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Investigation of Functional Status of Foot/Ankle in Individuals with Rheumatoid Arthritis

Year 2023, Volume: 14 Issue: 2, 162 - 169, 15.08.2023

Elif Gur Kabul Sinem Bozcuk Bilge Başakcı Çalık Sinem Kuru Murat Yiğit

https://doi.org/10.22312/sdusbed.1254897

Abstract

Objective=The aim of this study was to examine the functional limitations of foot/ankle in terms of age in individuals with Rheumatoid Arthritis (RA).

Material-Method=Forty individuals diagnosed with RA were included in the study. Individuals with RA were divided into two groups (under 65 years old (n:24) and 65 years old and over (n:16)).Functional status of foot/ankle were evaluated with Foot and Ankle Outcome Score (FAOS), general health status with Visual Analogue Scale (VAS), and disability level with Health Assessment Questionnaire (HAQ). FAOS consists of five subtests: pain, other symptoms, activities of daily living, sport and recreational function, and foot/ankle related quality of life. Relationships between continuous variables were evaluated with Pearson Correlation Analysis.

Results=HAQ had low to moderate correlation with FAOS_pain (r:-0.435), FAOS_activities of daily living (r:-0.647), FAOS_sport and recreational function (r:-0.495) and FAOS_total (r:-0.582) in RA with under 65 years old while HAQ had moderate to high correlation with FAOS_other symptoms (r:-0.579), FAOS_pain (r:-0.702), FAOS_activities of daily living (r:-0.868), FAOS_sport and recreational function (r:-0.683) and FAOS_total (r:-0.806) (p<0.05) in RA with 65 years old and over. In addition, VAS had moderate correlation with FAOS_pain (r:-0.517), FAOS_activities of daily living (r:-0.590), FAOS_sport and recreational function (r:-0.550) and FAOS_total (r:-0.587) in RA with 65 years old and over (p<0.05).

Conclusion=Although functional limitations related to foot/ankle affect disability levels of RA of all ages, this effect is greater for RA aged 65 and over.In addition, functional limitations related to foot/ankle cause a worse perception of general health status of RA patients aged 65 and over.

Keywords

foot Rheumatoid Arthritis ankle

References

  • [1] Symmons, D.P.M. 2002. Epidemiology of rheumatoid arthritis: Determinants of onset, persistence and outcome. Best Pract Res Clin Rheumatol, 16(5), 707-22.
  • [2] [Crowson, C.S., Matteson, E.L., Myasoedova, E., Michet, C.J., Ernste, F.C., Warrington, K.J., et al. 2011. The lifetime risk of adult-onset rheumatoid arthritis and other inflammatory autoimmune rheumatic diseases. Arthritis Rheum, 63(3), 633-9.
  • [3] Walker, R., Wong, F., Singh, S., Ajuied, A. 2019. The foot in systemic disease: management of the patient with rheumatoid arthritis or diabetes mellitus. Orthopedics and Trauma, 33(4), 249-62.
  • [4] Harris, E.D., Firestein, G.S. 2009. Clinical features of rheumatoid arthritis. In: Firestein GS, Kelley WN. Kelley's textbook of rheumatology. 8th ed. Philadelphia: Saunders/Elsevier, 1087-1118.
  • [5] Yalıman, A., Şen, E., Eskiyurt, N., Budiman-Mak, E. 2014. Turkish Translation and Adaptation of Foot Function Index in Patients with Plantar Fasciitis. Turk J Phys Med Rehab, 60, 212-22
  • [6] Baysal, Ö., Baysal, T., Altay, Z., Akyol, G. 2004. Foot Deformities in Rheumatoid Arthritis. Journal of Turgut Ozal Medical Center, 11(3), 173-176
  • [7] Matsumo, T., Nakada, I., Juji, T., Nakamuro, I., Ito, K. 2016. Radiologic Patterning of Hallux Deformity in Rheumatoid Arthritis and Its Relationship to Flatfoot. J Foot Ankle Surg, 55: 948-954.
  • [8] Bek, N., Kavlak, Y., Yağlı, V.N. 2006. Evaluation of foot deformities in women with rheumatoid arthritis and osteoarthritis. Fizyoter Rehabil, 17(2), 70-77
  • [9] Woodburn, J., Helliwell, PS. 1997. Foot problems in rheumatology. Br J Rheumatol, 36, 932–6. [10] van der Leeden, M., Steultjens, M., Dekker, J.H., Prins, A.P., Dekker, J. 2007. The relationship of disease duration to foot function, pain and disability in rheumatoid arthritis patients with foot complaints. Clin Exp Rheumatol, 25, 275–80.
  • [11] Wickman, A.M., Pinzur, M.S., Kadanoff, R., Juknelis, D. 2004. Health-related quality of life for patients with rheumatoid arthritis foot involvement. Foot Ankle Int, 25(1), 19-26.
  • [12] [Turner, D.E., Helliwell, P.S., Emery, P., Woodburn, J. 2006. The impact of rheumatoid arthritis on foot function in the early stages of disease: a clinical case series. BMC Musculoskelet Disord, 7, 102.
  • [13] Karatepe, G.A., Günaydin, R., Adibelli, Z.H., Kaya, T., Duruöz, E. 2010. Foot deformities in patients with rheumatoid arthritis: the relationship with foot functions. Int J Rheum Dis, 13(2), 158-63.
  • [14] Stolt, M., Suhonen, R., Leino-Kilpi, H. 2017. Foot health in patients with rheumatoid arthritis-a scoping review. Rheumatol Int, 37(9), 1413-1422.
  • [15] Roos, E.M., Brandsson, M.D., Karlsson, J. 2001. Validation of the foot and ankle outcome score. Foot Ankle Int, 22, 788–794.
  • [16] Wewers, M.E., Lowe, N.K. 1990. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health, 13, 227-236.
  • [17] Fries, J.F., Spitz, P.W., Young, D.Y. 1982.The dimensions of health outcomes: the health assessment questionnaire, disability and pain scales. J Rheumatol, 9(5), 789-93.
  • [18] Cohen, J., Cohen, P., West, S.G., Aiken, L.S. 2013. Applied multiple regression/ correlation analysis for the behavioral sciences. Routledge.
  • [19] Wilson, O., Hewlett, S., Woodburn, J., Pollock, J., Kirwan, J. 2017. Prevalence, impact and care of foot problems in people with rheumatoid arthritis: results from a United Kingdom based crosssectional survey. J Foot Ankle Res, 10, 46.
  • [20] Katz, P.P. 1995. The impact of rheumatoid arthritis on life activities. Arthritis Care Res, 8(4), 272-8. [21] Griffith, J., Carr, A. 2001. What is the impact of early rheumatoid arthritis on the individual? Best Pract Res Clin Rheumatol, 15(1), 77-90.
  • [22] Yano, K., Ikari, K., Inoue, E., Sakuma, Y., Mochizuki, T., Koenuma, N., et al. 2018. Features of patients with rheumatoid arthritis whose debut joint is a foot or ankle joint: A 5,479-case study from the IORRA cohort. PLoS One, 13(9), e0202427.
  • [23] Reinoso-Cobo, A., Gijon-Nogueron, G., Caliz-Caliz, R., Ferrer-Gonzalez, M.A., Vallejo-Velazquez, M.T., Morales-Asencio, M.J., et al. 2020. Foot health and quality of life in patients with rheumatoid arthritis: a cross-sectional study. BMJ Open, 10(5), e036903.
  • [24] Fazaa, A., Triki, W., Ouenniche, K., Sellami, M., Miladi, S., Souabni, L., et al. 2022. Assessment of the functional impact of foot involvement in patients with rheumatoid arthritis. Foot (Edinb), 52, 101907.
  • [25] Stolt, M., Kilkki, M., Katajisto, J., Suhonen, R. 2021. Self-assessed foot health in older people with rheumatoid arthritis-A cross-sectional study. Int J Older People Nurs, 16(4), e12380.
  • [26] Kaniewska, K., Kuryliszyn-Moskal, A., Hryniewicz, A., Moskal-Jasińska, D., Wojciuk, M., Dzięcioł-Anikiej, Z. 2022. Static Foot Disturbances and the Quality of Life of Older Person with Rheumatoid Arthritis. Int J Environ Res Public Health, 19(14), 8633.
  • [27] Khan, N.A., Yazici, Y., Calvo-Alen, J., Dadoniene, J., Gossec, L., Hansen, T.M., et al. 2009. Reevaluationof the role of duration of morning stiffness in the assess-ment of rheumatoid arthritis activity. J Rheumatol, 36, 2435–42.
  • [28] Yazici, Y., Pincus, T., Kautiainen, H., Sokka, T. 2004. Morningstiffness in patients with early rheumatoid arthritis is asso-ciated more strongly with functional disability than withjoint swelling and erythrocyte sedimentation rate. J Rheumatol, 31, 1723–6.
  • [29] Lindstrom, T., Robinson, W. 2010. Rheumatoid arthritis: A role for immunosenescence? J Am Geriatr Soc, 58, 1565–75.
  • [30] Baker, J.F., Von Feldt, J., Mostouf-Moab, S., Noaiseh, G., Taratuta, E., Kim, W., et al. 2014. Defcits in muscle mass, muscle density, and modifed associations with fat in rheumatoid arthritis. Arthritis Care Res, 66, 1612–1618.

