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Updated: Jun 26, 2026

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
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Postural stability and fall risk in systemic sclerosis patients.

Köksal Sarıhan1, Ayhan Kul2

  • 1Department of Physical Therapy and Rehabilitation, Oltu State Hospital, Erzurum, Türkiye.

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|April 24, 2025
PubMed
Summary

Systemic sclerosis patients exhibit increased fall risk and impaired postural balance. Early evaluation and treatment are recommended to manage these conditions effectively.

Keywords:
Balancefallposturestabilitysystemic sclerosis.

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Area of Science:

  • Rheumatology
  • Neurology
  • Gerontology

Background:

  • Systemic sclerosis (SS) is a complex autoimmune disease affecting connective tissues.
  • Postural balance and fall risk are critical health indicators, particularly in chronic disease populations.
  • Objective assessment of these parameters in SS patients is essential for understanding disease impact.

Purpose of the Study:

  • To objectively evaluate fall risk and postural balance in patients with systemic sclerosis (SS).
  • To investigate the association between fall risk, postural balance, and clinical findings in SS.
  • To compare postural stability metrics between SS patients and healthy controls.

Main Methods:

  • A cross-sectional study involving 14 SS patients and 20 healthy controls.
  • Utilized posturography to determine the fall index and assess postural stability.
  • Employed the Falls Efficacy Scale-International and modified Rodnan skin score for comprehensive evaluation.

Main Results:

  • Systemic sclerosis patients demonstrated a significantly higher fall index compared to controls (p<0.05).
  • SS patients showed significant postural deviations in stability and weight distribution under specific conditions (eyes closed, head tilt).
  • Fear of falling scores were elevated in diffuse-type SS patients compared to limited-type (p<0.01).

Conclusions:

  • Systemic sclerosis is associated with increased fall risk and impaired postural balance.
  • Early assessment of postural balance and fall risk is crucial for timely intervention in SS patients.
  • Recommendations include integrating balance and fall risk assessments into routine SS patient care.