Foot function in rheumatoid arthritis: Correlation between the Rheumatoid and Arthritis Outcome Score and performance‐based physical tests.
Background: Foot function is usually assessed using self‐reported outcome measures which remain subjective in patients with rheumatoid arthritis (RA). Physical performance tests were recommended for functional assessment in lower limb osteoarthritis. However, foot function assessment's guidelines in...
| Publicado en: | Musculoskeletal Care Vol. 21; no. 2; pp. 362 - 372 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=164353200&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 164353200 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14782189 VRY jtl: Musculoskeletal Care issn: 14782189 maglogo: Y pubinfo: dt: Jun2023 vid: 21 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 164353200 159703351 164353200 164353200 10.1002/msc.1702 164353200 ppf: 362 ppct: 10 formats: tig: atl: Foot function in rheumatoid arthritis: Correlation between the Rheumatoid and Arthritis Outcome Score and performance‐based physical tests. aug: au: Ben Tekaya, Aicha Ben Dhia, Siwar Hannech, Emna Rouached, Leila Bouden, Selma Tekaya, Rawdha Saidane, Olfa Mahmoud, Ines Abdelmoula, Leila affil: Rheumatology Department, Charles Nicolle Hospital, Tunis, Tunisia sug: subj: Arthritis, Rheumatoid Physiopathology Foot Physiopathology Self Report Outcome Assessment Functional Assessment Task Performance and Analysis Human Cross Sectional Studies Clinical Assessment Tools Descriptive Statistics Female Male Adult Middle Age Aged Pain Risk Factors Skin Diseases Risk Factors Foot Deformities Activities of Daily Living Sports Recreation Sedentary Behavior Functional Status Inflammation Complications Multivariate Analysis Age Factors Risk Assessment Walking Speed Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Female Male ab: Background: Foot function is usually assessed using self‐reported outcome measures which remain subjective in patients with rheumatoid arthritis (RA). Physical performance tests were recommended for functional assessment in lower limb osteoarthritis. However, foot function assessment's guidelines in RA are lacking. We aimed to investigate the correlation between a self‐reported outcome measure and two performance‐based physical tests for assessing foot function in RA patients. Methods: A cross‐sectional study was performed over 7 months' period including RA patients. We used Rheumatoid and Arthritis Outcome score (RAOS) as a self‐reported functional tool. Physical performance tests were 4‐min walk test (4‐MWT) and Timed up and go test (TUGT). Results: Fifty RA patients were included with 96% females and a mean age of 54.7 ± 10.4 years. Foot involvement occurred since the diagnosis of RA in 36% of patients. Foot pain was reported by 68% of patients (48% forefoot), and foot stiffness in 46% of patients. Skin lesions of the feet were found in 78% of patients, 90% had foot deformities and 56% had inflammatory disorders of feet. Radiographic lesions were found in 94% of patients. The most impaired RAOS subscales were Sports and Recreation and Quality of life. Poor physical‐based performance was found in 34% of RA patients according to 4‐MWT, in 42% of RA patients according TUGT, and in 46% of patients based on at least one performance test. RAOS was negatively correlated to the 4‐MWT and positively correlated in the subscales pain, other symptoms, activities of daily living, and Sport/Rec of the RAOS. Poor performance‐based physical tests were significantly associated with advanced age, sedentary lifestyle, higher disease activity score and impaired functional status. Foot‐related parameters significantly associated with poor performance‐based physical tests were: foot pain, foot deformity and inflammatory disorders. Multivariate analysis identified foot deformities and higher functional impairment as predictive factors for lower gait speed (4‐MWT) and older age and higher functional impairment for higher duration of TUGT. Conclusion: RAOS was significantly associated with performance‐based physical function. In the era of connected technologies, these results encourage the regular assessment of rheumatoid foot function by the RAOS score through a connected programme using wearable trackers. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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