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Aktuelle Rheumatologie 2024; 49(01): 42-48
DOI: 10.1055/a-2085-2204
Original Article

The Association of Physical Activity Level with Body Awareness and Balance in Individuals with Ankylosing Spondylitis

Die Assoziation des körperlichen Aktivitätsniveaus mit Körperbewusstsein und Gleichgewicht bei Personen mit ankylosierender Spondylitis
Meryem Buke
1   Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Van Yuzuncu Yil University, Van, Turkey
,
Nilufer Cetisli-Korkmaz
2   Faculty of Physiotherapy and Rehabilitation, Pamukkale University, Denizli, Turkey
,
Bilge Basakci-Calik
2   Faculty of Physiotherapy and Rehabilitation, Pamukkale University, Denizli, Turkey
,
Ugur Karasu
3   Faculty of Medicine, Pamukkale University, Denizli, Turkey
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Abstract

Background This study aimed to examine the association of physical activity level with body awareness and balance in individuals with ankylosing spondylitis (AS). In addition, the effects of disease-specific parameters on static and dynamic balance functions were investigated.

Material and Methods Sixty-four volunteers (36 female, 28 male) were included. AS disease activity, functional level, and spinal mobility were evaluated with disease-specific indexes. Physical activity level was assessed with the International Physical Activity Questionnaire, body awareness with the Body Awareness Questionnaire, static balance with the Single Leg Stance Test, and dynamic balance with the Timed Up and Go Test and the Four Square Step Test.

Results There was a relationship between physical activity level and body awareness (p<0.05), but no correlation was found with the disease-specific assessments and balance measurements (p>0.05). While BASFI was found to be significantly associated with both static and dynamic balance, it was noted that BASMI was just related with FSST (p<0.05), and BASDAI was not correlated with any balance test (p>0.05).

Conclusion As a result of our study, we observed that physical activity level was associated with body awareness, but not with balance. Also, it was recorded that the functional status of individuals with AS is closely related with static and dynamic balance and dynamic balance is partially influenced by spinal mobility.

Key words

ankylosing spondylitis - awareness - functional status

Schlüsselwörter

Morbus Bechterew - Bewusstsein - Funktionsstatus


Publication History

Article published online:
12 June 2023

© 2023. Thieme. All rights reserved.

