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Ankylosing Spondylitis and Balance.

Alper Uckun1, Ilhan Sezer2

  • 1Department of Physical Medicine and Rehabilitation, Mut State Hospital, Mersin, Turkey.

The Eurasian Journal of Medicine
|November 11, 2017
PubMed
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Ankylosing spondylitis causes postural changes that negatively impact balance. This review explores the link between ankylosing spondylitis, posture, and balance, including joint and eye involvement.

Keywords:
Ankylosing spondylitisbalanceposture

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Area of Science:

  • Rheumatology
  • Biomechanics
  • Neurology

Background:

  • Ankylosing spondylitis (AS) is a chronic inflammatory condition primarily affecting the axial skeleton.
  • Vertebral changes in AS lead to characteristic kyphotic posture.
  • Postural deformities in AS can significantly impair balance.

Purpose of the Study:

  • To review the relationship between ankylosing spondylitis and balance.
  • To examine the role of posture in AS-related balance deficits.
  • To identify other factors contributing to balance impairment in AS patients.

Main Methods:

  • Literature review of studies on ankylosing spondylitis, posture, and balance.
  • Analysis of postural changes associated with AS (e.g., kyphosis, pelvic rotation).
  • Evaluation of factors influencing balance, including joint, eye, muscular, vestibular, and proprioceptional systems.

Main Results:

  • AS commonly leads to kyphosis and other postural changes (cervical flexion, decreased lumbar lordosis, etc.).
  • These postural alterations are strongly associated with negative effects on patient balance.
  • Joint and eye involvement, alongside muscular, vestibular, and proprioceptional changes, further compromise equilibrium.

Conclusions:

  • Postural changes are a key factor in the balance disturbances observed in ankylosing spondylitis.
  • A multifactorial approach is necessary to understand and manage balance issues in AS.
  • Further research should investigate interventions to improve posture and balance in AS patients.