Gay MA (2017) Oculographic, clinical test of sensory integration and balance and computerized dynamic posturography findings in patients with psoriatic arthritis. Otol Neurotol 38(3):448–453

    Article  Google Scholar 

  29. Amor-Dorado JC, Barreira-Fernandez MP, Pina T, Vázquez-Rodríguez TR, Llorca J, González-Gay MA (2014) Investigations into audiovestibular manifestations in patients with psoriatic arthritis. J Rheumatol 44(10):2018–2026

    Article  Google Scholar 

  30. Briggs RC, Gossman MR, Birch R, Drews JE, Shaddeau SA (1989) Balance performance among noninstitutionalized elderly women. Phys Ther 69(9):748–756

    CAS  Article  Google Scholar 

  31. NeuroCom International (2007) Functional limitations of balance and mobility. In: Objective quantification of balance and mobility. NeuroCom International, Clackamas, pp 45–60

    Google Scholar 

  32. Stump T, Cavanaugh J, Noonan D (2000) A comparison of the sensitivity of two separate forward step down test protocols for assessing functional strength deficits in the anterior cruciate ligament insufficient knee. J Orthop Sports Phys Ther 30:A39–A40

    Google Scholar 

  33. Fournié B (1993) Le territoire enthésiquee et le syndrome d’hyperostose-ostéite-périostite (HOP): une approche nosologique radioclinique des spondylarthropathies inflammatoires. Revue du rhumatisme 60(7–8):485–488

    PubMed  Google Scholar 

  34. Hyslop E, McInnes IB, Woodburn J, Turner DE (2010) Foot problems in psoriatic arthritis: high burden and low care provision. Ann Rheumatic Dis 69(5):928

    CAS  Article  Google Scholar 

  35. Boehncke W-H, Menter A (2013) Burden of disease: psoriasis and psoriatic arthritis. Am J Clin Dermatol 14(5):377–388

    Article  Google Scholar 

  36. Mease PJ (2017) Coates LC Considerations for the definition of remission criteria in psoriatic arthritis. In: Seminars in arthritis and rheumatism, Elsevier

  37. Brown GA, Cotton A, Guinto J, Sharma A, Ciurtin C (2017) Outcome measures of disease activity in inflammatory arthritis. Br J Hosp Med 78(8):432–437

    Article  Google Scholar 

Download references

Author information

Affiliations

  1. Rheumatology Division, Physical Medicine and Rehabilitation Department, Marmara University School of Medicine, Istanbul, Turkey

    Mehmet Tuncay Duruoz & Hatice Sule Baklacioglu

  2. Physical Medicine and Rehabilitation Department, Marmara University School of Medicine, Istanbul, Turkey

    Canan Sanal Toprak & Kardelen Gencer Atalay

  3. Rheumatology Division, Internal Medicine Department, Marmara University School of Medicine, Istanbul, Turkey

    Mehmet Pamir Atagunduz

  4. Marmara University School of Medicine, Istanbul, Turkey

    Canan Sanal Toprak

Authors
  1. Mehmet Tuncay Duruoz
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hatice Sule Baklacioglu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Canan Sanal Toprak
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Kardelen Gencer Atalay
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Mehmet Pamir Atagunduz
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Canan Sanal Toprak.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Duruoz, M.T., Baklacioglu, H.S., Sanal Toprak, C. et al. The evaluation of the static and dynamic balance disorders in patients with psoriatic arthritis. Rheumatol Int 38, 2063–2068 (2018). https://doi.org/10.1007/s00296-018-4137-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00296-018-4137-7

Keywords

  • Psoriatic arthritis
  • Balance
  • Foot