BackgroundFear of falling, foot pain and functional disability are commonly reported in rheumatoid arthritis. Moreover, the relationship between the fear of falling and foot pain, impairment and disability has rarely been studied.ObjectivesTo evaluate the relationship between fear of falling and foot pain, impairment and disability in patients with established RA.MethodsA cross-sectional study that included patients with rheumatoid arthritis. We collected the following data: age, sex, duration of disease, foot pain assessed by the Visual Analogue Scale (VAS), Disease activity assessed by DAS 28, HAQ disability index (HAQ-DI). Fear of falling was assessed by Falls Efficacy Scale-International (FES-I) which consists of 16 different activities, scored using a four point scale (1=not at all concerned, 2=somewhat concerned, 3=fairly concerned and 4=very concerned). The summed scores for the 16 activities for each participant were calculated. Scores of ≥23 indicated a significant fear of falling. Foot disability and impairment were measured using the Leeds Foot Impact Scale (LFIS), Foot disability was represented by the total score (LFIST; range 0 to 51) of the LFIS and foot impairment by the first subscale (LFISIF; range 0 to 21). Correlations were used to assess the relationship between fear of falling and foot pain, impairment and disability.ResultsThirty-three patients were included. The mean age was 49.3±10.5 years with female predominance (n=29 (87.9%)). The mean disease duration was 9.9±7.5 years. The mean HAQ-DI was 1.3±0.8. The mean DAS28 score was 5.5±1.3 and the mean EVA foot pain was 5.5±2.4. The mean FES-I score was 37.4±15.1 and 69.7% (n=23) of patients had a significant fear of falling. Positive correlations were found between fear of falling and foot impairment (r=0.66; p<0.0001) and disability (r=0.80; p<0.0001). No correlation was found between fear of falling and foot pain (r =0.29, p=0.07).ConclusionsThe results of this study have demonstrated the importance of the relationship between fear of falling and foot impairment and disability.Disclosure of InterestNone declared
ObjectivesThe objective of this study was to evaluate fear of falling in patients with established RA and its relation to disease activity.MethodsA cross-sectional study that included patients with rheumatoid arthritis. We collected the following data: age, sex, duration of disease, body mass index (BMI). Fear of falling was evaluated by the Falls Efficacy Scale-International score (FES-I) which consists of 16 different activities, scored using a four point scale (1=not at all concerned, 2=somewhat concerned, 3=fairly concerned and 4=very concerned). The summed scores for the 16 activities for each participant were calculated. Scores of ≥23 indicated a significant fear of falling. Disease activity was measured with swollen and tender joint count (SJC28, TJC28), pain on a visual analogue scale (VAS pain), patient and evaluator global assessment of disease activity (PGA, EGA), HAQ disability index (HAQ-DI), 28-joint DAS (DAS-28) and the clinical and simple disease activity indexes (CDAI, SDAI). Correlations were used to assess the relationship between fear of falling and disease activity.ResultsThirty-three patients were included. The mean age was 49.3±10.5 years with female predominance (n=29 (87.9%)). The mean disease duration was 9.9±7.5 years.The mean FES-I score was 37.4±15.1 and 69.7% (n=23) of patients had significant fear of falling. The mean VAS pain was 5.3±2.5, the PGA was 6.2±2.1 and the EGA was 5.7±1.7. The mean HAQ-DI was 1.3±0.8. The mean DAS28 score was 5.5±1.3. The mean CDAI was 29.9±13.6 and the SDAI was 31.6±13.7.FES-I was significantly correlated with TJC28 (r =0.52, p=0.02), PGA (r=0,56, p=0,01), EGA (r=0,39, p=0,025), HAQ-DI (r =0.70, p=0001), DAS28 (r =0, 38, p=0.029), CDAI (r =0.48, p=0.005) and SDAI (r =0.52, p=0.002).ConclusionsThis study suggests that fear of falling is frequent in patients with rheumatoid arthritis and demonstrated that fear of falling is significantly correlated with disease activity.Disclosure of InterestNone declared
Introduction: The purpose of our study is to compare between physical activity (PA) in postmenopausal women with osteoporotic vertebral fractures and healthy women and to evaluate the relationship between PA and clinical and paraclinical parameters related to osteoporotic fracture. Methods: A case-control cross- sectional study, which included 128 postmenopausal women with densitometric osteoporosis as defined by Worlds Health Organization, with at least one radiological vertebral fracture. Physical activity was assessed by the International Physical Activity Questionnaire (IPAQ) short version with three items: vigorous, moderate activity and walking. Bone mineral density (BMD) and X-rays were performed in all patients. The controls were healthy women included in a randomized order in the general population, they were matched for age. Results: 128 patients with a mean age of 61.01± 8.40 years were included. 100 controls were included with a mean age of 60.61 ± 8.25 years. The patients had a median age of menopausal of 48.90 years [48-50], were osteoporotic in 49.2% and had osteopenia in 34.9%. 84 patients had a current back pain, and an average of three vertebral fracture with a median Genant score of 3.02[1-23]. There was no significant difference between the subjects of our study for total PA. However, vigorous-intensity activity and walking were significantly different between the two groups (p<0.05). Three independent factors were associated with a reduction of total physical activity: age, Genant score and physical function (for all p<0.05). In multivariate analysis, a significant association between total physical activity and age (p=0.003), trochanter BMD (p=0.01), Genant score (p=0.02) and physical function (2nd domain QUALEFFO) (p=0.01) persisted. Conclusion: In Moroccan postmenopausal women with osteoporotic vertebral fractures, PA is decreased with the severity of vertebral fractures and with the increasing age. Keywords: Physical activity, osteoporosis, vertebral fractures, postmenopausal women, Morocco
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