The impact of rheumatoid foot on disability in Colombian patients with rheumatoid arthritis

Background. Alterations in the feet of patients with rheumatoid arthritis (RA) are a cause of disability in this population. The purpose of this research was to evaluate the impact that foot impairment has on the patients' global quality of life (QOL) based on validated scales and its relations...

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Autores Principales: Rojas-Villarraga, Adriana, Bayona, Javier, Zuluaga, Natalia, Mejia, Santiago, Hincapie, Maria-Eugenia, Anaya, Juan-Manuel
Formato: Artículo (Article)
Lenguaje:Inglés (English)
Publicado: 2009
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Acceso en línea:https://repository.urosario.edu.co/handle/10336/23576
https://doi.org/10.1186/1471-2474-10-67
id ir-10336-23576
recordtype dspace
spelling ir-10336-235762022-05-02T12:37:13Z The impact of rheumatoid foot on disability in Colombian patients with rheumatoid arthritis Rojas-Villarraga, Adriana Bayona, Javier Zuluaga, Natalia Mejia, Santiago Hincapie, Maria-Eugenia Anaya, Juan-Manuel Chloroquine Disease modifying antirheumatic drug Methotrexate Steroid Tumor necrosis factor alpha inhibitor Article Colombia Cross-sectional study Disability Disease activity Disease duration Female Foot malformation Foot pain Gender Hallux valgus Health assessment questionnaire Human Major clinical study Male Physical examination Quality of life Rheumatoid arthritis Steroid therapy Subluxation Adolescent Adult Aged Colombia Comorbidity Daily life activity Foot Foot malformation Middle aged Pathology Pathophysiology Prevalence Quality of life Questionnaire Rheumatoid arthritis Walking difficulty Activities of daily living Adolescent Adult Aged Aged, 80 and over Colombia Comorbidity Cross-sectional studies Disability evaluation Female Foot Foot joints Humans Male Middle aged Mobility limitation Physical examination Prevalence Quality of life Questionnaires Young adult rheumatoid acquired Arthritis Foot deformities Background. Alterations in the feet of patients with rheumatoid arthritis (RA) are a cause of disability in this population. The purpose of this research was to evaluate the impact that foot impairment has on the patients' global quality of life (QOL) based on validated scales and its relationship to disease activity. Methods. This was a cross-sectional study in which 95 patients with RA were enrolled. A complete physical examination, including a full foot assessment, was done. The Spanish versions of the Health Assessment Questionnaire (HAQ) Disability Index and of the Disease Activity Score (DAS 28) were administered. A logistic regression model was used to analyze data and obtain adjusted odds ratios (AORs). Results. Foot deformities were observed in 78 (82%) of the patients; hallux valgus (65%), medial longitudinal arch flattening (42%), claw toe (lesser toes) (39%), dorsiflexion restriction (tibiotalar) (34%), cock-up toe (lesser toes) (25%), and transverse arch flattening (25%) were the most frequent. In the logistic regression analysis (adjusted for age, gender and duration of disease), forefoot movement pain, subtalar movement pain, tibiotalar movement pain and plantarflexion restriction (tibiotalar) were strongly associated with disease activity and disability. The positive squeeze test was significantly associated with disability risk (AOR = 6,3; 95% CI, 1.2830.96; P = 0,02); hallux valgus, and dorsiflexion restriction (tibiotalar) were associated with disease activity. Conclusion. Foot abnormalities are associated with active joint disease and disability in RA. Foot examinations provide complementary information related to the disability as an indirect measurement of quality of life and activity of disease in daily practice. © 2009 Rojas-Villarraga et al; licensee BioMed Central Ltd. 2009 2020-05-26T00:03:16Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 14712474 https://repository.urosario.edu.co/handle/10336/23576 https://doi.org/10.1186/1471-2474-10-67 eng info:eu-repo/semantics/openAccess application/pdf instname:Universidad del Rosario
institution EdocUR - Universidad del Rosario
collection DSpace
language Inglés (English)
topic Chloroquine
Disease modifying antirheumatic drug
Methotrexate
Steroid
Tumor necrosis factor alpha inhibitor
Article
Colombia
Cross-sectional study
Disability
Disease activity
Disease duration
Female
Foot malformation
Foot pain
Gender
Hallux valgus
Health assessment questionnaire
Human
Major clinical study
Male
Physical examination
Quality of life
Rheumatoid arthritis
Steroid therapy
Subluxation
Adolescent
