Foot and Ankle Kinematics in Rheumatoid Arthritis: Influence of Foot and Ankle Joint and Leg Tendon Pathologies
Objective From early onset of the disease, patients with rheumatoid arthritis (RA) experience walking impairments. Pathologic effects of RA on foot and ankle structures have been studied clinically, but little is known as to how they relate to kinematic changes during gait. The aim of this study was...
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| Veröffentlicht in: | Arthritis care & research (2010) 2013-04, Vol.65 (4), p.503-511 |
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| container_title | Arthritis care & research (2010) |
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| creator | Dubbeldam, R. Baan, H. Nene, A. V. Drossaers‐Bakker, K. W. van de Laar, M. A. F. J. Hermens, H. J. Buurke, J. H. |
| description | Objective
From early onset of the disease, patients with rheumatoid arthritis (RA) experience walking impairments. Pathologic effects of RA on foot and ankle structures have been studied clinically, but little is known as to how they relate to kinematic changes during gait. The aim of this study was to explore the relationship between clinically observed pathologies of foot and ankle joints and leg tendons and the corresponding gait kinematics.
Methods
The gait of 25 subjects with varying stages of RA was recorded and foot and ankle kinematics were assessed. Magnetic resonance imaging was performed for each subject: first metatarsophalangeal (MTP) joint, midfoot, and hindfoot synovitis, erosion scores, and leg tendon involvement were determined. The joint alignment and motion score represented daily clinical assessment. The 95% confidence intervals of the Spearman's correlation coefficient tests were used to explore the relationships between the clinical and kinematic parameters.
Results
Maximum first MTP joint dorsiflexion at preswing was related to reduced first MTP joint passive motion, first MTP joint synovitis and erosion, midfoot synovitis and erosion, and hindfoot erosion. Midfoot pronation range of motion during single stance was related to subtalar alignment and Achilles tendon involvement. Hindfoot eversion range of motion during single stance was related to subtalar alignment and peroneus longus tendon involvement. Involvement of the tibialis posterior tendon could not be identified as an independent factor influencing foot or ankle kinematics.
Conclusion
Our findings suggest moderate to strong relationships between foot and ankle gait kinematics and structural pathologies. |
| doi_str_mv | 10.1002/acr.21852 |
| format | Article |
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From early onset of the disease, patients with rheumatoid arthritis (RA) experience walking impairments. Pathologic effects of RA on foot and ankle structures have been studied clinically, but little is known as to how they relate to kinematic changes during gait. The aim of this study was to explore the relationship between clinically observed pathologies of foot and ankle joints and leg tendons and the corresponding gait kinematics.
Methods
The gait of 25 subjects with varying stages of RA was recorded and foot and ankle kinematics were assessed. Magnetic resonance imaging was performed for each subject: first metatarsophalangeal (MTP) joint, midfoot, and hindfoot synovitis, erosion scores, and leg tendon involvement were determined. The joint alignment and motion score represented daily clinical assessment. The 95% confidence intervals of the Spearman's correlation coefficient tests were used to explore the relationships between the clinical and kinematic parameters.
Results
Maximum first MTP joint dorsiflexion at preswing was related to reduced first MTP joint passive motion, first MTP joint synovitis and erosion, midfoot synovitis and erosion, and hindfoot erosion. Midfoot pronation range of motion during single stance was related to subtalar alignment and Achilles tendon involvement. Hindfoot eversion range of motion during single stance was related to subtalar alignment and peroneus longus tendon involvement. Involvement of the tibialis posterior tendon could not be identified as an independent factor influencing foot or ankle kinematics.
