Yıl: 2017 Cilt: 63 Sayı: 3 Sayfa Aralığı: 259 - 265 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Postural balance control in women with generalized joint laxity

Öz:
Objectives: This study aims to investigate the potential relationship between joint laxity and postural balance by using tetra-ataxiometric posturography (Tetrax®).Patients and methods: A total of 69 healthy volunteers were included in the study and classified into three groups based on their hypermobility severity determined with Beighton-Horan hypermobility index scores. Of those, 29 participants were non-hypermobile, 13 participants were mildly hypermobile and remaining 27 patients had severe hypermobility. Postural control of the participants was evaluated by using the Tetrax® device in eight different positions. The stability index, Fourier index, weight distribution index, and synchronization index scores of each participant were recorded.Results: We found that the participants with severe hypermobility exhibited significantly higher stability index scores while the position of the head is extended and rotated right. The weight distribution index on elastic surfaces was impaired in non-hypermobile and severely hypermobile participants. We observed that the Fourier Index scores were higher at a higher-medium frequency (0.5-1 Hz) in participants with severe hypermobility. There was no difference between the groups in terms of synchronization index scores.Conclusion: These findings suggest that severely hypermobile individuals have a decreased postural stability in head-extended and headrotated positions when compared to individuals who are non-hypermobile. This increased instability may lead to an increased risk of musculoskeletal injuries, especially in sports that require extension and rotation movements of the head
Anahtar Kelime:

Konular: Rehabilitasyon
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Larsson LG, Baum J, Mudholkar GS. Hypermobility: features and differential incidence between the sexes. Arthritis Rheum 1987;30:1426-30.
  • 2. Gannon LM, Bird HA. The quantification of joint laxity in dancers and gymnasts. J Sports Sci 1999;17:743-50.
  • 3. Kirk JA, Ansell BM, Bywaters EG. The hypermobility syndrome. Musculoskeletal complaints associated with generalized joint hypermobility. Ann Rheum Dis 1967;26:419-25.
  • 4. Bridges AJ, Smith E, Reid J. Joint hypermobility in adults referred to rheumatology clinics. Ann Rheum Dis 1992;51:793-6.
  • 5. Tomomitsu MS, Alonso AC, Morimoto E, Bobbio TG, Greve JM. Static and dynamic postural control in low-vision and normal-vision adults. Clinics (Sao Paulo) 2013;68:517-21.
  • 6. Hassan BS, Mockett S, Doherty M. Static postural sway, proprioception, and maximal voluntary quadriceps contraction in patients with knee osteoarthritis and normal control subjects. Ann Rheum Dis 2001;60:612-8.
  • 7. Sahin N, Baskent A, Cakmak A, Salli A, Ugurlu H, Berker E. Evaluation of knee proprioception and effects of proprioception exercise in patients with benign joint hypermobility syndrome. Rheumatol Int 2008;28:995- 1000.
  • 8. Ferrell WR, Tennant N, Sturrock RD, Ashton L, Creed G, Brydson G, et al. Amelioration of symptoms by enhancement of proprioception in patients with joint hypermobility syndrome. Arthritis Rheum 2004;50:3323-8.
  • 9. Mallik AK, Ferrell WR, McDonald AG, Sturrock RD. Impaired proprioceptive acuity at the proximal interphalangeal joint in patients with the hypermobility syndrome. Br J Rheumatol 1994;33:631-7.
  • 10. Sahin N, Baskent A, Ugurlu H, Berker E. Isokinetic evaluation of knee extensor/flexor muscle strength in patients with hypermobility syndrome. Rheumatol Int 2008;28:643-8.
  • 11. Rombaut L, Malfait F, De Wandele I, Thijs Y, Palmans T, De Paepe A, et al. Balance, gait, falls, and fear of falling in women with the hypermobility type of Ehlers-Danlos syndrome. Arthritis Care Res (Hoboken) 2011;63:1432-9.
  • 12. Mebes C, Amstutz A, Luder G, Ziswiler HR, Stettler M, Villiger PM, et al. Isometric rate of force development, maximum voluntary contraction, and balance in women with and without joint hypermobility. Arthritis Rheum 2008;59:1665-9.
  • 13. Iatridou K, Mandalidis D, Chronopoulos E, Vagenas G, Athanasopoulos S. Static and dynamic body balance following provocation of the visual and vestibular systems in females with and without joint hypermobility syndrome. J Bodyw Mov Ther 2014;18:159-64.
  • 14. Beighton P, Horan F. Orthopaedic aspects of the EhlersDanlos syndrome. J Bone Joint Surg Br 1969;51:444-53.
  • 15. Beighton P, Solomon L, Soskolne CL. Articular mobility in an African population. Ann Rheum Dis 1973;32:413-8.
  • 16. Boyle KL, Witt P, Riegger-Krugh C. Intrarater and Interrater Reliability of the Beighton and Horan Joint Mobility Index. J Athl Train 2003;38:281-285.
  • 17. Avni N, Avni I, Barenboim E, Azaria B, Zadok D, KohenRaz R, et al. Brief posturographic test as an indicator of fatigue. Psychiatry Clin Neurosci 2006;60:340-6.
  • 18. Kohen-Raz R. Application of tetra-ataxiametric posturography in clinical and developmental diagnosis. Percept Mot Skills 1991;73:635-56.
