To what extent is foot pain related to biomechanical changes and ultrasound-detected abnormalities in rheumatoid arthritis?
To investigate the presence of biomechanical abnormalities and ultrasound (US)-detected inflammation and damage in low disease or remission status rheumatoid arthritis (RA) patients with foot complaints. We recruited 136 subjects with foot complaints. Sixty-two were biologic disease-modifying antirh...
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| Veröffentlicht in: | Clinical and experimental rheumatology 2016-05, Vol.34 (3), p.480-488 |
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| creator | González-Fernández, María Luz Valor, Lara Morales-Lozano, Rosario Hernández-Flórez, Diana López-Longo, Francisco Javier Martínez, David González, Carlos Manuel Monteagudo, Indalecio Martínez-Barrio, Julia Garrido, Jesús Naredo, Esperanza |
| description | To investigate the presence of biomechanical abnormalities and ultrasound (US)-detected inflammation and damage in low disease or remission status rheumatoid arthritis (RA) patients with foot complaints.
We recruited 136 subjects with foot complaints. Sixty-two were biologic disease-modifying antirheumatic drug-treated RA patients presenting Disease Activity Score-determined remission or low disease activity while the remaining 74 were gender matched controls without rheumatic or musculoskeletal disorders. Both groups underwent a comprehensive podiatric, biomechanical and B-mode and Doppler US assessment of the feet.
Most RA patients and controls were female (77.4% and 83.8%, respectively). There was no statistical difference in the proportion of obese subjects in either group (p=0.792). Inappropriate shoes were used by 50.0% of RA patients and 33.8% of controls (p=0.080). Talalgia, particularly heel pain, was more frequent in the control group, with associated talalgia and metatarsalgia being more prevalent in the RA group (p |
| format | Article |
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We recruited 136 subjects with foot complaints. Sixty-two were biologic disease-modifying antirheumatic drug-treated RA patients presenting Disease Activity Score-determined remission or low disease activity while the remaining 74 were gender matched controls without rheumatic or musculoskeletal disorders. Both groups underwent a comprehensive podiatric, biomechanical and B-mode and Doppler US assessment of the feet.
Most RA patients and controls were female (77.4% and 83.8%, respectively). There was no statistical difference in the proportion of obese subjects in either group (p=0.792). Inappropriate shoes were used by 50.0% of RA patients and 33.8% of controls (p=0.080). Talalgia, particularly heel pain, was more frequent in the control group, with associated talalgia and metatarsalgia being more prevalent in the RA group (p<0.05). The RA patient group was also more likely to present greater foot deformity, more limited joint movement and biomechanical abnormalities than the controls (p<0.05). US inflammatory and structural changes were significantly more frequent in RA patients than in controls (p<0.05). US structural involvement was significantly associated with limited joint mobility and pathologic biomechanical tests only in RA patients (p<0.05).
RA foot complaints seemed to be linked to US-detected RA involvement and biomechanical abnormalities. Podiatric and US assessments can be useful to help the clinician to optimise the management of RA patients in remission/low disease activity with foot complaints.</description><identifier>ISSN: 0392-856X</identifier><identifier>PMID: 27050868</identifier><language>eng</language><publisher>Italy</publisher><subject>Adult ; Aged ; Arthritis, Rheumatoid - complications ; Arthritis, Rheumatoid - diagnosis ; Arthritis, Rheumatoid - physiopathology ; Biomechanical Phenomena - physiology ; Female ; Foot Deformities, Acquired - diagnosis ; Foot Deformities, Acquired - etiology ; Foot Deformities, Acquired - physiopathology ; Foot Joints - diagnostic imaging ; Foot Joints - pathology ; Humans ; Male ; Metatarsalgia - diagnosis ; Middle Aged ; Orthopedics - methods ; Pain Measurement - methods ; Range of Motion, Articular ; Reproducibility of Results ; Severity of Illness Index ; Ultrasonography, Doppler - methods</subject><ispartof>Clinical and experimental rheumatology, 2016-05, Vol.34 (3), p.480-488</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27050868$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>González-Fernández, María Luz</creatorcontrib><creatorcontrib>Valor, Lara</creatorcontrib><creatorcontrib>Morales-Lozano, Rosario</creatorcontrib><creatorcontrib>Hernández-Flórez, Diana</creatorcontrib><creatorcontrib>López-Longo, Francisco Javier</creatorcontrib><creatorcontrib>Martínez, David</creatorcontrib><creatorcontrib>González, Carlos Manuel</creatorcontrib><creatorcontrib>Monteagudo, Indalecio</creatorcontrib><creatorcontrib>Martínez-Barrio, Julia</creatorcontrib><creatorcontrib>Garrido, Jesús</creatorcontrib><creatorcontrib>Naredo, Esperanza</creatorcontrib><title>To what extent is foot pain related to biomechanical changes and ultrasound-detected abnormalities in rheumatoid arthritis?</title><title>Clinical and experimental rheumatology</title><addtitle>Clin Exp Rheumatol</addtitle><description>To investigate the presence of biomechanical abnormalities and ultrasound (US)-detected inflammation and damage in low disease or remission status rheumatoid arthritis (RA) patients with foot complaints.
