Association between core stability and physical function, functional performance in patients with systemic sclerosis
| Autor: | Sevgi Özalevli, Hazal Yakut, Ahmet Merih Birlik |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Walk Test Physical function 03 medical and health sciences Walking distance 0302 clinical medicine Physical medicine and rehabilitation Rheumatology Predictive Value of Tests Internal medicine Surveys and Questionnaires Medicine Humans In patient 030212 general & internal medicine Muscle Strength Postural Balance Aged 030203 arthritis & rheumatology Scleroderma Systemic business.industry Walking test Back Muscles Core stability Middle Aged Trunk Cross-Sectional Studies Functional Status Reference values Physical Endurance Female business |
| Popis: | Objective To investigate the association of core stability with physical function and functional performance in patients with systemic sclerosis (SSc). Methods Forty patients who met the American College of Rheumatology / European League Against Rheumatism 2013 classification criteria for SSc were included in the cross-sectional study. For evaluation of core stability, trunk muscle endurance and trunk muscle strength were assessed. Trunk extensor and trunk flexor endurance tests were used for assessment of trunk muscle endurance. Trunk muscle strength was measured with a hand-held dynamometer and modified sit-up test. To measure physical function the Health Assessment Questionnaire Disability Index (HAQ-DI) and to measure functional performance 6-minute walking test (6MWT) and sit-to-stand test (STS) were used. Results Patients with SSc had lower mean trunk extensor and flexor endurance test times (49.87 ± 30.81 and 32.17 ± 15.42 seconds, respectively), modified sit-up test repetition (17.42 ± 7.81) and trunk extensor and flexor muscle strength (7.48 ± 2.29 kg and 6.20 ± 1.68 kg, respectively) when compared to the reference values in healthy individuals. All measurements were used to evaluate core stability associated with HAQ-DI score, 6DMWT walking distance and STS test duration (all P Conclusion Patients with SSc have markedly reduced core stability and this negatively affects the physical function and functional performance. Therefore, this study highlights the importance of trunk muscle in patients with SSc. We suggest that not only upper-lower extremity muscles, but also trunk muscle strength and endurance should be measured and core stability exercises can be added to the training programs to maintain and/or improve physical functions and functional performance in SSc patients. |
| Databáze: | OpenAIRE |
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