Falls and their association with physical tests, functional capacity, clinical and demographic factors in patients with rheumatoid arthritis

Lourenço, Mariana de Almeida; Roma, Izabela; Assis, Marcos Renato de

doi:10.1016/j.rbre.2016.09.013

Cited by 8 publications

(15 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Fear of falling was associated to the retrospective assessment of falls, as seen by Stanmore et al [ 39 ] and Gaino et al [ 36 ], but not in the prospective one as most of the studies [ 6 , 35 , 40 , 41 ]. Few patients presented repeated falls in the retrospective and prospective assessments and that could be related to the post-fall syndrome in which a reduction of overall mobility and daily activities is observed after the first fall [ 42 ].…”

Section: Discussionmentioning

confidence: 97%

“…Since the 1990s studies have shown a high risk of falls in patients with RA compared to the general population, varying between 10 and 54% in these patients [ 4 – 6 ]. In the elderly population well-defined predictors to the occurrence of falls have been classified in biological, behavioral, environmental, and socioeconomic factors [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of peripheral neuropathy in lower limbs of patients with rheumatoid arthritis and its relation to fall risk

2022

View full text Add to dashboard Cite

Background Rheumatoid Arthritis (RA) is a chronic disabling systemic disease characterized by joint inflammation, and extra-articular manifestations, including peripheral neuropathy, a condition that can be associated with changes in muscle strength, proprioception and postural balance contributing for the risk of falls. The objective of this study is to analyze the incidence of peripheral neuropathy in patients with RA and its association with the occurrence of falls. Methods Patients were assessed by an electroneuromyography (ENMG) exam and by a questionnaire on accidental falls occurrence in the previous 12 months. They were also assessed on balance by the Short Physical Performance Battery (SPPB), functionality by the Health Assessment Questionnaire (HAQ), disease activity by the Disease Activity Score (DAS-28), neuropathic pain by the Questionnaire for the Diagnosis of Neuropathic Pain (DN4), and cutaneous sensitivity of the feet by the monofilament testing of Semmes–Weinstein. Monthly calls on falls were made in the subsequent six months. Data analysis was performed using the Shapiro–Wilk test for normality and Spearman, Chi-square, and T-student correlation tests, with a significant P level ≤ 0.05. Results A sample of 33 patients were evaluated. The incidence of peripheral neuropathy was 48.5%, of which 68.7% were axonal and 31.3% myelinic. The sensorimotor type was present in 64.7%, motor in 17.6%, and sensorial in 11.7% of the cases. Neuropathy was associated to balance (P = 0.026), neuropathic pain (P = 0.016), deep tendon reflexes absence (P = 0,049), altered skin sensitivity of the feet (P = 0.029) and fear of falling (P = 0.001). No association was found between peripheral neuropathy and age, gender, disease activity, or functionality. No significant association was found between peripheral neuropathy and occurrence of falls, in a 12-month retrospective and 6-month prospective evaluation. Conclusion Peripheral neuropathy has a high incidence in patients with RA, and is related to neuropathic pain, altered postural balance, but not to the occurrence of falls.

show abstract

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Evaluation of peripheral neuropathy in lower limbs of patients with rheumatoid arthritis and its relation to fall risk

2022

View full text Add to dashboard Cite

show abstract

“…All of these are known risk factors for falls, which occur in up to 32% of individuals aged 65 to 74 years and 51% of those over the age of 85 [3]. Falls impact the physical, psychosocial, economic, and family life of these people and the resulting lesions range from small abrasions to fractures that are particularly common in osteoporotic bone [4].…”

Section: Introductionmentioning

confidence: 99%

Correlation between timed up and go, usual gait speed and dizziness handicap inventory in elderly with vestibular disorders: a retrospective and analytical study

et al. 2020

View full text Add to dashboard Cite

Background: This study was done to verify the associations between the usual gait speed (UGS), the Timed Up and Go test (TUG), and the perception of disability in elderly vestibular patients and to identify factors associated with TUG results. Methods: This was a descriptive, analytical, and retrospective study that used data from the clinical records of vestibular patients aged 65 years or older at a rehabilitation service in Buenos Aires, Argentina. The records were examined for the following information: sex, age, type of vestibular disorder, dizziness handicap inventory (DHI) score and performance in the TUG and UGS tests before treatment. Pearson's or Spearman's correlation coefficient was used depending on the distribution of data. Age and the DHI were factored into multiple linear regression models in order to model the tests. A Receiver Operating Characteristic (ROC) curve was used to analyze the predictive power of age, the DHI total, and the UGS for the sample's TUG results. The level of significance was 5%. Results: We evaluated 118 clinical records, of which 26 were excluded due to incomplete information, leaving data from 92 vestibular patients (73 females; 78.3 ± 5.8 years old). Unilateral vestibular hypofunction and Benign Paroxysmal Positional Vertigo presented the highest prevalence. The total score and the DHI domains showed a significant association with the TUG and UGS values. The age-adjusted DHI had a low predictive power for these same values. Conclusions: The total score and DHI domains have a significant association with the TUG and UGS values for elderly adults with vestibular disorders. The age-adjusted DHI has a low predictive power for TUG and UGS values.

show abstract

“…и M. A. Lourenço и соавт. [11,17]. Однако с учетом того, что некоторые авторы предположили, что значение DAS28 может быть одним из предикторов падений у больных РА в клинической практике [8], мы провели сравнение между группами в зависимости от показателей DAS28.…”

Section: Discussionunclassified

Prevalence and Risk Factors of Falls in Patients with Rheumatoid Arthritis

Nikitinskaya¹,

Dobrovolskaya²,

Торопцова³

et al. 2021

View full text Add to dashboard Cite

Study Objective: To identify the prevalence and risk factors (RFs) of falls in patients with rheumatoid arthritis (RA). Study Design: A three-year prospective study. Materials and Methods. The study included 122 patients with RA (mean age: 60 [55; 67] years old). We undertook a clinical and laboratory examination and assessed RA, physical activity, and muscle strength in hands. In order to predict falls, we used a multifactorial logistic regression analysis. Study Results. During the prospective observation, 60% of RA patients had falls, and 25% of them had 2 and more falls. The single-factor regressive analysis showed that the prevalence of falls in patients with RA was impacted by the age (p = 0.0041), smoking (p = 0.032), history of falls (p = 0.032), and presence of aseptic joint necrosis (p = 0.046). The RFs were used to construct a prediction model for RA patients with the sensitivity of 74.2% and specificity 83.7%. Conclusion. High prevalence of falls and associated low-energy fractures in RA patients necessitate creation of a strategic prevention program. Our prediction model possesses good prognostic value and can be used to identify a high risk of falls in patients with RA. Keywords: rheumatoid arthritis, falls, risk factors, prevalence of falls.

show abstract

Falls and their association with physical tests, functional capacity, clinical and demographic factors in patients with rheumatoid arthritis

Abstract: It was observed that the occurrence of falls and the fear of falling are quite common in this population. The occurrence of falls in this sample of rheumatoid arthritis patients bears no relation to disease activity, functional capacity, or physical fitness tests.

Cited by 8 publications

References 33 publications

Evaluation of peripheral neuropathy in lower limbs of patients with rheumatoid arthritis and its relation to fall risk

Evaluation of peripheral neuropathy in lower limbs of patients with rheumatoid arthritis and its relation to fall risk

Correlation between timed up and go, usual gait speed and dizziness handicap inventory in elderly with vestibular disorders: a retrospective and analytical study

Prevalence and Risk Factors of Falls in Patients with Rheumatoid Arthritis

Contact Info

Product

Resources

About