Adult
Aged
Colombia
Comorbidity
Daily life activity
Foot
Foot malformation
Middle aged
Pathology
Pathophysiology
Prevalence
Quality of life
Questionnaire
Rheumatoid arthritis
Walking difficulty
Activities of daily living
Adolescent
Adult
Aged
Aged, 80 and over
Colombia
Comorbidity
Cross-sectional studies
Disability evaluation
Female
Foot
Foot joints
Humans
Male
Middle aged
Mobility limitation
Physical examination
Prevalence
Quality of life
Questionnaires
Young adult
rheumatoid
acquired
Arthritis
Foot deformities
spellingShingle Chloroquine
Disease modifying antirheumatic drug
Methotrexate
Steroid
Tumor necrosis factor alpha inhibitor
Article
Colombia
Cross-sectional study
Disability
Disease activity
Disease duration
Female
Foot malformation
Foot pain
Gender
Hallux valgus
Health assessment questionnaire
Human
Major clinical study
Male
Physical examination
Quality of life
Rheumatoid arthritis
Steroid therapy
Subluxation
Adolescent
Adult
Aged
Colombia
Comorbidity
Daily life activity
Foot
Foot malformation
Middle aged
Pathology
Pathophysiology
Prevalence
Quality of life
Questionnaire
Rheumatoid arthritis
Walking difficulty
Activities of daily living
Adolescent
Adult
Aged
Aged, 80 and over
Colombia
Comorbidity
Cross-sectional studies
Disability evaluation
Female
Foot
Foot joints
Humans
Male
Middle aged
Mobility limitation
Physical examination
Prevalence
Quality of life
Questionnaires
Young adult
rheumatoid
acquired
Arthritis
Foot deformities
Rojas-Villarraga, Adriana
Bayona, Javier
Zuluaga, Natalia
Mejia, Santiago
Hincapie, Maria-Eugenia
Anaya, Juan-Manuel
The impact of rheumatoid foot on disability in Colombian patients with rheumatoid arthritis
description Background. Alterations in the feet of patients with rheumatoid arthritis (RA) are a cause of disability in this population. The purpose of this research was to evaluate the impact that foot impairment has on the patients' global quality of life (QOL) based on validated scales and its relationship to disease activity. Methods. This was a cross-sectional study in which 95 patients with RA were enrolled. A complete physical examination, including a full foot assessment, was done. The Spanish versions of the Health Assessment Questionnaire (HAQ) Disability Index and of the Disease Activity Score (DAS 28) were administered. A logistic regression model was used to analyze data and obtain adjusted odds ratios (AORs). Results. Foot deformities were observed in 78 (82%) of the patients; hallux valgus (65%), medial longitudinal arch flattening (42%), claw toe (lesser toes) (39%), dorsiflexion restriction (tibiotalar) (34%), cock-up toe (lesser toes) (25%), and transverse arch flattening (25%) were the most frequent. In the logistic regression analysis (adjusted for age, gender and duration of disease), forefoot movement pain, subtalar movement pain, tibiotalar movement pain and plantarflexion restriction (tibiotalar) were strongly associated with disease activity and disability. The positive squeeze test was significantly associated with disability risk (AOR = 6,3; 95% CI, 1.2830.96; P = 0,02); hallux valgus, and dorsiflexion restriction (tibiotalar) were associated with disease activity. Conclusion. Foot abnormalities are associated with active joint disease and disability in RA. Foot examinations provide complementary information related to the disability as an indirect measurement of quality of life and activity of disease in daily practice. © 2009 Rojas-Villarraga et al; licensee BioMed Central Ltd.
format Artículo (Article)
author Rojas-Villarraga, Adriana
Bayona, Javier
Zuluaga, Natalia
Mejia, Santiago
Hincapie, Maria-Eugenia
Anaya, Juan-Manuel
author_facet Rojas-Villarraga, Adriana
Bayona, Javier
Zuluaga, Natalia
Mejia, Santiago
Hincapie, Maria-Eugenia
Anaya, Juan-Manuel
author_sort Rojas-Villarraga, Adriana
title The impact of rheumatoid foot on disability in Colombian patients with rheumatoid arthritis
title_short The impact of rheumatoid foot on disability in Colombian patients with rheumatoid arthritis
title_full The impact of rheumatoid foot on disability in Colombian patients with rheumatoid arthritis
title_fullStr The impact of rheumatoid foot on disability in Colombian patients with rheumatoid arthritis
title_full_unstemmed The impact of rheumatoid foot on disability in Colombian patients with rheumatoid arthritis
title_sort impact of rheumatoid foot on disability in colombian patients with rheumatoid arthritis
publishDate 2009
url https://repository.urosario.edu.co/handle/10336/23576
https://doi.org/10.1186/1471-2474-10-67
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score 12,111491