Conclusion
Our findings suggest moderate to strong relationships between foot and ankle gait kinematics and structural pathologies.</description><identifier>ISSN: 2151-464X</identifier><identifier>EISSN: 2151-4658</identifier><identifier>DOI: 10.1002/acr.21852</identifier><identifier>PMID: 22972768</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Adult ; Aged ; Ankle Joint - physiopathology ; Arthritis, Rheumatoid - complications ; Arthritis, Rheumatoid - diagnosis ; Arthritis, Rheumatoid - physiopathology ; Biomechanical Phenomena ; Female ; Foot - physiopathology ; Gait - physiology ; Humans ; Leg ; Male ; Middle Aged ; Range of Motion, Articular - physiology ; Tendinopathy - diagnosis ; Tendinopathy - etiology ; Tendinopathy - physiopathology ; Tendons - pathology ; Walking - physiology ; Young Adult</subject><ispartof>Arthritis care & research (2010), 2013-04, Vol.65 (4), p.503-511</ispartof><rights>Copyright © 2013 by the American College of Rheumatology</rights><rights>Copyright © 2013 by the American College of Rheumatology.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3602-8ee5d9ff8bddd15e635a51d944aa42b602af32af4f1155f5d6bd6c772b2f0df23</citedby><cites>FETCH-LOGICAL-c3602-8ee5d9ff8bddd15e635a51d944aa42b602af32af4f1155f5d6bd6c772b2f0df23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Facr.21852$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Facr.21852$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22972768$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dubbeldam, R.</creatorcontrib><creatorcontrib>Baan, H.</creatorcontrib><creatorcontrib>Nene, A. V.</creatorcontrib><creatorcontrib>Drossaers‐Bakker, K. W.</creatorcontrib><creatorcontrib>van de Laar, M. A. F. J.</creatorcontrib><creatorcontrib>Hermens, H. J.</creatorcontrib><creatorcontrib>Buurke, J. H.</creatorcontrib><title>Foot and Ankle Kinematics in Rheumatoid Arthritis: Influence of Foot and Ankle Joint and Leg Tendon Pathologies</title><title>Arthritis care & research (2010)</title><addtitle>Arthritis Care Res (Hoboken)</addtitle><description>Objective
From early onset of the disease, patients with rheumatoid arthritis (RA) experience walking impairments. Pathologic effects of RA on foot and ankle structures have been studied clinically, but little is known as to how they relate to kinematic changes during gait. The aim of this study was to explore the relationship between clinically observed pathologies of foot and ankle joints and leg tendons and the corresponding gait kinematics.
Methods
The gait of 25 subjects with varying stages of RA was recorded and foot and ankle kinematics were assessed. Magnetic resonance imaging was performed for each subject: first metatarsophalangeal (MTP) joint, midfoot, and hindfoot synovitis, erosion scores, and leg tendon involvement were determined. The joint alignment and motion score represented daily clinical assessment. The 95% confidence intervals of the Spearman's correlation coefficient tests were used to explore the relationships between the clinical and kinematic parameters.
Results
Maximum first MTP joint dorsiflexion at preswing was related to reduced first MTP joint passive motion, first MTP joint synovitis and erosion, midfoot synovitis and erosion, and hindfoot erosion. Midfoot pronation range of motion during single stance was related to subtalar alignment and Achilles tendon involvement. Hindfoot eversion range of motion during single stance was related to subtalar alignment and peroneus longus tendon involvement. Involvement of the tibialis posterior tendon could not be identified as an independent factor influencing foot or ankle kinematics.
Conclusion
Our findings suggest moderate to strong relationships between foot and ankle gait kinematics and structural pathologies.</description><subject>Adult</subject><subject>Aged</subject><subject>Ankle Joint - physiopathology</subject><subject>Arthritis, Rheumatoid - complications</subject><subject>Arthritis, Rheumatoid - diagnosis</subject><subject>Arthritis, Rheumatoid - physiopathology</subject><subject>Biomechanical Phenomena</subject><subject>Female</subject><subject>Foot - physiopathology</subject><subject>Gait - physiology</subject><subject>Humans</subject><subject>Leg</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Range of Motion, Articular - physiology</subject><subject>Tendinopathy - diagnosis</subject><subject>Tendinopathy - etiology</subject><subject>Tendinopathy - physiopathology</subject><subject>Tendons - pathology</subject><subject>Walking - physiology</subject><subject>Young Adult</subject><issn>2151-464X</issn><issn>2151-4658</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMFLwzAUxoMobswd_AckRz10a5Kma72N4XQ6UMYEbyVtXrZom8ymRfbfG-30IPjg8d7H-73v8CF0TsIRCUM6FkU9oiTh9Aj1KeEkiGKeHP_u0UsPDZ17DX0xmiQsPUU9StMJncRJH9m5tQ0WRuKpeSsBP2gDlWh04bA2eLWF1iur_blutrVutLvGC6PKFkwB2Cr85__eatPpJWzwGoy0Bj-JZmtLu9HgztCJEqWD4WEO0PP8Zj27C5aPt4vZdBkULA5pkABwmSqV5FJKwiFmXHAi0ygSIqK5R4RiviNFCOeKyziXcTGZ0JyqUCrKBuiy893V9r0F12SVdgWUpTBgW5cRRiOWcEZTj151aFFb52pQ2a7Wlaj3GQmzr4gzH3H2HbFnLw62bV6B_CV_AvXAuAM-dAn7_52y6WzVWX4Cvj2FhA</recordid><startdate>201304</startdate><enddate>201304</enddate><creator>Dubbeldam, R.