Frequency of Pes Planus and Posterior Tibial Tendon Dysfunction in Patients With Ankylosing Spondylitis Ultrasonographic Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Posterior Tibial Tendon Dysfunction
- Sponsor
- Afyonkarahisar Health Sciences University
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
This investigation aims to investigate the frequency of pes planus and posterior tibial tendon dysfunction in patients with ankylosing spondylitis.
Detailed Description
Posterior tibial tendon dysfunction is the most common cause of acquired pes planus deformity in healthy adults. The posterior tibial tendon stabilizes the hindfoot against valgus and eversion forces and acts as a support along the medial longitudinal arch. If the posterior tibial tendon loses its functionality, the other ligaments of the foot and the joint capsule gradually weaken as the height of the medial longitudinal arch decreases or disappears, and it develops with pes planus. The presence of pes planus and spondyloarthropathy are also risk factors for the development of posterior tibial tendon dysfunction. 100 participants aged between 20-70 years with ankylosing spondylitis were planned to be included in this investigation. Posterior tibial tendon dysfunction frequency of patients with ankylosing spondylitis will be evaluated by both clinical examination and musculoskeletal ultrasonography device. The posterior tibial tendon will be evaluated by ultrasonography in terms of tendon diameter and fluid presence in 2 different locations in the retromalleolar area. Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), Ankylosing Spondylitis Quality of Life (ASQoL) Scale, Functional reach test, Timed up and go test, Berg Balance Scale, Dynamic and static balance with the Sportkat device will be used as evaluation parameters. It was planned that the evaluations were made once.
Investigators
Nuran Eyvaz
Assistant Professor
Afyonkarahisar Health Sciences University
Eligibility Criteria
Inclusion Criteria
- •Participitans who apply to the rheumatology outpatient clinic between the ages of 20-70 and who have been diagnosed with ankylosing spondylitis according to the Modified Newyork criteria will be included in this study.
- •Ankylosing Spondilitis
Exclusion Criteria
- •Previous ankle surgery history
- •Muscle disease
- •Neuropsychiatric illnesses
- •Visual problems
Outcomes
Primary Outcomes
Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)
Time Frame: Will be done only once on the first day after inclusion
BASDAI includes six questions evaluating five important findings of the disease (Fatigue, hip and spine pain, swelling and pain in peripheral joints, enthesitis, duration and severity of morning stiffness). The pain levels of the patients will be evaluated with a Visual Analog scale (0: I have no pain, 10: I have very severe pain). Higher scores mean active disease.
Ankylosing Spondylitis Quality of Life Scale (ASQOL)
Time Frame: Will be done only once on the first day after inclusion
Ankylosing Spondylitis Quality of Life (ASQoL) scale is a disease-specific assessment parameter designed to measure health-related quality of life. It includes yes or no questions with a total score ranging from 0 to 18. The lower scores represent better quality of life.
Bath Ankylosing Spondylitis Functional Index (BASFI)
Time Frame: Will be done only once on the first day after inclusion
BASFI; consists of eight questions that evaluate the function of patients with AS and two questions that evaluate their daily life. Higher scores indicate greater limitations.
Secondary Outcomes
- Ultrasonographic evaluation of the posterior tibial tendon(Will be done only once on the first day after inclusion)
- Functional reach test(Will be done only once on the first day after inclusion)
- Timed up and go test (TUG)(Will be done only once on the first day after inclusion)
- Berg Balance Scale(Will be done only once on the first day after inclusion)
- Foot and Ankle Outcome Score (FAOS)(Will be done only once on the first day after inclusion)
- Static and Dynamic Balance measurment with SportKAT Device.(Will be done only once on the first day after inclusion)