Romatoid Artrit'li Bireylerde Ayak/Ayak Bileği ile İlgili Fonksiyonel Durumun İncelenmesi

Year 2023, Volume: 14 Issue: 2, 162 - 169, 15.08.2023

Elif Gur Kabul Sinem Bozcuk Bilge Başakcı Çalık Sinem Kuru Murat Yiğit

https://doi.org/10.22312/sdusbed.1254897

Abstract

Amaç=Bu çalışmanın amacı, Romatoid Artrit (RA)’li bireylerde ayak /ayak bileği ile ilgili fonksiyonel limitasyonların yaş açısından incelenmesi idi.

Materyal-Metot=Çalışmaya RA tanısı almış 40 birey dahil edildi. RA’lı bireyler iki gruba ayrıldı [65 yaş altı (n:24) ve 65 yaş ve üstü (n:16)]. Ayak/ayak bileği ile ilgili fonksiyonel durum Ayak Ayak Bileği Sonuç Skoru (FAOS) ile, genel sağlık durumu Visüel Analog Skalası (VAS) ile, özür düzeyi Sağlık Değerlendirme Anketi (SDA) ile değerlendirildi. FAOS beş alt testten oluşmaktadır: ağrı, diğer semptomlar, günlük yaşam aktiviteleri, spor ve eğlence faaliyetleri, ayak/ayak bileği ile ilgili yaşam kalitesi. Sürekli değişkenlerin birbiri ile ilişkisi Pearson Korelasyon Analizi ile değerlendirildi.

Bulgular=65 yaş altı RA’lılarda SDA; FAOS’un ağrı (r:-0.435), iş/günlük yaşam (r:-0.647), iş/spor/eğlence (r:-0.495) ve toplam skoru (r:-0.582) ile düşük ve orta düzeyde korele iken; 65 yaş ve üstü RA’lılarda FAOS’un belirtiler/tutukluk (r:-0.579), ağrı (r:-0.702), iş/günlük yaşam (r:-0.868), iş/spor/eğlence (r:-0.683) ve toplam skoru (r:-0.806) ile orta ve yüksek düzeyde korele idi (p<0,05). Ayrıca 65 yaş ve üstünde VAS; FAOS’un ağrı (r:-0.517), iş/günlük yaşam (r:-0.590), iş/spor/eğlence (r:-0.550) ve toplam skoru (r:-0.587) arasında orta düzeyde ilişkili idi (p<0,05).

Sonuç=Ayak/ayak bileği ile ilgili fonksiyonel limitasyonlar, her yaştaki RA’lı bireylerin özür düzeylerini etkilese de; 65 yaş ve üzerinde bu etki daha fazladır. Ayrıca ayak/ayak bileği ile ilgili fonksiyonel limitasyonlar,65 yaş ve üstündeki RA'lılar tarafından genel sağlık durumlarının daha kötü algılanmasına sebep olmaktadır.

