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Importance of the functional examination in lower extremities in patients with rheumatoid arthritis

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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
This paper deals with evaluation the lower extremity efficiency and balance in rheumatoid arthritis (RA) patients. Own authors test (LLFT-lower extremities functional test) and balance tests during normal standing and tandem positions with eyes opened or closed were used. Twelve patients with RA and fifteen controls for comparison were examined. Center feet of pressure dislocation on platform in normal standing with eyes open, normal standing with eyes closed, tandem left foot in front and tandem right foot in front positions and further dynamic balance tests on three different boards were analyzed. Visual Analogue Scale monitored level of pain after each LLFT task. There was found a relation between intensity of pain and overloading of joints in particular tasks, resulting in lower extremities dysfunction. Significant disbalance in medio-lateral direction during normal standing with eyes closed and tandem right foot in front positions and also in anterior-posterior direction in tandem right foot in front position during static balance tests was found. Correlations showed that patient’s age, disease’s duration and Steinbrocker Functional Classes have an influence on parameters of balance tests. Results indicate that complex dysfunction of lower extremities causes disbalance of posture in static conditions.
Rocznik
Strony
103--110
Opis fizyczny
Bibliogr. 18 poz., rys., tab.
Twórcy
  • Department and Clinic of Physiotherapy, Rheumatology and Rehabilitation of Karol Marcinkowski University of Medical Sciences, Poznań, Poland
autor
  • Department and Clinic of Physiotherapy, Rheumatology and Rehabilitation of Karol Marcinkowski University of Medical Sciences, Poznań, Poland
autor
  • Department of Pathophysiology of Locomotor Organs of Karol Marcinkowski University of Medical Sciences, Poznań, Poland
Bibliografia
  • [1] SHIDARA K., INOUE E., HOSHI D., TANAKA E., SETO Y., NAKAJIMA A., MOMOHARA S., TANIGUCHI A., YAMANAKA H., The influence of individual joint impairment on functional disability in rheumatoid arthritis using a large observational database of Japanese patients, Journal of Rheumatology, 2012, 39(3), 476–480.
  • [2] EKDAHL C., ANDERSON S.I., Standing balance in rheumatoid arthritis. A comparative study with healthy subjects, Scandinavian Journal of Rheumatology, 1989, 18(1), 33–42.
  • [3] EKDAHL C., Postural control, muscle function and psychological factors in rheumatoid arthritis. Are there any relations? Scandinavian Journal of Rheumatology, 1992, 21(6), 297–301.
  • [4] ROME K., DIXON J., GRAY M., WOODLEY R., Evaluation of static and dynamic postural stability in established rheumatoid arthritis: exploratory study, Clinical Biomechanics, 2009, 24(6), 524–526.
  • [5] TJON S.S., GEURTS A.C., VAN'T PAD BOSCH P., LAAN R.F., MULDER T., Postural control in rheumatoid arthritis patients scheduled for total knee arthroplasty, Archives of Physical Medicine and Rehabilitation, 2000, 81(11), 1489–1493.
  • [6] AYDOĞ E., BAL A., AYDOĞ S.T., CAKCI A., Evaluation of dynamic postural balance using the Biodex Stability System in rheumatoid arthritis patients, Clinical Rheumatology, 2006, 25(4), 462–467.
  • [7] LIN H.-C., LU T.-W., HSU H., Three-dimensional analysis of kinematic and kinetic coordination of the lower extremity joint during stair ascent and descent, Biomedical Engineering: Applications, Basis and Communications, 2004, 16, 101–108.
  • [8] BEARNE L.M., SCOTT D.L., HURLEY M.V., Exercise can reverse quadriceps sensorimotor dysfunction that is associated with rheumatoid arthritis without exacerbating disease activity, Rheumatology, 2002, 41, 157–166.
  • [9] MADSEN O.R., EGSMOSE C., HANSEN B., SØRENSEN O.H., Soft tissue composition, quadriceps strength, bone quality and bone mass in rheumatoid arthritis, Clinical and Experimental Rheumatology, 1998, 16(1), 27–32.
  • [10] MEIRELES S.M., OLIVEIRA L.M., ANDRADE M.S., SILVA A.C., NATOUR J., Isokinetic evaluation of the knee in patients with rheumatoid arthritis, Joint Bone Spine, 2002, 69(6), 566–573.
  • [11] HURLEY M.V., NEWHAM D.J., The influence of arthrogenous muscle inhibition on quadriceps rehabilitation of patients with early, unilateral osteoarthritic, British Journal of Rheumatology, 1993, 32(2), 127–131.
  • [12] HURLEY M.V., SCOTT D.L., REESA J., NEWHAM D.J., Sensorimotor changes and functional performance in patients with knee osteoarthritis, Annals of the Rheumatic Diseases, 1997, 56, 641–648.
  • [13] EKDAHL C., BROMAN G., Muscle strength, endurance, and aerobic capacity in rheumatoid arthritis: a comparative study with healthy subjects, Annals of the Rheumatic Diseases, 1992, 51, 35–40.
  • [14] NIGGEMEYER O., MOOSIG F., RÜTHER W., Foot and ankle surgery, Zeitschrift für Rheumatologie, 2011, 70(1), 26–33.
  • [15] BORAH D., WADHWA S., SINGH U., YADAV S.L., BHATTACHARJEE M., SINDHU V., Age related changes in postural stability, Indian Journal of Physiology and Pharmacology, 2007, 51(4), 395–404.
  • [16] RAW R.K., KOUNTOURIOTIS G.K., MON-WILLIAMS M., WILKIE R.M., Movement control in older adults: Does old age mean middle of the road? Journal of Experimental Psychology: Human Perception and Performance, 2012, 38(3), 735–745.
  • [17] MADSEN O.R., EGSMOSE C., Associations of isokinetic knee extensor and flexor strength with steroid use and walking ability in women with rheumatoid arthritis, Clinical Rheumatology, 2001, 20(3), 207–212.
  • [18] OGRODZKA K., NIEDŹWIEDZKI T., CHWAŁA W., Evaluation of the kinematic parameters of normal-paced gait in subjects with gonarthrosis and the influence of gonarthrosis on the function of the ankle joint and hip joint, Acta of Bioengineering and Biomechanics, 2011, 13(3), 47–54.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-36cbe995-f2ae-4a23-9345-8c33bd369e62
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