Symmetry Criterion for Patients with Rheumatoid Arthritis of the Foot: A Cross-Sectional Study
Autor: | Gabriel Gijon-Nogueron, Laura Ramos-Petersen, Ana Belen Ortega-Avila, Rafael Cáliz-Cáliz, Manuela Expósito-Ruiz, Andres Reinoso-Cobo, Jose Alberto Sanchez-Castillo |
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Přispěvatelé: | [Sanchez-Castillo,JA, Reinoso-Cobo,A, Gijon-Nogueron,G, Ortega-Avila AB] Department of Nursing and Podiatry, Faculty of Health Sciences, University of Malaga, Málaga, Spain. [Gijon-Nogueron,G, Ortega-Avila AB] Biomedical Research Institute (IBIMA), Malaga, Spain. [Caliz-Caliz,R] Department of Rheumatology, Virgen de las Nieves University Hospital, Granada, Spain. [Exposito-Ruiz,M] Departamento de Estadística e Investigación Operativa, Universidad de Granada, Granada, Spain. [Ramos-Petersen,L] Department of Podiatry, Faculty of Health Sciences, Universidad Catolica San Antonio de Murcia, Murcia, Spain. |
Rok vydání: | 2021 |
Předmět: |
rheumatoid arthritis
Wilcoxon signed-rank test Estudios transversales Cross-sectional study Health Toxicology and Mutagenesis Anatomy::Musculoskeletal System::Skeleton::Joints::Foot Joints::Metatarsophalangeal Joint [Medical Subject Headings] lcsh:Medicine Artritis reumatoide Article Persons::Persons::Students [Medical Subject Headings] Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] Arthritis Rheumatoid 03 medical and health sciences 0302 clinical medicine Quality of life Phenomena and Processes::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Posture [Medical Subject Headings] Statistical significance Humans Medicine pain In patient 030212 general & internal medicine functionality symmetry Inflammation Geographical Locations::Geographic Locations::Europe::Spain [Medical Subject Headings] 030203 arthritis & rheumatology Orthodontics Foot business.industry lcsh:R Public Health Environmental and Occupational Health Anthropometry medicine.disease Analytical Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cross-Sectional Studies [Medical Subject Headings] Cross-Sectional Studies Diseases::Immune System Diseases::Autoimmune Diseases::Arthritis Rheumatoid [Medical Subject Headings] Spain Anthropology Education Sociology and Social Phenomena::Social Sciences::Quality of Life [Medical Subject Headings] Rheumatoid arthritis Quality of Life Anatomy::Body Regions::Extremities::Lower Extremity::Foot [Medical Subject Headings] Dolor foot health business Foot (unit) |
Zdroj: | International Journal of Environmental Research and Public Health, Vol 18, Iss 3619, p 3619 (2021) International Journal of Environmental Research and Public Health Volume 18 Issue 7 |
ISSN: | 1660-4601 |
DOI: | 10.3390/ijerph18073619 |
Popis: | 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. |
Databáze: | OpenAIRE |
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