Foot functions in ankylosing spondylitis

Koca, Tuba Tülay; Göğebakan, Hasan; Koçyiğit, Burhan Fatih; Nacitarhan, Vedat; Yildir, Cem Zafer

doi:10.1007/s10067-018-4386-6

Cited by 17 publications

(9 citation statements)

References 21 publications

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“…Achilles enthesitis was found to be associated with higher BASFI and HAQ‐DI scores 22 . Koca et al 6 studied the determinants of foot function in patients with AS. Both the foot function index total score and the subscores were significantly higher in the AS group when compared with controls.…”

Section: Discussionmentioning

confidence: 99%

“…The authors found that 39% of the AS patients had foot involvement. A recent study conducted by Koca et al 6 investigated the relationship between foot function and clinical variables, particularly enthesitis. Consequently, impaired foot function due to enthesitis, tarsitis, and deformities was found to be more frequent in AS patients than in healthy controls.…”

Section: Introductionmentioning

confidence: 99%

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Static foot posture and its relation to clinical variables in ankylosing spondylitis

Gökçen

Benlidayı

2021

Int J of Rheum Dis

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Aim Postural abnormalities of the foot are common in rheumatic diseases. Static foot posture is a poorly studied clinical parameter in ankylosing spondylitis (AS). The aim of the study was to evaluate static foot posture in patients with AS and to determine the potential impact of clinical variables on foot posture. Method Fifty patients with AS and 40 age‐ and sex‐matched healthy controls were enrolled in the study. Disease activity was measured using the Ankylosing Spondylitis Disease Activity Score. Axial mobility was evaluated with the Bath Ankylosing Spondylitis Metrology Index three‐point answer scale. Functional status was assessed by the Bath Ankylosing Spondylitis Functional Index and Health Assessment Questionnaire‐Disability Index. Enthesitis and foot posture were evaluated by the Maastricht Ankylosing Spondylitis Enthesitis Score (MASES) and Foot Posture Index‐6, respectively. Results Patients with AS revealed significantly higher scores of foot posture index when compared with controls (P = 0.005). Abnormal foot posture (pronated and supinated) was more common in the patient group (P < 0.01). According to the multinomial logistic regression analysis, a higher MASES score was associated with supinated foot posture in AS patients (odds ratio 1.47, 95% confidence interval 1.03‐2.09, P = 0.035). In addition, supinated foot posture was associated with enthesitis of the Achilles tendon (P = 0.002). Conclusion Enthesitis is related to deteriorated static foot posture in patients with AS. Enthesitis of the Achilles tendon is closely associated with the supinated foot posture.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Static foot posture and its relation to clinical variables in ankylosing spondylitis

Gökçen

Benlidayı

2021

Int J of Rheum Dis

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“…In a recent study, T.T. Koca et al [8] compared AS patients with healthy volunteers and found that FFI total and sub scores were higher in the AS group. They did not employ ultrasonographic evaluation.…”

Section: Discussionmentioning

confidence: 99%

“…The Foot Function Index (FFI), which is a self-report footspecific questionnaire, measures pain and disability in the feet and has been widely used to measure foot health for more than twenty years [7]. In recent years there has been an increase in published studies investigating foot disability in patients with AS, but few of them have used the FFI [8][9][10].…”

