What Influences Proprioceptive Impairments in Patients with Rheumatic Diseases? Analysis of Different Factors

Paweł Konarzewski, Urszula Konarzewska, Anna Kuryliszyn-Moskal, Robert Terlikowski, Jolanta Pauk, Kristina Daunoraviciene, Konrad Pauk, Agnieszka Dakowicz, Mariusz Wojciuk, Janusz Dzięcioł and Zofia Dziecioł-Anikiej ()
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Paweł Konarzewski: AXIS, Fabryczna 4/1d, 15-483 Białystok, Poland
Urszula Konarzewska: AXIS, Fabryczna 4/1d, 15-483 Białystok, Poland
Anna Kuryliszyn-Moskal: Department of Rehabilitation, Faculty of Health Sciences, Medical University of Białystok, Skłodowskiej-Curie 7A Str., 15-096 Białystok, Poland
Robert Terlikowski: Department of Rehabilitation, Faculty of Health Sciences, Medical University of Białystok, Skłodowskiej-Curie 7A Str., 15-096 Białystok, Poland
Jolanta Pauk: Institute of Biomedical Engineering, Faculty of Mechanical Engineering, Bialystok University of Technology, Wiejska 45C, 15-352 Białystok, Poland
Kristina Daunoraviciene: Department of Biomechanical Engineering, Faculty of Mechanics, Vilnius Gediminas Technical University, Plytinės g. 25, LT-10105 Vilnius, Lithuania
Konrad Pauk: Warsaw Medical University, Zwirki i Wigury 61, 02-091 Warsaw, Poland
Agnieszka Dakowicz: Department of Rehabilitation, Faculty of Health Sciences, Medical University of Białystok, Skłodowskiej-Curie 7A Str., 15-096 Białystok, Poland
Mariusz Wojciuk: Department of Rehabilitation, Faculty of Health Sciences, Medical University of Białystok, Skłodowskiej-Curie 7A Str., 15-096 Białystok, Poland
Janusz Dzięcioł: Department of Human Anatomy, Faculty of Medicine, Medical University of Bialystok, Mickiewicza 2A Str., 15-230 Bialystok, Poland
Zofia Dziecioł-Anikiej: Department of Rehabilitation, Faculty of Health Sciences, Medical University of Białystok, Skłodowskiej-Curie 7A Str., 15-096 Białystok, Poland

IJERPH, 2023, vol. 20, issue 4, 1-11

Abstract: Rheumatic diseases lead to postural problems, which increase the risk of falls and lead to greater disability. The aim of the present work is to evaluate posture disorders in patients with osteoarthritis (OA) and rheumatoid arthritis (RA), as well as to evaluate the influence of other factors. A total of 71 subjects were enrolled in this study. Joint position sense (JPS) and the functional assessment of proprioception on a balance platform for both lower limbs were examined. The Average Trace Error (ATE), test time (t), and Average Platform Force Variation (AFV) were calculated. Additionally, an equilibrium test was carried out in the one-legged standing position (Single Leg Stance—SLS). The results were compared in several ways and revealed the following: (1) A JPS of 10° plantar flexion in RA obtained significantly worse results when repeating the movement than OA; the ATEs were significantly lower in RA; and RA needed more support during SLS assessment. (2) RA patients with higher DAS28 had statistically significantly higher values in JPS, with 5° plantar flexion and 10° dorsal flexion, SLS assessment, and stabilometric rates. A statistically significant correlation between DAS28 and RA was found in a JPS of 10° plantar flexion. The VAS ruler demonstrated a significant moderate correlation with t. (3) Patients who experienced at least one fall demonstrated higher JPS and t. Our study shows that proprioception is the most influenced by the nature of the disease and the level of disease activity. We can see that the stability and balance functions are also greatly influenced by the patient’s falling experience and the level of pain. These findings may be useful in designing an optimal proprioception-enhancing movement training plan.

Keywords: rheumatoid arthritis; osteoarthritis; postural disorders; proprioception (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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