Evaluation of foot static disturbances in patients with rheumatic diseases

Kuryliszyn-Moskal, Anna; Kaniewska, Katarzyna; Dzięcioł-Anikiej, Zofia; Klimiuk, Piotr Adrian

doi:10.5114/reum.2017.67601

Cited by 9 publications

(17 citation statements)

References 22 publications

(20 reference statements)

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“…On the other hand, a fact that seems significant (and one that might justify further investigation) is that in our RA group, the right foot presented significantly lower average values than the left for maximum ILA height, both load-bearing and non-load-bearing, and therefore, the difference was smaller in each case. These results are in line with those obtained by Kuryliszyn-Mopskal et al [21], who found that flattening of the lateral arch in the right foot is statistically much more frequent in patients with RA than in those with osteoarthritis and in the control group. In addition, there were statistically significant differences in the values of the hallux valgus angle of the right foot in the patients with RA versus those with osteoarthritis and those in the control group.…”

Section: Discussionsupporting

confidence: 92%

Symmetry Criterion for Patients with Rheumatoid Arthritis of the Foot: A Cross-Sectional Study

Sanchez-Castillo

Reinoso-Cobo

Gijón-Noguerón

et al. 2021

IJERPH

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Objective: The aim of the study was to analyze the feet of rheumatoid arthritis (RA) patients, to determine the degree to which both feet were affected, primarily analyzing the severity of RA in both feet looking at structure and morphology, and secondly looking at the symmetry in terms of the anthropometrics and posture. Method: This cross-sectional study was conducted from January to December 2018. The data from 229 patients with RA and with foot pain and no RA recruited (Granada, Spain) were analyzed. Two researchers independently interviewed the patients to obtain the study data. The clinical data were obtained using specific foot health and quality of life questionnaires and a validated platform for foot measurement. Anthropometric measurements were obtained by means of a foot measurement platform and the Foot Posture Index (FPI). The bivariate analysis was performed with the Student’s t test and the non-parametric Wilcoxon test. The level of significance was established at p < 0.05. Results: In the RA group, anthropometric measurements revealed significant differences between the left and right feet in 13 of the 23 parameters considered, as follows: (non-load-bearing) foot length, length of the first metatarsophalangeal joint, maximum height of the internal longitudinal arch, and width of the midfoot (p < 0.001, p = 0.038, p < 0.001, and p = 0.037 respectively); and Foot Posture Index (p = 0.001). Conclusions: In patients with RA, statistically significant differences were found in the Foot Posture Index and in several parameters related to foot structure and morphology. From this, we conclude that from a morphological, structural, and postural standpoint, a pattern of symmetric joint involvement should not be viewed as a specific criterion for RA in the foot.

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Section: Discussionsupporting

confidence: 92%

Symmetry Criterion for Patients with Rheumatoid Arthritis of the Foot: A Cross-Sectional Study

Sanchez-Castillo

Reinoso-Cobo

Gijón-Noguerón

et al. 2021

IJERPH

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“…There are studies describing the application of plantography examinations in detection of foot disturbances in RA patients [17,20]. Researchers indicate that the results of plantography are precise and comparable [20][21][22][23].…”

Section: Discussionmentioning

confidence: 99%

Foot static disturbances and clinical features in overweight patients with rheumatoid arthritis

Kuryliszyn-Moskal

Hryniewicz

Bagiński³

et al. 2020

Arch Med Sci

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IntroductionRheumatoid arthritis (RA) is a chronic, inflammatory, connective tissue disease, leading to foot deformities, impairment of locomotive functions, and reducing patients’ quality of life. Obesity prevalence is rising in early RA and is associated with worse disease activity, function and health-related quality of life, with a significant negative impact on achieving a low Disease Activity Score in 28 joints (DAS28). The aim of the study was to evaluate foot deformities in overweight RA patients according to the severity of the disease.Material and methodsThe study was performed on 50 overweight women with RA. The control group consisted of 50 overweight women free of any disorders. Plantography examination was carried out by means of a CQ ST 2K podoscope. Rheumatoid arthritis disease activity was assessed by DAS28. Activity limitation was assessed using the Health Assessment Questionnaire (HAQ) and foot posture by the Foot Posture Index (FPI-6). Body composition analysis was performed using In Body 220.ResultsHallux valgus was the most frequent deformation in RA patients with overweight. Longitudinal flat foot was much more frequent in RA patients than transverse flat foot. A relationship between fat tissue mass and presence of transverse flat foot in RA patients with overweight was found. In this group DAS28, VAS, and Clarke’s angle were correlated with increased value of HAQ.ConclusionsPlantar contourography showed a trend of an increase of α angle values and the Sztriter-Godunow index (KY) in overweight RA patients with increasing severity of radiological changes and DAS28, requiring use of proper prevention and therapeutic strategies of destructive changes.

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“…It is very important to undertake comprehensive therapy of the knee joint to prevent functional changes in other adjacent joints, e.g., in the joints of the feet, which may be affected by RA, as they play a very important role in maintaining proper body posture and movement [ 48 , 49 , 50 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Effectiveness of Iontophoresis with Perskindol Gel in Patients with Osteoarthritis of the Knee Joints

Dakowicz

Dzięcioł-Anikiej

Hryniewicz

et al. 2022

IJERPH

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Introduction: Osteoarthritis (OA) is one of the most common causes of pain in the musculoskeletal system leading to disability. The basic principle of the therapy is the simultaneous use of pharmacological and non-pharmacological treatments. The aim of this study was to evaluate the effectiveness of galvanic and iontophoresis treatments with Perskindol Active Classic Gel (Perskindol) in patients with OA of the knee joints. Moreover, a comparative evaluation of the effectiveness of the application was performed depending on the selection of the active electrode. Material and Methods: The study included 100 patients with gonarthrosis, treated at the Rehabilitation Clinic of the Białystok University Hospital. Three groups were randomly selected: in group I (n = 33), anodic galvanic treatment was applied, group II (n = 33) received iontophoresis with Perskindol gel from the negative pole (“−” iontophoresis), and group III (n = 34) received iontophoresis with Perskindol gel from the positive pole (“+” iontophoresis). The VAS, the Laitinen questionnaire, the Lequesne Index, the Lysholm questionnaire, and the SF-36v2 health survey were used for the clinical evaluation of the patients. Results: In the group of patients who underwent iontophoresis with the use of Perskindol gel introduced from the positive pole, a statistically significant improvement was shown in all the assessed parameters in comparison to the patients who underwent anodic galvanic treatment. Conclusions: The most favorable effect of iontophoresis was observed in the case of iontophoresis with Perskindol gel introduced from the positive pole.

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Evaluation of foot static disturbances in patients with rheumatic diseases

Cited by 9 publications

References 22 publications

Symmetry Criterion for Patients with Rheumatoid Arthritis of the Foot: A Cross-Sectional Study

Symmetry Criterion for Patients with Rheumatoid Arthritis of the Foot: A Cross-Sectional Study

Foot static disturbances and clinical features in overweight patients with rheumatoid arthritis

Evaluation of the Effectiveness of Iontophoresis with Perskindol Gel in Patients with Osteoarthritis of the Knee Joints

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