We recruited 136 subjects with foot complaints. Sixty-two were biologic disease-modifying antirheumatic drug-treated RA patients presenting Disease Activity Score-determined remission or low disease activity while the remaining 74 were gender matched controls without rheumatic or musculoskeletal disorders. Both groups underwent a comprehensive podiatric, biomechanical and B-mode and Doppler US assessment of the feet.
Most RA patients and controls were female (77.4% and 83.8%, respectively). There was no statistical difference in the proportion of obese subjects in either group (p=0.792). Inappropriate shoes were used by 50.0% of RA patients and 33.8% of controls (p=0.080). Talalgia, particularly heel pain, was more frequent in the control group, with associated talalgia and metatarsalgia being more prevalent in the RA group (p<0.05). The RA patient group was also more likely to present greater foot deformity, more limited joint movement and biomechanical abnormalities than the controls (p<0.05). US inflammatory and structural changes were significantly more frequent in RA patients than in controls (p<0.05). US structural involvement was significantly associated with limited joint mobility and pathologic biomechanical tests only in RA patients (p<0.05).
RA foot complaints seemed to be linked to US-detected RA involvement and biomechanical abnormalities. Podiatric and US assessments can be useful to help the clinician to optimise the management of RA patients in remission/low disease activity with foot complaints.</description><subject>Adult</subject><subject>Aged</subject><subject>Arthritis, Rheumatoid - complications</subject><subject>Arthritis, Rheumatoid - diagnosis</subject><subject>Arthritis, Rheumatoid - physiopathology</subject><subject>Biomechanical Phenomena - physiology</subject><subject>Female</subject><subject>Foot Deformities, Acquired - diagnosis</subject><subject>Foot Deformities, Acquired - etiology</subject><subject>Foot Deformities, Acquired - physiopathology</subject><subject>Foot Joints - diagnostic imaging</subject><subject>Foot Joints - pathology</subject><subject>Humans</subject><subject>Male</subject><subject>Metatarsalgia - diagnosis</subject><subject>Middle Aged</subject><subject>Orthopedics - methods</subject><subject>Pain Measurement - methods</subject><subject>Range of Motion, Articular</subject><subject>Reproducibility of Results</subject><subject>Severity of Illness Index</subject><subject>Ultrasonography, Doppler - methods</subject><issn>0392-856X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kE1LxDAQhntQ3HX1L0iOXgppkjbtSWTxCxa8rOCtTJKpjaRNTVJU_PN2cT3NMO8zz-E9ydaUNyyvy-p1lZ3H-E4pq8pKnmUrJmlJ66peZz97Tz57SAS_Eo6J2Eg67xOZwI4koIOEhiRPlPUD6h5Gq8GRw_KGkcBoyOxSgOjn0eQGE-rDA6jRhwGcTXahDqYe5wGSt0sWUh-WIN5cZKcduIiXx7nJXu7v9tvHfPf88LS93eUTq4uUN1IUmgsKTJiuBKokSlmXdSU5F5p3TGnDtC4ENZrL5apUxbVgijLNmES-ya7_vFPwHzPG1A42anQORvRzbAvZLDZKG7GgV0d0VgOadgp2gPDd_hfGfwHhwmht</recordid><startdate>20160501</startdate><enddate>20160501</enddate><creator>González-Fernández, María Luz</creator><creator>Valor, Lara</creator><creator>Morales-Lozano, Rosario</creator><creator>Hernández-Flórez, Diana</creator><creator>López-Longo, Francisco Javier</creator><creator>Martínez, David</creator><creator>González, Carlos Manuel</creator><creator>Monteagudo, Indalecio</creator><creator>Martínez-Barrio, Julia</creator><creator>Garrido, Jesús</creator><creator>Naredo, Esperanza</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20160501</creationdate><title>To what extent is foot pain related to biomechanical changes and ultrasound-detected abnormalities in rheumatoid arthritis?</title><author>González-Fernández, María Luz ; Valor, Lara ; Morales-Lozano, Rosario ; Hernández-Flórez, Diana ; López-Longo, Francisco Javier ; Martínez, David ; González, Carlos Manuel ; Monteagudo, Indalecio ; Martínez-Barrio, Julia ; Garrido, Jesús ; Naredo, Esperanza</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p281t-9741c340a24df5a0b7e7785867334c3f2bcd2cc140dc37673bb63c42b02c227e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arthritis, Rheumatoid - complications</topic><topic>Arthritis, Rheumatoid - diagnosis</topic><topic>Arthritis, Rheumatoid - physiopathology</topic><topic>Biomechanical Phenomena - physiology</topic><topic>Female</topic><topic>Foot Deformities, Acquired - diagnosis</topic><topic>Foot Deformities, Acquired - etiology</topic><topic>Foot Deformities, Acquired - physiopathology</topic><topic>Foot Joints - diagnostic imaging</topic><topic>Foot Joints - pathology</topic><topic>Humans</topic><topic>Male</topic><topic>Metatarsalgia - diagnosis</topic><topic>Middle Aged</topic><topic>Orthopedics - methods</topic><topic>Pain Measurement - methods</topic><topic>Range of Motion, Articular</topic><topic>Reproducibility of Results</topic><topic>Severity of Illness Index</topic><topic>Ultrasonography, Doppler - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>González-Fernández, María Luz</creatorcontrib><creatorcontrib>Valor, Lara</creatorcontrib><creatorcontrib>Morales-Lozano, Rosario</creatorcontrib><creatorcontrib>Hernández-Flórez, Diana</creatorcontrib><creatorcontrib>López-Longo, Francisco Javier</creatorcontrib><creatorcontrib>Martínez, David</creatorcontrib><creatorcontrib>González, Carlos Manuel</creatorcontrib><creatorcontrib>Monteagudo, Indalecio</creatorcontrib><creatorcontrib>Martínez-Barrio, Julia</creatorcontrib><creatorcontrib>Garrido, Jesús</creatorcontrib><creatorcontrib>Naredo, Esperanza</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical and experimental rheumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>González-Fernández, María Luz</au><au>Valor, Lara</au><au>Morales-Lozano, Rosario</au><au>Hernández-Flórez, Diana</au><au>López-Longo, Francisco Javier</au><au>Martínez, David</au><au>González, Carlos Manuel</au><au>Monteagudo, Indalecio</au><au>Martínez-Barrio, Julia</au><au>Garrido, Jesús</au><au>Naredo, Esperanza</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>To what extent is foot pain related to biomechanical changes and ultrasound-detected abnormalities in rheumatoid arthritis?</atitle><jtitle>Clinical and experimental rheumatology</jtitle><addtitle>Clin Exp Rheumatol</addtitle><date>2016-05-01</date><risdate>2016</risdate><volume>34</volume><issue>3</issue><spage>480</spage><epage>488</epage><pages>480-488</pages><issn>0392-856X</issn><abstract>To investigate the presence of biomechanical abnormalities and ultrasound (US)-detected inflammation and damage in low disease or remission status rheumatoid arthritis (RA) patients with foot complaints.
We recruited 136 subjects with foot complaints. Sixty-two were biologic disease-modifying antirheumatic drug-treated RA patients presenting Disease Activity Score-determined remission or low disease activity while the remaining 74 were gender matched controls without rheumatic or musculoskeletal disorders. Both groups underwent a comprehensive podiatric, biomechanical and B-mode and Doppler US assessment of the feet.
Most RA patients and controls were female (77.4% and 83.8%, respectively). There was no statistical difference in the proportion of obese subjects in either group (p=0.792). Inappropriate shoes were used by 50.0% of RA patients and 33.8% of controls (p=0.080). Talalgia, particularly heel pain, was more frequent in the control group, with associated talalgia and metatarsalgia being more prevalent in the RA group (p<0.05). The RA patient group was also more likely to present greater foot deformity, more limited joint movement and biomechanical abnormalities than the controls (p<0.05). US inflammatory and structural changes were significantly more frequent in RA patients than in controls (p<0.05). US structural involvement was significantly associated with limited joint mobility and pathologic biomechanical tests only in RA patients (p<0.05).
RA foot complaints seemed to be linked to US-detected RA involvement and biomechanical abnormalities. Podiatric and US assessments can be useful to help the clinician to optimise the management of RA patients in remission/low disease activity with foot complaints.</abstract><cop>Italy</cop><pmid>27050868</pmid><tpages>9</tpages></addata></record> |
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| ispartof | Clinical and experimental rheumatology, 2016-05, Vol.34 (3), p.480-488 |
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| subjects | Adult Aged Arthritis, Rheumatoid - complications Arthritis, Rheumatoid - diagnosis Arthritis, Rheumatoid - physiopathology Biomechanical Phenomena - physiology Female Foot Deformities, Acquired - diagnosis Foot Deformities, Acquired - etiology Foot Deformities, Acquired - physiopathology Foot Joints - diagnostic imaging Foot Joints - pathology Humans Male Metatarsalgia - diagnosis Middle Aged Orthopedics - methods Pain Measurement - methods Range of Motion, Articular Reproducibility of Results Severity of Illness Index Ultrasonography, Doppler - methods |
| title | To what extent is foot pain related to biomechanical changes and ultrasound-detected abnormalities in rheumatoid arthritis? |
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