Investigation of a Motor Function Assessment Method for Musculoskeletal Ambulation Disability Symptom Complex (MADS): One-leg Standing, TUG Times and Walking Ability

Kubo, Atsuko; Murata, Satoshi; Otao, Hiroshi; Horie, Jun; Murata, Jun; Miyazaki, Junichi; Yamasaki, S.; Mizota, Katsuhiko; Asami, Toyoko

doi:10.1589/rika.26.619

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…RA is one of the diseases causing musculoskeletal ambulation disability symptom complex (MADS) due to structural destruction and inflammatory changes. A TUG test of >11 seconds (elongated) was defined in MADS cases [16]. Although no difference in M2-M5A value was seen between these two groups, M1-M2A was significantly lower (10°) in the MADS group, as compared with the normal group (14°).…”

Section: Discussionmentioning

confidence: 99%

Characteristics of Intermetatarsal Angle Between the Second and Fifth Metatarsals (M2-M5A) in the Rheumatoid Foot

Noguchi¹,

Hirao²,

Tsuji³

et al. 2022

Cureus

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Background: Increasing of intermetatarsal angle between the first and second metatarsals (M1-M2A) has been reported as a risk factor for recurrence of hallux valgus (HV) deformity, on the other hand, increasing of intermetatarsal angle between the second and fifth metatarsals (M2-M5A) has been reported as a risk factor for resubluxation of the metatarsophalangeal (MTP) joint of the lesser toe after rheumatoid forefoot surgery. In this study, parameters related to increasing M2-M5A were investigated, as compared with M1-M2A and M1-M5A.Methods: Radiographic parameters including M1-M2A, M1-M5A, and M2-M5A were retrospectively evaluated for 119 lower limbs from 68 patients with rheumatoid arthritis (RA). To clarify the clinical importance of these intermetatarsal angles, relationships with results from the timed up-and-go (TUG) test were also investigated.Results: M1-M5A showed no correlation with mid-hind foot parameters, whereas M1-M2A and M2-M5A correlated with valgus/varus parameters. An increased M1-M2A was associated with lateral shift of the loading axis in the tibial plafond, whereas an increased M2-M5A was associated with medial shift, but M1-M5A showed no associations. M2-M5A/M1-M2A was significantly lower (1.7) in the normal TUG group than in the delayed TUG group (2.8) (p=0.045).Conclusions: Different patterns of spread are seen for the forefoot. One has a predominantly increased M1-M2A with lateral shift of the loading point in the tibial plafond, whereas the other has a predominantly increased M2-M5A with medial shift of the loading point in the tibial plafond. M2-M5A also should be calculated, and M2-M5A/M1-M2A might be meaningful in understanding physical mobility in RA patients.Categories: Orthopedics, Rheumatology, Podiatry Keywords: timed up-and-go (tug) tests, loading axis, intermetatarsal angle between 1st and 2nd metatarsals (m1-m2a), rheumatoid arthritis (ra), intermetatarsal angle between 2nd and 5th metatarsals (m2-m5a)

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Section: Discussionmentioning

confidence: 99%

Characteristics of Intermetatarsal Angle Between the Second and Fifth Metatarsals (M2-M5A) in the Rheumatoid Foot

Noguchi¹,

Hirao²,

Tsuji³

et al. 2022

Cureus

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Physical performance and cognitive functions in community-dwelling older people at risk of Musculoskeletal Ambulation Disorder Symptom Complex (MADS) - the Nakagawa study -

Kose¹,

Ikenaga²,

Yamada³

et al. 2016

Japanese Journal of Physical Fitness and Sports Medicine

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This study examined whether physical and cognitive function was independently associated with risk of Musculoskeletal Ambulation Disorder Symptom Complex (MADS) in community-dwelling older people. We examined 640 older people (315 men, 325 women; 65-89 years). We assessed physical performance by one-leg standing with eyes open, timed up and go (TUG), muscle strength, muscle power, and gait speed. Cognition was assessed using Mini-Mental State Examination (MMSE), Clinical Dementia Rating (CDR), and Trail-Making Tests (TMT) A and B. We divided participants by physical function into "MADS" (one-leg standing < 15s or TUG ≥ 11s) and "non-MADS", and identified cognitive impairment if MMSE was < 27 and CDR ≥ 0.5. We also grouped by sex and age (younger-old: 65-74 years and older-old: 75-89 years), and controlled for age, Body Mass Index, education and steps. Physical and cognitive function was significantly worse in the MADS groups. The younger-old men had poorer muscle strength, muscle power and TMT-A. The younger-old women had poorer muscle power, gait speed, MMSE and TMT-B. Olderold men had poorer muscle strength, and older-old women poorer gait speed (P < 0.05). The MADS groups also had significantly higher adjusted odds ratio (OR) for cognitive impairment (younger-old men: OR: 4.62; 95% confidence interval [CI]: 1.08-19.8; younger-old women: OR: 6.09; 95% CI: 1.03-35.9; P < 0.05). This study suggested that poorer physical and cognitive function was significantly associated with the risk of MADS, and these associations may be differ with sex and age.

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Investigation of a Motor Function Assessment Method for Musculoskeletal Ambulation Disability Symptom Complex (MADS): One-leg Standing, TUG Times and Walking Ability

Cited by 2 publications

References 12 publications

Characteristics of Intermetatarsal Angle Between the Second and Fifth Metatarsals (M2-M5A) in the Rheumatoid Foot

Characteristics of Intermetatarsal Angle Between the Second and Fifth Metatarsals (M2-M5A) in the Rheumatoid Foot

Physical performance and cognitive functions in community-dwelling older people at risk of Musculoskeletal Ambulation Disorder Symptom Complex (MADS) - the Nakagawa study -

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