8/21/06
Because of the kyphosis and joint involvement that can come with ankylosing spondylitis (AS), studies have been done in order to examine the effects these changes may have on balance. One concern is that poorer balance may lead to an increase chance of a fall, and thus a bone fracture, especially in those who have fusion of the spine.
A study done in 2000 that examined balance in AS patients found that, "A significant proportion of ankylosing spondylitis patients have poorer balance…" Although no correlation could be found between the decrease in balance and posture.
However, a study done in 2005 came to the conclusion that AS has "no negative effect" in regards to balance because patients can maintain balance by using "unaffected joints."
In either case, it is important to take the proper steps to avoid a fall and possible fracture. We addressed this issue in an article that appeared in our July / August 2005 issue of Spondylitis Plus, which is available in our member area. The article, "Keeping On Your Feet: Tips for fall avoidance" emphasizes the following points:
References: Do patients with ankylosing spondylitis have poorer balance than normal subjects? H.C. Murray et al. Rheumatology; 2000; 39:497-500
Dynamic postural balance in ankylosing spondylitis. E. Aydog et al. Rheumatology; 2006;45:445-448
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