  • 19. Kim HS, Yun DH, Yoo SD, Kim DH, Jeong YS, Yun JS, et al. Balance control and knee osteoarthritis severity. Ann Rehabil Med 2011;35:701-9.
  • 20. Brandt T, Krafczyk S, Malsbenden I. Postural imbalance with head extension: improvement by training as a model for ataxia therapy. Ann N Y Acad Sci 1981;374:636-49.
  • 21. Gazit Y, Nahir AM, Grahame R, Jacob G. Dysautonomia in the joint hypermobility syndrome. Am J Med 2003;115:33- 40.
  • 22. Liu JX, Thornell LE, Pedrosa-Domellöf F. Muscle spindles in the deep muscles of the human neck: a morphological and immunocytochemical study. J Histochem Cytochem 2003;51:175-86.
  • 23. Yamagata Y, Yates BJ, Wilson VJ. Participation of Ia reciprocal inhibitory neurons in the spinal circuitry of the tonic neck reflex. Exp Brain Res 1991;84:461-4.
  • 24. Hall MG, Ferrell WR, Sturrock RD, Hamblen DL, Baxendale RH. The effect of the hypermobility syndrome on knee joint proprioception. Br J Rheumatol 1995;34:121-5.
  • 25. Smith TO, Jerman E, Easton V, Bacon H, Armon K, Poland F, et al. Do people with benign joint hypermobility syndrome (BJHS) have reduced joint proprioception? A systematic review and meta-analysis. Rheumatol Int 2013;33:2709-16.
  • 26. Galli M, Rigoldi C, Celletti C, Mainardi L, Tenore N, Albertini G, et al. Postural analysis in time and frequency domains in patients with Ehlers-Danlos syndrome. Res Dev Disabil 2011;32:322-5.
  • 27. Arokoski JP, Leinonen V, Arokoski MH, Aalto H, Valtonen H. Postural control in male patients with hip osteoarthritis. Gait Posture 2006;23:45-50.
  • 28. Voermans NC, Knoop H, van de Kamp N, Hamel BC, Bleijenberg G, van Engelen BG. Fatigue is a frequent and clinically relevant problem in Ehlers-Danlos Syndrome. Semin Arthritis Rheum 2010;40:267-74.
  • 29. Vergara ME, O’Shea FD, Inman RD, Gage WH. Postural control is altered in patients with ankylosing spondylitis. Clin Biomech (Bristol, Avon) 2012;27:334-4.
APA AYDIN E, Metin Tellioglu A, KURT ÖMÜRLÜ İ, POLAT G, TURAN Y (2017). Postural balance control in women with generalized joint laxity. , 259 - 265.
Chicago AYDIN Elif,Metin Tellioglu Ayfer,KURT ÖMÜRLÜ İMRAN,POLAT Gizem,TURAN Yasemin Postural balance control in women with generalized joint laxity. (2017): 259 - 265.
MLA AYDIN Elif,Metin Tellioglu Ayfer,KURT ÖMÜRLÜ İMRAN,POLAT Gizem,TURAN Yasemin Postural balance control in women with generalized joint laxity. , 2017, ss.259 - 265.
AMA AYDIN E,Metin Tellioglu A,KURT ÖMÜRLÜ İ,POLAT G,TURAN Y Postural balance control in women with generalized joint laxity. . 2017; 259 - 265.
Vancouver AYDIN E,Metin Tellioglu A,KURT ÖMÜRLÜ İ,POLAT G,TURAN Y Postural balance control in women with generalized joint laxity. . 2017; 259 - 265.
IEEE AYDIN E,Metin Tellioglu A,KURT ÖMÜRLÜ İ,POLAT G,TURAN Y "Postural balance control in women with generalized joint laxity." , ss.259 - 265, 2017.
ISNAD AYDIN, Elif vd. "Postural balance control in women with generalized joint laxity". (2017), 259-265.
APA AYDIN E, Metin Tellioglu A, KURT ÖMÜRLÜ İ, POLAT G, TURAN Y (2017). Postural balance control in women with generalized joint laxity. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 63(3), 259 - 265.
Chicago AYDIN Elif,Metin Tellioglu Ayfer,KURT ÖMÜRLÜ İMRAN,POLAT Gizem,TURAN Yasemin Postural balance control in women with generalized joint laxity. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 63, no.3 (2017): 259 - 265.
MLA AYDIN Elif,Metin Tellioglu Ayfer,KURT ÖMÜRLÜ İMRAN,POLAT Gizem,TURAN Yasemin Postural balance control in women with generalized joint laxity. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, vol.63, no.3, 2017, ss.259 - 265.
AMA AYDIN E,Metin Tellioglu A,KURT ÖMÜRLÜ İ,POLAT G,TURAN Y Postural balance control in women with generalized joint laxity. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2017; 63(3): 259 - 265.
Vancouver AYDIN E,Metin Tellioglu A,KURT ÖMÜRLÜ İ,POLAT G,TURAN Y Postural balance control in women with generalized joint laxity. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2017; 63(3): 259 - 265.
IEEE AYDIN E,Metin Tellioglu A,KURT ÖMÜRLÜ İ,POLAT G,TURAN Y "Postural balance control in women with generalized joint laxity." Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 63, ss.259 - 265, 2017.
ISNAD AYDIN, Elif vd. "Postural balance control in women with generalized joint laxity". Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 63/3 (2017), 259-265.