Functional limitations due to foot involvement in spondyloarthritis

Abstract

[Purpose] Spondyloarthritis is a major inflammatory disease followed-up in the rheumatology clinics, foot involvement in spodyloarthritis is common. The functional states of patients with spondyloarthritis are usually evaluated globally. The aim of this study was to assess the foot involvement-related functional limitations in patients with spondyloarthritis. [Subjects and Methods] Patients with ankylosing spondylitis and psoriatic arthritis with foot pain more than 4 weeks who underwent anteroposterior and lateral feet radiography were enrolled into the study. A “clinical findings score” was calculated by assigning 1 point for every finding of swelling, redness, and tenderness. C-reactive protein and erythrocyte sedimentation rate were used as serum markers for disease activity. Foot radiograms were evaluated using the spondyloarthropathy tarsal radiographic index and the foot-related functional state of patients was determined by the Turkish version of the Foot and Ankle Outcome Score. [Results] There were no relationships between Foot and Ankle Outcome Score subscales and clinical findings score, serum markers, or radiologic score. Pain and symptoms subscale scores were result positively correlated with activity of daily living, sport and recreation, and quality of life subscale scores. [Conclusion] Pain and symptoms are the main determinants of foot-related functional limitations in spondyloarthritis.

Spatiotemporal parameters and gait variability in people with psoriatic arthritis (PsA): a cross‐sectional study

“…This study showed that the disease duration and CRP levels were not correlated with self-reported foot pain and function, which is consistent with results from a previous study conducted in people with spondyloarthritis [ 63 ]. On the other hand, gait spatiotemporal parameters, especially gait speed, were strongly correlated with these clinical outcomes.…”

The impact of arthritis and joint pain on individual healthcare expenditures: findings from the Medical Expenditure Panel Survey (MEPS), 2011

“…Significant functional and emotional challenges resulting from symptoms, side effects, and complications may also include anxiety, depression, mood disorders, and decreased health-related quality of life [ 24 – 27 ], which further increase service use costs. In another study, Ozaras et al [ 28 ] observed that in patients with ankylosing spondylitis and psoriatic arthritis, disease activity (self-reported pain and symptoms) was associated with greater physical limitation. Given the direct relationships observed between disease activity, comorbidities, and limitations [ 17 , 28 – 31 ], the provision of optimal care to individuals with arthritis and joint pain is critical.…”

“…In another study, Ozaras et al [ 28 ] observed that in patients with ankylosing spondylitis and psoriatic arthritis, disease activity (self-reported pain and symptoms) was associated with greater physical limitation. Given the direct relationships observed between disease activity, comorbidities, and limitations [ 17 , 28 – 31 ], the provision of optimal care to individuals with arthritis and joint pain is critical. This ultimately results in control of disease and slows the progression of related complications such as functional, activity, and sensory limitations.…”

Inflammatory Foot Involvement in Spondyloarthritis: From Tarsitis to Ankylosing Tarsitis

“…Data from India indicate that involvement of the mid-foot is common and severe (17). Likewise, tarsal bone ankylosis was seen in patients with oligoarticular juvenile rheumatoid arthritis and back pain from India (51) and Turkey (52,53).…”