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

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
Materias:	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 Comorbidity Daily life activity Foot Middle aged Pathology Pathophysiology Prevalence Questionnaire Walking difficulty Activities of daily living Aged, 80 and over Cross-sectional studies Disability evaluation Foot joints Humans Mobility limitation Questionnaires Young adult rheumatoid acquired Arthritis Foot deformities
Acceso en línea:	https://repository.urosario.edu.co/handle/10336/23576 https://doi.org/10.1186/1471-2474-10-67

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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
_version_	1740172150690545664
score	12,111491

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

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