Sensory Integration for Postural Control in Rheumatoid Arthritis Revealed by Computerized Dynamic Posturography

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2023 Mar 29

PMID 36981611

Authors

Marta Cristina Rodrigues da Silva

Deyse Borges Machado

Luis Mochizuki

Melissa Andrea Jeannet Michaelsen Cardoso

Juliane de Oliveira

Monique da Silva Gevaerd

Ulysses Fernandes Ervilha

Monique Oliveira Baptista Cajueiro

Susana Cristina Domenech

Affiliations

Soon will be listed here.

Abstract

Rheumatoid arthritis (RA) is a systemic autoimmune disease that impairs mobility. How does sensory information influence postural responses in people with RA? The aim of this study was to evaluate the postural control of people with RA during a sensory organization test, comparing how sensory information influences postural responses in people with rheumatoid arthritis compared with healthy people. Participants were 28 women with rheumatoid arthritis (RA group) and 16 women without any rheumatoid disease (Control group CG). The Sensory Organization Test (SOT) was performed on a Smart Balance Master (NeuroCom International, Inc., Clackamas, OR, USA) and center of pressure (COP) was measured. SOT conditions: SOT1 (eyes open, fixed support surface and surround; SOT2) eyes closed, fixed support surface and surround; and SOT5) eyes closed, sway-referenced support surface, and fixed surround. To compare the demographic and clinical aspects between groups, independent -test or Mann-Whitney's U-test were used. Differences were found between groups. Between SOT conditions, for CG and RA, COP was faster for SOT-5 than SOT-1, while SOT-1 and SOT-2 presented similar COP velocity. For SOT-2 and SOT-5, COP was larger for the RA group. For both groups, SOT-1 presented the smallest COP, and SOT-5 showed the largest COP.

Citing Articles

Cervical proprioception, postural control, and pain: unraveling the interconnected challenges in rheumatoid arthritis.

Alkhamis B, Elrefaey B, Alahmari K, Koura G, Alfaya F, Reddy R J Orthop Surg Res. 2025; 20(1):169.

PMID: 39955601 PMC: 11829552. DOI: 10.1186/s13018-025-05572-y.

References

Wroblewski R, Gasik R . Parameters of sagittal balance in view of studies on patients suffering from rheumatoid arthritis with cervical spine instability. Reumatologia. 2022; 59(6):411-419. PMC: 8768033. DOI: 10.5114/reum.2021.112352. View

Williams S, Brand C, Hill K, Hunt S, Moran H . Feasibility and outcomes of a home-based exercise program on improving balance and gait stability in women with lower-limb osteoarthritis or rheumatoid arthritis: a pilot study. Arch Phys Med Rehabil. 2010; 91(1):106-14. DOI: 10.1016/j.apmr.2009.08.150. View

Pai Y, Patton J . Center of mass velocity-position predictions for balance control. J Biomech. 1997; 30(4):347-54. DOI: 10.1016/s0021-9290(96)00165-0. View

Low Choy N, Brauer S, Nitz J . Changes in postural stability in women aged 20 to 80 years. J Gerontol A Biol Sci Med Sci. 2003; 58(6):525-30. DOI: 10.1093/gerona/58.6.m525. View

Craig C, Marshall A, Sjostrom M, Bauman A, Booth M, Ainsworth B . International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003; 35(8):1381-95. DOI: 10.1249/01.MSS.0000078924.61453.FB. View

Powell L, Myers A . The Activities-specific Balance Confidence (ABC) Scale. J Gerontol A Biol Sci Med Sci. 1995; 50A(1):M28-34. DOI: 10.1093/gerona/50a.1.m28. View

Bruce B, Fries J . The Health Assessment Questionnaire (HAQ). Clin Exp Rheumatol. 2005; 23(5 Suppl 39):S14-8. View

Rome K, DIXON J, Gray M, Woodley R . Evaluation of static and dynamic postural stability in established rheumatoid arthritis: exploratory study. Clin Biomech (Bristol). 2009; 24(6):524-6. DOI: 10.1016/j.clinbiomech.2009.03.005. View

King J, Young C, Highton J, Smith P, Darlington C . Vestibulo-ocular, optokinetic and postural function in humans with rheumatoid arthritis. Neurosci Lett. 2002; 328(2):77-80. DOI: 10.1016/s0304-3940(02)00219-7. View

10.

Aydog E, Bal A, Aydog S, Cakci A . Evaluation of dynamic postural balance using the Biodex Stability System in rheumatoid arthritis patients. Clin Rheumatol. 2005; 25(4):462-7. DOI: 10.1007/s10067-005-0074-4. View

11.

de Almeida Lourenco M, Roma I, de Assis M . Falls and their association with physical tests, functional capacity, clinical and demographic factors in patients with rheumatoid arthritis. Rev Bras Reumatol Engl Ed. 2017; 57(3):217-223. DOI: 10.1016/j.rbre.2016.09.013. View

12.

Hayashibara M, Hagino H, Katagiri H, Okano T, Okada J, Teshima R . Incidence and risk factors of falling in ambulatory patients with rheumatoid arthritis: a prospective 1-year study. Osteoporos Int. 2010; 21(11):1825-33. DOI: 10.1007/s00198-009-1150-4. View

13.

Aletaha D, Neogi T, Silman A, Funovits J, Felson D, Bingham 3rd C . 2010 rheumatoid arthritis classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative. Ann Rheum Dis. 2010; 69(9):1580-8. DOI: 10.1136/ard.2010.138461. View

14.

Westlake K, Culham E . Sensory-specific balance training in older adults: effect on proprioceptive reintegration and cognitive demands. Phys Ther. 2007; 87(10):1274-83. DOI: 10.2522/ptj.20060263. View

15.

Arokoski J, Leinonen V, Arokoski M, Aalto H, Valtonen H . Postural control in male patients with hip osteoarthritis. Gait Posture. 2005; 23(1):45-50. DOI: 10.1016/j.gaitpost.2004.11.017. View

16.

Luoto S, Riikonen K, Siivola M, Laiho K, Kauppi M, Mikkelsson M . Impaired postural control is associated with worse scores of the Health Assessment Questionnaire disability index among women with rheumatoid arthritis. J Rehabil Med. 2011; 43(10):900-5. DOI: 10.2340/16501977-0851. View

17.

da Silva K, Teixeira L, Imoto A, Atallah A, Peccin M, Trevisani V . Effectiveness of sensorimotor training in patients with rheumatoid arthritis: a randomized controlled trial. Rheumatol Int. 2013; 33(9):2269-75. DOI: 10.1007/s00296-013-2706-3. View

18.

Wasserman A . Diagnosis and management of rheumatoid arthritis. Am Fam Physician. 2011; 84(11):1245-52. View

19.

Colnat-Coulbois S, Gauchard G, Maillard L, Barroche G, Vespignani H, Auque J . Bilateral subthalamic nucleus stimulation improves balance control in Parkinson's disease. J Neurol Neurosurg Psychiatry. 2005; 76(6):780-7. PMC: 1739669. DOI: 10.1136/jnnp.2004.047829. View

20.

Peterka R, Loughlin P . Dynamic regulation of sensorimotor integration in human postural control. J Neurophysiol. 2003; 91(1):410-23. DOI: 10.1152/jn.00516.2003. View