Risk of Falls in Patients With Ankylosing Spondylitis

Basit Öğe Kaydı
dc.authoridAkgun, Kenan/0000-0002-0346-1473
dc.authoridZateri, Coskun/0000-0002-7948-5383
dc.contributor.authorDursun, Nigar
dc.contributor.authorSarikaya, Selda
dc.contributor.authorOzdolap, Senay
dc.contributor.authorDursun, Erbil
dc.contributor.authorZateri, Coskun
dc.contributor.authorAltan, Lale
dc.contributor.authorBirtane, Murat
dc.date.accessioned2025-01-27T20:51:51Z
dc.date.available2025-01-27T20:51:51Z
dc.date.issued2015
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackground: Risk of vertebral fractures is increased in patients with ankylosing spondylitis (AS). The underlying mechanisms for the elevated fracture risk might be associated with bone and fall-related risks. The aims of this study were to evaluate the risk of falls and to determine the factors that increase the risk of falls in AS patients. Methods: Eighty-nine women, 217 men, a total of 306 AS patients with a mean age of 40.1 +/- 11.5 years from 9 different centers in Turkey were included in the study. Patients were questioned regarding history of falls within the last 1 year. Their demographics, disease characteristics including Bath AS Disease Activity Index, Bath AS Metrology Index (BASMI), Bath AS Functional Index (BASFI), and risk factors for falls were recorded. The Short Physical Performance Battery (SPPB) test was used for evaluation of static and dynamic balance. Erythrocyte sedimentation rate, C-reactive protein, and 25-hydroxyvitamin D levels were measured. Results: Forty of 306 patients reported at least 1 fall in the recent 1 year. The patients with history of falls had higher mean age and longer disease duration than did nonfallers (P = 0.001). In addition, these patients' BASMI and BASFI values were higher than those of nonfallers (P = 0.002; P = 0.000, respectively). We found that the patients with history of falls had lower SPPB scores (P = 0.000). We also found that the number of falls increased with longer disease duration and older age (R = 0.117 [P = 0.041] and R = 0.160 [P = 0.005]). Our results show that decreased SPPB scores were associated with increased number of falls (R = 0.183, P = 0.006). Statistically significant correlations were found between number of falls and AS-related lost job (R = 0.140, P = 0.014), fear of falling (R = 0.316, P = 0.000), hip involvement (R = 0.112, P = 0.05), BASMI (R = 0.234, P = 0.000), and BASFI (R = 0.244, P = 0.000). Conclusions: Assessment of pain, stiffness, fatigue, and lower-extremity involvement as well as asking for a history of falls will highlight those at high risk for further falls. In addition to the general exercise program adopted for all patients, we suggest that a balance rehabilitation program should be valuable for the patients with risk factors for fall. Exercise may improve fear of falling and BASFI and BASMI scores. However, further study is needed to investigate these hypotheses. We believe that clinicians should train and support the patients via reducing fear of falls and maintaining good posture and functional capacity.
dc.identifier.doi10.1097/RHU.0000000000000216
dc.identifier.endpage80
dc.identifier.issn1076-1608
dc.identifier.issn1536-7355
dc.identifier.issue2
dc.identifier.pmid25710858
dc.identifier.scopus2-s2.0-84924561762
dc.identifier.scopusqualityQ3
dc.identifier.startpage76
dc.identifier.urihttps://doi.org/10.1097/RHU.0000000000000216
dc.identifier.urihttps://hdl.handle.net/20.500.12428/25547
dc.identifier.volume21
dc.identifier.wosWOS:000350762600005
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofJcr-Journal of Clinical Rheumatology
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectankylosing spondylitis
dc.subjectfall
dc.subjectSPPB
dc.subjectBASMI
dc.subjectbalance
dc.titleRisk of Falls in Patients With Ankylosing Spondylitis
dc.typeArticle

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu