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Posture in systemic lupus erythematosus

P Giacomini1, A Zoli, E Bruno

  • 1Otolaryngology Division, University of Rome Tor Vergata, Italy.

Clinical and Experimental Rheumatology
|May 1, 1995
PubMed
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Systemic lupus erythematosus (SLE) patients exhibit significant postural control abnormalities, indicating a potential complication of the autoimmune disease. These changes appear independent of current disease activity levels.

Area of Science:

  • Rheumatology
  • Neurology
  • Immunology

Background:

  • Systemic lupus erythematosus (SLE) is a complex autoimmune disorder affecting multiple organ systems.
  • Neural function impairment, including central and peripheral nervous system involvement, can occur in SLE.
  • Postural apparatus dysfunction may arise from neurological complications in SLE patients.

Purpose of the Study:

  • To investigate postural abnormalities in SLE patients.
  • To evaluate the relationship between disease activity and postural control.
  • To identify potential origins of neurological involvement affecting posture.

Main Methods:

  • Static Computerised Posturography was used for postural evaluation.
  • 18 SLE patients and 10 healthy controls participated.

Related Experiment Videos

  • Lupus activity was assessed using the Systemic Lupus Activity Measure (SLAM) index.

    • Main Results:

    • SLE patients showed statistically significant increases in trace length, surface area, velocity, and velocity standard deviation compared to controls.
    • These postural alterations were observed in both eyes-open and eyes-closed tests.
    • No significant differences in postural patterns were found between SLE patients with varying disease activity.

    Conclusions:

    • Postural control alterations in SLE are likely a complication of the chronic autoimmune inflammatory process.
    • These changes appear to be independent of disease activity as measured by the SLAM index.
    • The neuropathy is suspected to be peripheral, given the lack of central nervous system involvement signs.