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The impact of rheumatoid foot on disability in Colombian patients with rheumatoid arthritis
BMC Musculoskeletal Disorders, 06/18/09
Rojas-Villarraga A et al. – Study reports that the foot abnormalities are associated with active joint disease and disability in rheumatoid arthritis (RA). Foot examinations provide complementary information related to the disability as an indirect measurement of quality of life (QOL) and activity of disease in daily practice.
Methods- Aim was to evaluate the impact of foot impairment on RA pts' global QOL and its relationship to disease activity
- 95 pts; a complete physical examination, including a full foot assessment, was done
- The Spanish versions of HAQ Disability Index and of the DAS 28 were administered
- A logistic regression model was used to analyze data and obtain adjusted odds ratios (AORs)
- Foot deformities observed in 78 (82%) of the pts:
- 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%)
- 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
- Positive squeeze test was associated with disability risk
- Hallux valgus, and dorsiflexion restriction (tibiotalar) were associated with disease activity
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