■本研究旨在评估姿势平衡,跌倒风险,以及这些参数与系统性硬化症(SSc)患者疾病相关因素的关系。
■30例SSc患者(6例男性,24名女性;平均年龄51.1±10.6岁;35至65岁)和30名健康受试者(6名男性,24名女性,平均年龄52.4±8.7岁;范围35至65)年龄匹配,这项横断面研究于2018年9月至2019年11月期间进行,纳入了性别和体重指数.用BiodexBalanceSystemTM(Biodex-BS)测量姿势平衡,伯格平衡量表(BBS),和定时向上和去(TUG)测试。个人在过去一年中跌倒的历史,功能能力,下肢肌肉力量,肺功能,呼吸肌力量,扩散能力,评估呼吸困难的严重程度。
■SSc组的姿势平衡受损,跌倒频率高于对照组。SSc组的姿势稳定性摇摆指数明显高于(0.6±0.5),较低的方向控制分数(42.1±8.0),Biodex-BS稳定性极限试验持续时间较长(51.8±11.8),较低的BBS评分(51.5±4.9),TUG试验时间(8.3±2.7)长于对照组(均p<0.05)。此外,SSc组表现出显著较低的功能能力,肢体肌肉力量,肺功能,呼吸肌的力量,扩散能力,且呼吸困难严重程度高于对照组(均p<0.05)。SSc患者的姿势平衡和跌倒频率与功能能力显着相关,下肢肌肉力量,肺功能,呼吸肌力量,扩散能力,和呼吸困难的严重程度。
■我们的结果表明,应该评估姿势平衡受损和跌倒风险,因为它们似乎是SSc患者的重要问题。此外,功能能力评估,下肢肌肉力量,肺部受累可能突出显示姿势平衡受损和跌倒风险较高的患者。
UNASSIGNED: This
study aims to assess postural balance, fall risk, and the relationship of these parameters with disease-related factors in patients with systemic sclerosis (SSc).
UNASSIGNED: Thirty patients with SSc (6 males, 24 females; mean age 51.1±10.6 years; range 35 to 65) and 30 healthy subjects (6 males, 24 females, mean age 52.4±8.7 years; range 35 to 65) matched for age, sex and body mass index were included in this cross-sectional
study conducted between September 2018 and November 2019. Postural balance was measured with Biodex Balance SystemTM (Biodex-BS), Berg Balance Scale (BBS), and Timed Up and Go (TUG) test. Individuals\' history of falls in the past year, functional capacity, lower limb muscles strength, pulmonary function, respiratory muscle strength, diffusion capacity, and dyspnea severity were evaluated.
UNASSIGNED: The SSc group had postural balance impairment and a higher fall frequency than the control group. The SSc group had significantly higher sway index on postural stability (0.6±0.5), lower directional control score (42.1±8.0), and longer test duration (51.8±11.8) on limit of stability of Biodex-BS, lower BBS score (51.5±4.9), and longer test duration on TUG test (8.3±2.7) than control group (all p<0.05). Also, SSc group exhibited significantly lower functional capacity, limb muscles strength, pulmonary function, respiratory muscles strength, diffusion capacity, and higher dyspnea severity than control group (all p<0.05). The postural balance and fall frequency of SSc patients were significantly associated with functional capacity, lower limb muscles strength, pulmonary function, respiratory muscle strength, diffusion capacity, and dyspnea severity.
UNASSIGNED: Our results suggest that postural balance impairment and fall risk should be assessed as they appear to be important problems in patients with SSc. Furthermore, assessment of functional capacity, lower limb muscles strength, and lung involvement may highlight those with postural balance impairment and higher fall risk.