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What Influences Proprioceptive Impairments in Patients with Rheumatic Diseases? Analysis of Different Factors
Rheumatic diseases lead to postural problems, which increase the risk of falls and lead to greater disability. The aim of the present work is to evaluate posture disorders in patients with osteoarthritis (OA) and rheumatoid arthritis (RA), as well as to evaluate the influence of other factors. A tot...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9965454/ https://www.ncbi.nlm.nih.gov/pubmed/36834394 http://dx.doi.org/10.3390/ijerph20043698 |
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author | Konarzewski, Paweł Konarzewska, Urszula Kuryliszyn-Moskal, Anna Terlikowski, Robert Pauk, Jolanta Daunoraviciene, Kristina Pauk, Konrad Dakowicz, Agnieszka Wojciuk, Mariusz Dzięcioł, Janusz Dziecioł-Anikiej, Zofia |
author_facet | Konarzewski, Paweł Konarzewska, Urszula Kuryliszyn-Moskal, Anna Terlikowski, Robert Pauk, Jolanta Daunoraviciene, Kristina Pauk, Konrad Dakowicz, Agnieszka Wojciuk, Mariusz Dzięcioł, Janusz Dziecioł-Anikiej, Zofia |
author_sort | Konarzewski, Paweł |
collection | PubMed |
description | Rheumatic diseases lead to postural problems, which increase the risk of falls and lead to greater disability. The aim of the present work is to evaluate posture disorders in patients with osteoarthritis (OA) and rheumatoid arthritis (RA), as well as to evaluate the influence of other factors. A total of 71 subjects were enrolled in this study. Joint position sense (JPS) and the functional assessment of proprioception on a balance platform for both lower limbs were examined. The Average Trace Error (ATE), test time (t), and Average Platform Force Variation (AFV) were calculated. Additionally, an equilibrium test was carried out in the one-legged standing position (Single Leg Stance—SLS). The results were compared in several ways and revealed the following: (1) A JPS of 10° plantar flexion in RA obtained significantly worse results when repeating the movement than OA; the ATEs were significantly lower in RA; and RA needed more support during SLS assessment. (2) RA patients with higher DAS28 had statistically significantly higher values in JPS, with 5° plantar flexion and 10° dorsal flexion, SLS assessment, and stabilometric rates. A statistically significant correlation between DAS28 and RA was found in a JPS of 10° plantar flexion. The VAS ruler demonstrated a significant moderate correlation with t. (3) Patients who experienced at least one fall demonstrated higher JPS and t. Our study shows that proprioception is the most influenced by the nature of the disease and the level of disease activity. We can see that the stability and balance functions are also greatly influenced by the patient’s falling experience and the level of pain. These findings may be useful in designing an optimal proprioception-enhancing movement training plan. |
format | Online Article Text |
id | pubmed-9965454 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99654542023-02-26 What Influences Proprioceptive Impairments in Patients with Rheumatic Diseases? Analysis of Different Factors Konarzewski, Paweł Konarzewska, Urszula Kuryliszyn-Moskal, Anna Terlikowski, Robert Pauk, Jolanta Daunoraviciene, Kristina Pauk, Konrad Dakowicz, Agnieszka Wojciuk, Mariusz Dzięcioł, Janusz Dziecioł-Anikiej, Zofia Int J Environ Res Public Health Article Rheumatic diseases lead to postural problems, which increase the risk of falls and lead to greater disability. The aim of the present work is to evaluate posture disorders in patients with osteoarthritis (OA) and rheumatoid arthritis (RA), as well as to evaluate the influence of other factors. A total of 71 subjects were enrolled in this study. Joint position sense (JPS) and the functional assessment of proprioception on a balance platform for both lower limbs were examined. The Average Trace Error (ATE), test time (t), and Average Platform Force Variation (AFV) were calculated. Additionally, an equilibrium test was carried out in the one-legged standing position (Single Leg Stance—SLS). The results were compared in several ways and revealed the following: (1) A JPS of 10° plantar flexion in RA obtained significantly worse results when repeating the movement than OA; the ATEs were significantly lower in RA; and RA needed more support during SLS assessment. (2) RA patients with higher DAS28 had statistically significantly higher values in JPS, with 5° plantar flexion and 10° dorsal flexion, SLS assessment, and stabilometric rates. A statistically significant correlation between DAS28 and RA was found in a JPS of 10° plantar flexion. The VAS ruler demonstrated a significant moderate correlation with t. (3) Patients who experienced at least one fall demonstrated higher JPS and t. Our study shows that proprioception is the most influenced by the nature of the disease and the level of disease activity. We can see that the stability and balance functions are also greatly influenced by the patient’s falling experience and the level of pain. These findings may be useful in designing an optimal proprioception-enhancing movement training plan. MDPI 2023-02-19 /pmc/articles/PMC9965454/ /pubmed/36834394 http://dx.doi.org/10.3390/ijerph20043698 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Konarzewski, Paweł Konarzewska, Urszula Kuryliszyn-Moskal, Anna Terlikowski, Robert Pauk, Jolanta Daunoraviciene, Kristina Pauk, Konrad Dakowicz, Agnieszka Wojciuk, Mariusz Dzięcioł, Janusz Dziecioł-Anikiej, Zofia What Influences Proprioceptive Impairments in Patients with Rheumatic Diseases? Analysis of Different Factors |
title | What Influences Proprioceptive Impairments in Patients with Rheumatic Diseases? Analysis of Different Factors |
title_full | What Influences Proprioceptive Impairments in Patients with Rheumatic Diseases? Analysis of Different Factors |
title_fullStr | What Influences Proprioceptive Impairments in Patients with Rheumatic Diseases? Analysis of Different Factors |
title_full_unstemmed | What Influences Proprioceptive Impairments in Patients with Rheumatic Diseases? Analysis of Different Factors |
title_short | What Influences Proprioceptive Impairments in Patients with Rheumatic Diseases? Analysis of Different Factors |
title_sort | what influences proprioceptive impairments in patients with rheumatic diseases? analysis of different factors |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9965454/ https://www.ncbi.nlm.nih.gov/pubmed/36834394 http://dx.doi.org/10.3390/ijerph20043698 |
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