Evidence map›Paper›PMID 39955601›Full record

ArticleJournal of orthopaedic surgery and research2025

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

Batool Abdulelah Alkhamis, Basant Hamdy Elrefaey, Khalid A Alahmari, Ghada Mohammed Koura, Fareed F Alfaya, Ravi Shankar Reddy

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In one paragraph

Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Batool Abdulelah AlkhamisProgram of Physical Therapy, Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, 61421, Saudi Arabia.
Basant Hamdy ElrefaeyProgram of Physical Therapy, Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, 61421, Saudi Arabia.
Khalid A AlahmariProgram of Physical Therapy, Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, 61421, Saudi Arabia.
Ghada Mohammed KouraProgram of Physical Therapy, Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, 61421, Saudi Arabia.
Fareed F AlfayaDepartment of Orthopedic Surgery, College of Medicine, King Khalid University, Abha, 61421, Saudi Arabia.
Ravi Shankar ReddyProgram of Physical Therapy, Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, 61421, Saudi Arabia. rshankar@kku.edu.sa.ORCID http://orcid.org/0000-0001-6638-0585

Funding

Deanship of Scientific Research, King Khalid University GRP/112/45
6 · The paper itself

Abstract

backgroundRheumatoid arthritis (RA) is a chronic autoimmune disease that impairs proprioception and postural control, increasing fall risk and reducing quality of life. This study evaluated cervical proprioception and postural control in RA patients versus asymptomatic individuals, examined their relationship within the RA group, and investigated pain's mediating effects on this association.

methodsIn this cross-sectional study, 82 RA patients and 82 age- and gender-matched controls were recruited. Cervical proprioception was assessed using the Cervical Joint Position Error Test (CJPET), while postural control was evaluated via a stabilometric force platform measuring center-of-pressure length (L CoP), 95% confidence ellipse sway area (ESA 95%), and center-of-pressure velocity (V CoP). Statistical analyses included t-tests, correlation, regression, and mediation analysis to evaluate relationships and the role of pain in cervical proprioception and postural control.

resultsRA patients demonstrated significantly impaired cervical proprioception and postural control compared to controls (p < 0.001). Significant differences were observed in cervical flexion, extension, rotation, and postural control measures (L CoP, ESA 95%, and V CoP; p < 0.001 for all parameters). Pearson's correlations revealed significant relationships between cervical proprioception and postural control parameters. Regression analysis indicated that cervical proprioception, particularly when combined with age and disease duration, significantly predicted postural control. Mediation analysis revealed that pain significantly mediated the relationship between cervical proprioception and postural control.

conclusionsCervical proprioception is significantly reduced in RA patients and strongly influences postural control. Pain serves as a key mediator in this relationship, emphasizing the need for effective pain management to enhance proprioceptive and postural functions in RA patients. These findings suggest that the insights from this cross-sectional study could inform future interventions aimed at enhancing proprioception and managing pain, which may significantly benefit RA patients' postural stability and overall quality of life.

Indexed as

Arthritis, RheumatoidCervical VertebraePostural BalanceProprioceptionAdultAgedCase-Control StudiesCross-Sectional StudiesFemaleHumansMaleMiddle AgedChronic painPainPostural balanceProprioceptionRheumatoid arthritis

Identifiers

PMID39955601
PMCPMC11829552

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.