‘Focus on feet’ – the effects of systemic lupus erythematosus: a narrative review of the literature

Williams, Anita; Crofts, Gillian; Teh, Lee Suan

doi:10.1177/0961203313498805

Cited by 19 publications

(19 citation statements)

References 46 publications

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“…Degenerative OA changes in foot joints have been associated with changes in foot structure and function , which could explain some of the difficulty finding appropriate footwear experienced by those with OA. Similarly, foot pain, impairments, and disability have been described in people with PsA , gout , SLE , and SSc . An important finding of this study is that several respondents specifically described key desirable features of the shoes they have difficulty in obtaining to accommodate their foot problems.…”

Section: Discussionmentioning

confidence: 60%

“…Foot and ankle joint pain, impairment, disability, and deformities are frequently reported by people with chronic musculoskeletal diseases, such as rheumatoid arthritis (RA) , osteoarthritis (OA) , gout , psoriatic arthritis (PsA) , juvenile idiopathic arthritis (JIA) , systemic lupus erythematosus (SLE) , and systemic sclerosis (SSc) . These disease‐related foot impairments have been associated with difficulty finding suitable, desirable, and comfortable footwear.…”

Section: Introductionmentioning

confidence: 99%

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Footwear Experiences of People With Chronic Musculoskeletal Diseases

Hendry

Brenton‐Rule

Barr

et al. 2015

Arthritis Care & Research

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Objective. Foot pain and deformities are frequently reported by people with chronic musculoskeletal diseases, but only limited research has been conducted to explore the key issues concerning footwear difficulties in this population. The aim of this study is to explore, identify, and describe the main issues surrounding the footwear experiences of people with chronic musculoskeletal diseases. Methods. A qualitative manifest content analysis of open-ended survey responses concerning footwear experiences was conducted from a national footwear survey of people with chronic musculoskeletal diseases in New Zealand. Eighty-five respondents submitted usable responses. Specific statements in the text were identified as units of analysis prior to coding and organizing these units into emerging mutually exclusive categories. Content analysis was independently undertaken by 3 researchers, and the final categories and coding were achieved through consensus. Frequencies of assigned units of analysis were calculated in order to obtain a quantitative description for each category. Results. Four categories encompassing a total of 9 subcategories related to the footwear experiences of respondents emerged from the qualitative data content analysis: difficulty finding appropriate footwear; dissatisfaction with therapeutic footwear provision and foot care access; high costs of footwear, foot care, and self-care; and satisfaction with therapeutic footwear and foot care. Conclusion. Key categories describing the important issues surrounding the footwear experiences of respondents with chronic musculoskeletal diseases were identified, which may provide important targets for improving footwear and foot care services and self-management strategies.

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Section: Discussionmentioning

confidence: 60%

Section: Introductionmentioning

confidence: 99%

Footwear Experiences of People With Chronic Musculoskeletal Diseases

Hendry

Brenton‐Rule

Barr

et al. 2015

Arthritis Care & Research

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“…Focussing on the foot, a narrative review of the literature 14 identified that SLE affects foot and lower limb morbidity and that these have the potential to impact upon health related quality of life. However, the scale of these problems is unclear and little research in this area has been completed to date.…”

Section: Introductionmentioning

confidence: 99%

The prevalence of self-reported lower limb and foot health problems experienced by participants with systemic lupus erythematosus: Results of a UK national survey

Cherry

Alcacer‐Pitarch

Hopkinson

et al. 2016

Lupus

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Objective: The main aim of this survey was to determine the frequency of self-reported lower limb or foot and ankle complications experienced by participants with systemic lupus erythematosus (SLE). A secondary aim was to determine the frequency of treatments that have been received or that participants with SLE may like to receive if offered. Method: A quantitative, cross-sectional, self-reported survey design was utilized. The developed survey was checked for face and content validity prior to patient partner cognitive debriefing in order to ensure usability, understanding of the process of completion and of the questions posed. The full protocol for survey development has been published previously. Results: This is the first comprehensive national UK survey of lower limb and foot health problems reported by participants with SLE. A high prevalence of vascular, dermatological and musculoskeletal complications was reported by survey respondents. Additionally, whilst the relative prevalence of sensory loss was low, a quarter of people reported having had a fall related to changes in foot sensation demonstrating a previously unknown rate and cause of falls. Conclusion: Complications related to vascular, dermatological and musculoskeletal health are identified as particularly prevalent in participants with SLE. Further, there is a suggestion that the provision of interventions to maintain lower limb health is highly varied and lacks national standardization, despite there being a strong indication of participant reported need. The findings of this work can be used to inform care guideline development in addition to identifying areas for future research. Lupus (2016) 0, 1-7.

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“…As highlighted by Williams et al [8], there are indications that SLE affects lower limb and foot morbidity but the scale of these problems is unclear and this is partly because of the absence of research and the lack of a 'gold standard' framework for the assessment of the lower limb and foot.…”

Section: Discussionmentioning

confidence: 97%