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confidence: 99%

Clinical evaluation of foot disability in patients with axial spondyloarthritis

Bilgiç

İnceoğlu

2020

Sovremennaâ revmatologiâ

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Objective: To evaluate foot disability both ultrasonographically and by using the Foot Function Index (FFI) in patients with axial spondyloarthritis (SpA) and to investigate its effects on patients' quality of life and functional capacity by determining the factors that may affect the level of disability.Patients and methods. A total of 100 patients were included in the study. Enthesis sites in the feet were assessed for tenderness and swelling. Ultrasonographic examination of the Achilles tendon and plantar fascia was made and the findings were scored according to Glasgow Ultrasound Enthesitis Scoring System (GUESS). The Foot Function Index (FFI) was used to investigate the effects of foot disorders on disability and activity limitation. The correlation between GUESS and FFI scores, and relationship of GUESS and FFI scores with age, disease duration, body mass index (BMI), smoking and disease activity parameters were investigated.Results and discussion. Physical examination revealed signs of enthesitis in 13 (13%) patients, while ultrasonographic (USG) evaluation – in 36 (36%) patients. A statistically significant correlation was found between all FFI and GUESS scores except between FFI for the right foot and GUESS for right Achilles tendon enthesitis. A positive correlation was found between age and BMI and FFI (p<0.05). There was no correlation between disease duration and smoking and FFI scores. While there was a statistically significant correlation between all scores of GUESS and age, disease duration, and BMI, no correlation was found between smoking and GUESS scores. No significant difference was found in either FFI or GUESS scores between patients with or without / diabetes and patients who were smokers or non-smokers. All FFI and GUESS scores significantly correlated with BASDAI, ASDAS, BASFI, and ASQoL (p<0.05).Conclusion. Enthesitis may lead to decreased functional capacity and loss of quality of life in ax-SpA patients. Subclinical enthesitis in the feet of patients with SpA is not rare and may be detected by USG.

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“…Ankylosing spondylitis is an inflammatory disease that causes structural deformities and functional impairments, affecting specifically the axial skeletal system and leading to back pain and enthesitis. 1,2 The inflammation and structural deformities associated with AS lead to back pain, spinal stiffness and limitations of movement. 3 In the advanced stages, AS leads to kyphotic posture and limits the spinal mobility.…”

Section: Introductionmentioning

confidence: 99%

Loss of Balance and Fall Risk, and their Relationship with Disease Activity, Functional Status, Spinal Mobility, Quality of Life and Enthesitis Score in Patients with Ankylosing Spondylitis: A Cross-Sectional Study

Bingöl¹,

Karadağ²

2020

Cumhuriyet Medical Journal

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This study evaluates the loss of balance and fall risk in patients with Ankylosing Spondylitis (AS), and assesses their relationship with disease activity, functional status, spinal mobility, quality of life and enthesitis score. Method: Included in the study were 50 AS patients who were diagnosed in accordance with the modified New York criteria, and 50 healthy volunteers of similar age and gender. For the AS patients, disease activity was assessed using the Bath Ankylosing Spondylitis Activity Index (BASDAI) and Ankylosing Spondylitis Disease Activity Score (ASDAS) C-reactive protein/Erythrocyte sedimentation rate (CRP/ESR); functional status was assessed using the Bath Ankylosing Spondylitis Functional Index (BASFI); spinal mobility was assessed using the Bath Ankylosing Spondylitis Metrology Index (BASMI); and quality of life was assessed using the Ankylosing Spondylitis Quality of Life Questionnaire (ASQoL). Additionally, a Short form-36 (SF-36) was used to assess quality of life in both the AS patients and the healthy control group; while a Timed Up and Go-test (TUG), Functional Reach Test (FRT), Berg Balance Scale (BBS) and Tinnetti's Falls Efficacy Scale (TFES) were used to assess balance and fall risk. Enthesitis in the AS patients was evaluated using Maastricht Ankylosing Spondylitis Enthesitis Score (MASES). Results: A comparison of the AS patients and the healthy controls in terms of BBS, FRT, TUG and TFES revealed balance loss and fall risk to be higher in the AS patient group, to a statistically significant degree (p<0.001). BBS, FRT, TUG and TFES were statistically significantly correlated with BASDAI, BASMI, BASFI, ASDAS-ESR, ASDAS-CRP and ASQoL in AS patients (p<0.05), while no statistically significant

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Foot functions in ankylosing spondylitis

Cited by 17 publications

References 21 publications

Static foot posture and its relation to clinical variables in ankylosing spondylitis

Static foot posture and its relation to clinical variables in ankylosing spondylitis

Clinical evaluation of foot disability in patients with axial spondyloarthritis

Loss of Balance and Fall Risk, and their Relationship with Disease Activity, Functional Status, Spinal Mobility, Quality of Life and Enthesitis Score in Patients with Ankylosing Spondylitis: A Cross-Sectional Study

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