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Balance, gait, falls and fear of falling in women with the hypermobility type of ehlers-danlos syndrome.

Lies Rombaut UGent, Fransiska Malfait UGent, Inge De Wandele UGent, Youri Thijs UGent, Tanneke Palmans UGent, Anne De Paepe UGent and Patrick Calders UGent (2011) ARTHRITIS CARE & RESEARCH. 63(10). p.1432-1439
abstract
OBJECTIVE: To investigate balance, gait, falls and fear of falling in patients with the hypermobility type of Ehlers-Danlos Syndrome (EDS-HT). METHODS: Twenty-two women with EDS-HT and 22 gender and aged matched healthy control subjects participated in the study. Each subject performed the modified Clinical Test of Sensory Interaction on Balance (mCTSIB) and Tandem Stance test (TS) on an Accugait force platform to assess balance by centre of pressure-based postural sway measures. The GaitRite® walkway system was used to record spatial-temporal gait variables during 3 walking conditions (single task, cognitive-task, functional-task). Data about fall frequency and circumstances were collected by retrospective recall and fear of falling was assessed by the modified Falls Efficacy Scale. RESULTS: Compared with healthy subjects, EDS-HT subjects showed significantly impaired balance, reflected by increased sway velocity, medio-lateral and anterior-posterior sway excursion, and sway area during mCTSIB and TS. Gait velocity, step length and stride length were significantly smaller during all walking conditions and a significant dual-task-related decrement was found for gait velocity, step and stride length, and cadence in the EDS-HT subjects compared to the control group. Ninety-five percent of the patients fell during the past year and some fear of falling was measured. CONCLUSION: This study is the first to establish that EDS-HT is associated with balance and gait impairments, increased fall frequency and poorer balance confidence, implying a decrease in the safety of standing in everyday life situations. Whether these deficits can be improved by appropriate exercise programs needs to be addressed in future research.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
balance, EDS-hypermobility type, gait, falls
journal title
ARTHRITIS CARE & RESEARCH
Arthritis Care Res.
volume
63
issue
10
pages
1432 - 1439
Web of Science type
Article
Web of Science id
000295255200010
JCR category
RHEUMATOLOGY
JCR impact factor
4.851 (2011)
JCR rank
6/29 (2011)
JCR quartile
1 (2011)
ISSN
2151-464X
DOI
10.1002/acr.20557
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1889413
handle
http://hdl.handle.net/1854/LU-1889413
date created
2011-08-17 09:15:27
date last changed
2012-01-03 16:33:39
@article{1889413,
  abstract     = {OBJECTIVE: To investigate balance, gait, falls and fear of falling in patients with the hypermobility type of Ehlers-Danlos Syndrome (EDS-HT).
METHODS: Twenty-two women with EDS-HT and 22 gender and aged matched healthy control subjects participated in the study. Each subject performed the modified Clinical Test of Sensory Interaction on Balance (mCTSIB) and Tandem Stance test (TS) on an Accugait force platform to assess balance by centre of pressure-based postural sway measures. The GaitRite{\textregistered} walkway system was used to record spatial-temporal gait variables during 3 walking conditions (single task, cognitive-task, functional-task). Data about fall frequency and circumstances were collected by retrospective recall and fear of falling was assessed by the modified Falls Efficacy Scale.
RESULTS: Compared with healthy subjects, EDS-HT subjects showed significantly impaired balance, reflected by increased sway velocity, medio-lateral and anterior-posterior sway excursion, and sway area during mCTSIB and TS. Gait velocity, step length and stride length were significantly smaller during all walking conditions and a significant dual-task-related decrement was found for gait velocity, step and stride length, and cadence in the EDS-HT subjects compared to the control group. Ninety-five percent of the patients fell during the past year and some fear of falling was measured.
CONCLUSION: This study is the first to establish that EDS-HT is associated with balance and gait impairments, increased fall frequency and poorer balance confidence, implying a decrease in the safety of standing in everyday life situations. Whether these deficits can be improved by appropriate exercise programs needs to be addressed in future research.},
  author       = {Rombaut, Lies and Malfait, Fransiska and De Wandele, Inge and Thijs, Youri and Palmans, Tanneke and De Paepe, Anne and Calders, Patrick},
  issn         = {2151-464X},
  journal      = {ARTHRITIS CARE \& RESEARCH},
  keyword      = {balance,EDS-hypermobility type,gait,falls},
  language     = {eng},
  number       = {10},
  pages        = {1432--1439},
  title        = {Balance, gait, falls and fear of falling in women with the hypermobility type of ehlers-danlos syndrome.},
  url          = {http://dx.doi.org/10.1002/acr.20557},
  volume       = {63},
  year         = {2011},
}

Chicago
Rombaut, Lies, Fransiska Malfait, Inge De Wandele, Youri Thijs, Tanneke Palmans, Anne De Paepe, and Patrick Calders. 2011. “Balance, Gait, Falls and Fear of Falling in Women with the Hypermobility Type of Ehlers-danlos Syndrome.” Arthritis Care & Research 63 (10): 1432–1439.
APA
Rombaut, L., Malfait, F., De Wandele, I., Thijs, Y., Palmans, T., De Paepe, A., & Calders, P. (2011). Balance, gait, falls and fear of falling in women with the hypermobility type of ehlers-danlos syndrome. ARTHRITIS CARE & RESEARCH, 63(10), 1432–1439.
Vancouver
1.
Rombaut L, Malfait F, De Wandele I, Thijs Y, Palmans T, De Paepe A, et al. Balance, gait, falls and fear of falling in women with the hypermobility type of ehlers-danlos syndrome. ARTHRITIS CARE & RESEARCH. 2011;63(10):1432–9.
MLA
Rombaut, Lies, Fransiska Malfait, Inge De Wandele, et al. “Balance, Gait, Falls and Fear of Falling in Women with the Hypermobility Type of Ehlers-danlos Syndrome.” ARTHRITIS CARE & RESEARCH 63.10 (2011): 1432–1439. Print.