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  • References

  • 1 Haris ED, Budd RC, Firestein GS. et al. Kelley’s textbook of rheumatology. 7 th ed. Philadelphia, PA: Elsevier Saunders; 2004
    Google Scholar
  • 2 Braun J, Sieper J. Ankylosing Spondylitis. Lancet 2007; 369: 1379-90.
    CrossrefPubMedGoogle Scholar
  • 3 Du MS, Xiong XQ, Liu H. et al. The evaluation of bone marrow edema in sacroiliac joint in patients with ankylosing spondylitis using magnetic resonance imaging Dixon sequence. BMC Musculoskelet Disord 2021; 22: 1-8
    CrossrefPubMedGoogle Scholar
  • 4 Davis JC. Ankylosing spondylitis. In: Koopman WJ, Moreland LW (eds). Arthritis and Allied Conditions. Philadelphia: LWW; 2005: 1319-1334
    Google Scholar
  • 5 Berke E, Aydogan U, Doganer YÇ. et al. Investigation of Delay in The Diagnosis of Ankylosing Spondylitis and Associated Factors on The Diagnosis Process. Turkish. Journal of Family Medicine and Primary Care 2019; 213: 487-499
    PubMedGoogle Scholar
  • 6 Batur IB, Karataş GK. Do postural changes affect balance in patients with ankylosing spondylitis?. J Rehabil Med 2017; 49: 437-440
    CrossrefPubMedGoogle Scholar
  • 7 Durmus B, Altay Z, Ersoy Y. et al. Postural stability in patients with ankylosing spondylitis. Disabil Rehabil 2010; 32: 1156-1162
    CrossrefPubMedGoogle Scholar
  • 8 Global recommendations on physical activity for health. World Health Organization. 2010
    PubMed
  • 9 O’Dwyer T, O’Shea F, Wilson F. Exercise therapy for spondyloarthritis: a systematic review. Rheumatol Int 2014; 34: 887-902
    CrossrefPubMedGoogle Scholar
  • 10 Van Der Heijde D, Ramiro S, Landewe R. et al. 2016 update of the ASAS-EULAR management recommendations for axial spondyloarthritis. Ann Rheum Dis 2017; 76: 978-991
    CrossrefPubMedGoogle Scholar
  • 11 Fongen C, Halvorsen S, Dagfinrud H. High disease activity is related to low levels of physical activity in patients with ankylosing spondylitis. Clin Rheumatol 2013; 32: 1719-1725
    CrossrefPubMedGoogle Scholar
  • 12 Vatansever ÖM. The investigation of the relationship between body awareness and balance and posture in healthy individuals with different physical activity levels. http://www.openaccess.hacettepe.edu.tr:8080/xmlui/handle/11655/4697?show=full (accessed 12.12.2022)
    PubMed
  • 13 Hider S, Wong M, Ortiz M. et al. Does a regular exercise program for ankylosing spondylitis influence body image?. Scand J Rheumatol 2002; 31: 168-171
    CrossrefPubMedGoogle Scholar
  • 14 Cınar E, Akkoç Y, Karapolat H. et al. Postural deformities: potential morbidities to cause balance problems in patients with ankylosing spondylitis?. Eur J Rheumatol 2016; 3: 5
    CrossrefPubMedGoogle Scholar
  • 15 Acar Y, Ilçin N, Gürpınar B. et al. Core stability and balance in patients with ankylosing spondylitis”. Rheumatol Int 2019; 39: 1389-1396
    CrossrefPubMedGoogle Scholar
  • 16 Murray HC, Elliott C, Barton SE. et al. Do patients with ankylosing spondylitis have poorer balance than normal subjects?. Rheumatology 2000; 39: 497-500
    CrossrefPubMedGoogle Scholar
  • 17 Craig CL, Marshall AL, Sjöström M. et al. International physical activity questionnaire: 12-Country reliability and validity. Med Sci Sports Exerc 2003; 35: 1381-1395
    CrossrefPubMedGoogle Scholar
  • 18 Savcı S, Öztürk M, Arıkan H. et al. Üniversite öğrencilerinin fiziksel aktivite düzeyleri. Türk Kardiyol Dern Arş 2006; 34: 166-172
    PubMedGoogle Scholar
  • 19 Shields SA, Mallory ME, Simon A. The body awareness questionnaire: reliability and validity. J Pers Assess 1989; 53: 802-15.
    CrossrefPubMedGoogle Scholar
  • 20 Erden A, Altuğ F, Cavlak U. Investigation of the Relationship Between Body Awareness, Pain, Emotional Status, and Quality of Life Among Healthy People. J Kartal TR 2013; 24: 145-150
    CrossrefPubMedGoogle Scholar
  • 21 Karaca S, Bayar B. Turkish version of body awareness questionnaire: validity and reliability study. Turk J Physiother Rehabil 2021; 32: 44-50
    CrossrefPubMedGoogle Scholar
  • 22 Vellas BJ, Wayne SJ, Romera L. et al. One-leg balance is an important predictor of injurious falls in older persons. J Am Geriatr Soc 1997; 45: 735-738
    CrossrefPubMedGoogle Scholar
  • 23 Barry E, Galvin R, Keogh C. et al. Is the Timed Up and Go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta- analysis. BMC Geriatr 2014; 14: 1-14
    CrossrefPubMedGoogle Scholar
  • 24 Moore M, Karen B. The validity and reliability of the four square step test in different adult populations: a systematic review. Systematic reviews 2017; 6: 1-9
    CrossrefPubMedGoogle Scholar
  • 25 Külcü DG, Batibay S, Öztürk G. et al. The association of neuropathic pain and disease activity, functional level, and quality of life in patients with ankylosing spondylitis: a cross-sectional study. Turk J Med Sci 2018; 48: 257-265
    PubMedGoogle Scholar
  • 26 Urkmez B, Keskin Y. Relationship between sleep quality and physical activity level in patients with ankylosing spondylitis. Mod Rheumatol 2020; 30: 1053-1059
    CrossrefPubMedGoogle Scholar
  • 27 Arends S, Hofman M, Kamsma YPT. et al. AB0910 Validity and reliability of the IPAQ and squash to assess daily physical activity in patients with ankylosing spondylitis. Ann Rheum Dis 2013; 71: 690-690
    CrossrefPubMedGoogle Scholar
  • 28 Mehling WE, Gopisetty V, Daubenmier J. et al. Body awareness: construct and self-report measures. PLoS ONE 2009; 4: e5614
    CrossrefPubMedGoogle Scholar
  • 29 Kirişçi, M. A research about the effect of body awareness on psychologi̇cal, physi̇cal si̇tuati̇on and quali̇ty of li̇fe, among teachers. https://tez.yok.gov.tr/UlusalTezMerkezi/tezDetay.jsp?id=v4z1AgMAqkP7LvMkAA_Twg&no=UrJlNRfVEw7_HShRYC0LAg (accessed 03.12.2022)
    PubMed
  • 30 Pompeu JE, Romano RSL, Pompeu SMAA. et al. Static and dynamic balance in subjects with ankylosing spondylitis: literature review. Rev Bras Reumatol 2012; 52: 413-416
    PubMedGoogle Scholar
  • 31 Gündüz OH, Özcan-Ekşi EE, Giray E. et al. What impairs balance in ankylosing spondylitis? Posture or disease activity?. Arch Rheumatol 2017; 32: 221
    CrossrefPubMedGoogle Scholar
  • 32 Esther YG, Salan YC, Sze-Jia H. et al. Reliability and concurrent validity of four square step test scores in subjects with chronic stroke: A Pilot Study. Arch Phys M 2013; 94: 1306-1311
    CrossrefPubMedGoogle Scholar
  • 33 Halvorsen S, Vøllestad NK, Fongen C. et al. Physical fitness in patients with ankylosing spondylitis: comparison with population controls. Phys Ther 2012; 92: 298-309
    CrossrefPubMedGoogle Scholar
  • 34 Gunay SM, Keser I, Bicer ZT. The effects of balance and postural stability exercises on spa-based rehabilitation programme in patients with ankylosing spondylitis. J Back Musculoskelet Rehabil 2018; 31: 337-346
    CrossrefPubMedGoogle Scholar
  • 35 Vergara ME, O'Shea FD, Inman RD. et al. Postural control is altered in patients with ankylosing spondylitis. Clin Biomech 2012; 27: 334-340
    CrossrefPubMedGoogle Scholar