Analysis of foot structural damage in rheumatoid arthritis: clinical evaluation by validated measures and serological correlations

Biscontini, Devid; Bocci, Elena Bartoloni; Gerli, Roberto

doi:10.4081/reumatismo.2009.48

Cited by 4 publications

(5 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Only 10% had a supinated or very supinated foot posture. Similar results were reported by Biscontini et al [ 27 ] who studied the foot structure of 78 patients with RA using the FPI and observed that 65.4% of them presented with a pronated posture, and 34.6% had a supinated posture. In the present sample, the frequency of pronated and supinated feet was lower.…”

Section: Discussionsupporting

confidence: 89%

“…This deformity is often present in healthy adults, especially women, with an estimated prevalence of 23% [ 35 ]. Some authors have quoted higher figures (84.6%), employing the Manchester scale for hallux abductus valgus (23.1% mild, 37.2% moderate, 24.4% severe) [ 27 ]. Total frequency is similar to that obtained in this study, although the percentage of moderate and severe cases is lower.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Foot Pain and Morphofunctional Foot Disorders in Patients with Rheumatoid Arthritis: A Multicenter Cross-Sectional Study

Reina-Bueno

Munuera-Martínez

Pérez-García

et al. 2021

IJERPH

View full text Add to dashboard Cite

Foot problems are highly prevalent in people with rheumatoid arthritis. This study aims to explore the foot morphology, pain and function in rheumatoid arthritis patients and the relation with the time of disease debut. A cross-sectional study was designed. Footprint, the Foot Posture Index, the hallux valgus prevalence, foot pain and function in 66 rheumatoid arthritis patients and the association with time since diagnosis, were recorded. The Foot Function Index, the Manchester Foot Pain and Disability Index, the Visual Analogic Scale, and the Manchester Scale for hallux valgus were administered and analyzed in two groups, with less and more than 10 years of diagnosis of the disease. A high prevalence of pronated (right 36.8% and left 38.6%) and highly pronated (right 15.8% and left 15.8%) feet was observed, as well as an elevated percentage of low arched footprints (right 68.4 and left 66.7%) and hallux valgus (right 59.6% and left 54.4%). Hallux valgus prevalence, toe deformities and Foot Function Index (Functional limitation) factors were significantly associated with the time since RA diagnosed adjusted for the other factors. The adjusted odds ratio of Hallux valgus prevalence was 4.9 (1.2–19.7). In addition, the foot function was diminished, and foot pain was present in most participants. In conclusion, rheumatoid arthritis patients’ feet showed altered morphology and function, and with longer rheumatoid arthritis history, metatarsophalangical stability and foot function, but not pain and global foot posture, were likely to deteriorate.

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Foot Pain and Morphofunctional Foot Disorders in Patients with Rheumatoid Arthritis: A Multicenter Cross-Sectional Study

Reina-Bueno

Munuera-Martínez

Pérez-García

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…Our results can be compared to the results of Biscontini at al. in 2009 [21], where after using the FPI and the Manchester Hallux Valgus they concluded that patients with RA can frequently present with hallux valgus and pronated foot. Both studies agree that feet of patients with RA suffer from a valgus pathology and forefoot deformity.…”

Section: Discussionmentioning

confidence: 99%

Morpho-structural characteristics of feet in patients with rheumatoid arthritis: A cross sectional study

et al. 2021

View full text Add to dashboard Cite

Objective: The aim of this study was to evaluate and classify the types and incidences of foot deformities in patients with Rheumatoid Arthritis (RA). Methods: A cross-sectional study with convenience sample was obtained of 220 patients with foot pain and RA classification criteria (approved by the American College of Rheumatology and the European League against Rheumatism in 2010). A series of outcomes were assessed to measure the morphological characteristics of the feet. The Foot Posture Index (FPI), the Manchester Scale of Hallux Valgus and the Nijmegen classification of forefoot disorders were assessed. Results: The most common foot posture according to the FPI assessment are the pronated position in the left foot (32.7% of participants) and the neutral position in the right foot (34.1% of participants). The disease progression causes more developed and serious foot deformities. 1.82% of patients present a severe level of Hallux Valgus before 10 years of disease evolution whereas 4.09% of patients present a severe level of Hallux Valgus after 10 years of disease evolution. Conclusions: The most common foot type in patients with RA is the pronated foot type with deformities in the MTP joints without Hallux Valgus. However, a percentage of patients with RA presents supinated foot type. The evolution of the disease shows some morphological changes in terms of patient's feet. The presence of more developed foot deformities is increased, such us Hallux Valgus or MTP joints deformity (Grade 3 in the Nijmegen classification scale).

show abstract

“…In contrast, the study by Gonzalez-Fernandez [53] reported a higher percentage of flattened footprint and pronated FPI in people with RA compared to the control group, although they also highlighted that they found more supinated feet in the RA group than in the control group. Biscontini et al [57] reported 65.4% of pronated feet, suggesting this foot position is more frequent in patients with AR. This disagrees with the data obtained in this study, where FPI values corresponded to a normal foot.…”

Section: Discussionmentioning

confidence: 95%

Foot Pain and Disability in Women with Rheumatoid Arthritis, Ehlers–Danlos Syndrome and Systemic Lupus Erythematosus: Relationship with Quality of Life

Palomo-Toucedo,

Domínguez-Maldonado,

Reina-Bueno

et al. 2023

JCM

View full text Add to dashboard Cite

The aim of this work was to investigate the relationship foot pain and foot disability have with HRQoL in groups of women with RA, SLE and EDS, in comparison with a control group. A cross-sectional study was carried out with females with one of these conditions and a control group. The SF-12 questionnaire was used to collect data about quality of life. The type of foot was classified according to the footprint and the foot posture index. A total of 156 patients and 47 controls participated in the study (N = 203). Neither pain nor foot posture were different between groups. The physical and mental components of SF-12 were worse in rheumatoid arthritis and Ehlers–Danlos syndrome patients, and the physical component was worse in systemic lupus erythematosus patients, compared to controls. A significant difference was also observed in the mental component between systemic lupus erythematosus and Ehlers–Danlos syndrome patients, the latter having the lowest values among the groups. We can conclude that women with rheumatoid arthritis, Ehlers–Danlos syndrome, systemic lupus erythematosus and foot pain perceive a worse quality of life. There are no significant changes in foot posture. Pain and health-related quality of life are independent of foot posture.

show abstract

Analysis of foot structural damage in rheumatoid arthritis: clinical evaluation by validated measures and serological correlations

Cited by 4 publications

References 23 publications

Foot Pain and Morphofunctional Foot Disorders in Patients with Rheumatoid Arthritis: A Multicenter Cross-Sectional Study

Foot Pain and Morphofunctional Foot Disorders in Patients with Rheumatoid Arthritis: A Multicenter Cross-Sectional Study

Morpho-structural characteristics of feet in patients with rheumatoid arthritis: A cross sectional study

Foot Pain and Disability in Women with Rheumatoid Arthritis, Ehlers–Danlos Syndrome and Systemic Lupus Erythematosus: Relationship with Quality of Life

Contact Info

Product

Resources

About