</creator><creator>Baan, H.</creator><creator>Nene, A. V.</creator><creator>Drossaers‐Bakker, K. W.</creator><creator>van de Laar, M. A. F. J.</creator><creator>Hermens, H. J.</creator><creator>Buurke, J. H.</creator><general>John Wiley & Sons, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201304</creationdate><title>Foot and Ankle Kinematics in Rheumatoid Arthritis: Influence of Foot and Ankle Joint and Leg Tendon Pathologies</title><author>Dubbeldam, R. ; Baan, H. ; Nene, A. V. ; Drossaers‐Bakker, K. W. ; van de Laar, M. A. F. J. ; Hermens, H. J. ; Buurke, J. H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3602-8ee5d9ff8bddd15e635a51d944aa42b602af32af4f1155f5d6bd6c772b2f0df23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Ankle Joint - physiopathology</topic><topic>Arthritis, Rheumatoid - complications</topic><topic>Arthritis, Rheumatoid - diagnosis</topic><topic>Arthritis, Rheumatoid - physiopathology</topic><topic>Biomechanical Phenomena</topic><topic>Female</topic><topic>Foot - physiopathology</topic><topic>Gait - physiology</topic><topic>Humans</topic><topic>Leg</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Range of Motion, Articular - physiology</topic><topic>Tendinopathy - diagnosis</topic><topic>Tendinopathy - etiology</topic><topic>Tendinopathy - physiopathology</topic><topic>Tendons - pathology</topic><topic>Walking - physiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dubbeldam, R.</creatorcontrib><creatorcontrib>Baan, H.</creatorcontrib><creatorcontrib>Nene, A. V.</creatorcontrib><creatorcontrib>Drossaers‐Bakker, K. W.</creatorcontrib><creatorcontrib>van de Laar, M. A. F. J.</creatorcontrib><creatorcontrib>Hermens, H. J.</creatorcontrib><creatorcontrib>Buurke, J. H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Arthritis care & research (2010)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dubbeldam, R.</au><au>Baan, H.</au><au>Nene, A. V.</au><au>Drossaers‐Bakker, K. W.</au><au>van de Laar, M. A. F. J.</au><au>Hermens, H. J.</au><au>Buurke, J. H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Foot and Ankle Kinematics in Rheumatoid Arthritis: Influence of Foot and Ankle Joint and Leg Tendon Pathologies</atitle><jtitle>Arthritis care & research (2010)</jtitle><addtitle>Arthritis Care Res (Hoboken)</addtitle><date>2013-04</date><risdate>2013</risdate><volume>65</volume><issue>4</issue><spage>503</spage><epage>511</epage><pages>503-511</pages><issn>2151-464X</issn><eissn>2151-4658</eissn><abstract>Objective
From early onset of the disease, patients with rheumatoid arthritis (RA) experience walking impairments. Pathologic effects of RA on foot and ankle structures have been studied clinically, but little is known as to how they relate to kinematic changes during gait. The aim of this study was to explore the relationship between clinically observed pathologies of foot and ankle joints and leg tendons and the corresponding gait kinematics.
Methods
The gait of 25 subjects with varying stages of RA was recorded and foot and ankle kinematics were assessed. Magnetic resonance imaging was performed for each subject: first metatarsophalangeal (MTP) joint, midfoot, and hindfoot synovitis, erosion scores, and leg tendon involvement were determined. The joint alignment and motion score represented daily clinical assessment. The 95% confidence intervals of the Spearman's correlation coefficient tests were used to explore the relationships between the clinical and kinematic parameters.
Results
Maximum first MTP joint dorsiflexion at preswing was related to reduced first MTP joint passive motion, first MTP joint synovitis and erosion, midfoot synovitis and erosion, and hindfoot erosion. Midfoot pronation range of motion during single stance was related to subtalar alignment and Achilles tendon involvement. Hindfoot eversion range of motion during single stance was related to subtalar alignment and peroneus longus tendon involvement. Involvement of the tibialis posterior tendon could not be identified as an independent factor influencing foot or ankle kinematics.
Conclusion
Our findings suggest moderate to strong relationships between foot and ankle gait kinematics and structural pathologies.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>22972768</pmid><doi>10.1002/acr.21852</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Aged Ankle Joint - physiopathology Arthritis, Rheumatoid - complications Arthritis, Rheumatoid - diagnosis Arthritis, Rheumatoid - physiopathology Biomechanical Phenomena Female Foot - physiopathology Gait - physiology Humans Leg Male Middle Aged Range of Motion, Articular - physiology Tendinopathy - diagnosis Tendinopathy - etiology Tendinopathy - physiopathology Tendons - pathology Walking - physiology Young Adult |
| title | Foot and Ankle Kinematics in Rheumatoid Arthritis: Influence of Foot and Ankle Joint and Leg Tendon Pathologies |
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