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
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