Keywords

ayak romatoid artrit ayak bileği

References

  • [1] Symmons, D.P.M. 2002. Epidemiology of rheumatoid arthritis: Determinants of onset, persistence and outcome. Best Pract Res Clin Rheumatol, 16(5), 707-22.
  • [2] [Crowson, C.S., Matteson, E.L., Myasoedova, E., Michet, C.J., Ernste, F.C., Warrington, K.J., et al. 2011. The lifetime risk of adult-onset rheumatoid arthritis and other inflammatory autoimmune rheumatic diseases. Arthritis Rheum, 63(3), 633-9.
  • [3] Walker, R., Wong, F., Singh, S., Ajuied, A. 2019. The foot in systemic disease: management of the patient with rheumatoid arthritis or diabetes mellitus. Orthopedics and Trauma, 33(4), 249-62.
  • [4] Harris, E.D., Firestein, G.S. 2009. Clinical features of rheumatoid arthritis. In: Firestein GS, Kelley WN. Kelley's textbook of rheumatology. 8th ed. Philadelphia: Saunders/Elsevier, 1087-1118.
  • [5] Yalıman, A., Şen, E., Eskiyurt, N., Budiman-Mak, E. 2014. Turkish Translation and Adaptation of Foot Function Index in Patients with Plantar Fasciitis. Turk J Phys Med Rehab, 60, 212-22
  • [6] Baysal, Ö., Baysal, T., Altay, Z., Akyol, G. 2004. Foot Deformities in Rheumatoid Arthritis. Journal of Turgut Ozal Medical Center, 11(3), 173-176
  • [7] Matsumo, T., Nakada, I., Juji, T., Nakamuro, I., Ito, K. 2016. Radiologic Patterning of Hallux Deformity in Rheumatoid Arthritis and Its Relationship to Flatfoot. J Foot Ankle Surg, 55: 948-954.
  • [8] Bek, N., Kavlak, Y., Yağlı, V.N. 2006. Evaluation of foot deformities in women with rheumatoid arthritis and osteoarthritis. Fizyoter Rehabil, 17(2), 70-77
  • [9] Woodburn, J., Helliwell, PS. 1997. Foot problems in rheumatology. Br J Rheumatol, 36, 932–6. [10] van der Leeden, M., Steultjens, M., Dekker, J.H., Prins, A.P., Dekker, J. 2007. The relationship of disease duration to foot function, pain and disability in rheumatoid arthritis patients with foot complaints. Clin Exp Rheumatol, 25, 275–80.
  • [11] Wickman, A.M., Pinzur, M.S., Kadanoff, R., Juknelis, D. 2004. Health-related quality of life for patients with rheumatoid arthritis foot involvement. Foot Ankle Int, 25(1), 19-26.
  • [12] [Turner, D.E., Helliwell, P.S., Emery, P., Woodburn, J. 2006. The impact of rheumatoid arthritis on foot function in the early stages of disease: a clinical case series. BMC Musculoskelet Disord, 7, 102.
  • [13] Karatepe, G.A., Günaydin, R., Adibelli, Z.H., Kaya, T., Duruöz, E. 2010. Foot deformities in patients with rheumatoid arthritis: the relationship with foot functions. Int J Rheum Dis, 13(2), 158-63.
  • [14] Stolt, M., Suhonen, R., Leino-Kilpi, H. 2017. Foot health in patients with rheumatoid arthritis-a scoping review. Rheumatol Int, 37(9), 1413-1422.
  • [15] Roos, E.M., Brandsson, M.D., Karlsson, J. 2001. Validation of the foot and ankle outcome score. Foot Ankle Int, 22, 788–794.
  • [16] Wewers, M.E., Lowe, N.K. 1990. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health, 13, 227-236.
  • [17] Fries, J.F., Spitz, P.W., Young, D.Y. 1982.The dimensions of health outcomes: the health assessment questionnaire, disability and pain scales. J Rheumatol, 9(5), 789-93.
  • [18] Cohen, J., Cohen, P., West, S.G., Aiken, L.S. 2013. Applied multiple regression/ correlation analysis for the behavioral sciences. Routledge.
  • [19] Wilson, O., Hewlett, S., Woodburn, J., Pollock, J., Kirwan, J. 2017. Prevalence, impact and care of foot problems in people with rheumatoid arthritis: results from a United Kingdom based crosssectional survey. J Foot Ankle Res, 10, 46.
  • [20] Katz, P.P. 1995. The impact of rheumatoid arthritis on life activities. Arthritis Care Res, 8(4), 272-8. [21] Griffith, J., Carr, A. 2001. What is the impact of early rheumatoid arthritis on the individual? Best Pract Res Clin Rheumatol, 15(1), 77-90.
  • [22] Yano, K., Ikari, K., Inoue, E., Sakuma, Y., Mochizuki, T., Koenuma, N., et al. 2018. Features of patients with rheumatoid arthritis whose debut joint is a foot or ankle joint: A 5,479-case study from the IORRA cohort. PLoS One, 13(9), e0202427.
  • [23] Reinoso-Cobo, A., Gijon-Nogueron, G., Caliz-Caliz, R., Ferrer-Gonzalez, M.A., Vallejo-Velazquez, M.T., Morales-Asencio, M.J., et al. 2020. Foot health and quality of life in patients with rheumatoid arthritis: a cross-sectional study. BMJ Open, 10(5), e036903.
  • [24] Fazaa, A., Triki, W., Ouenniche, K., Sellami, M., Miladi, S., Souabni, L., et al. 2022. Assessment of the functional impact of foot involvement in patients with rheumatoid arthritis. Foot (Edinb), 52, 101907.
  • [25] Stolt, M., Kilkki, M., Katajisto, J., Suhonen, R. 2021. Self-assessed foot health in older people with rheumatoid arthritis-A cross-sectional study. Int J Older People Nurs, 16(4), e12380.
  • [26] Kaniewska, K., Kuryliszyn-Moskal, A., Hryniewicz, A., Moskal-Jasińska, D., Wojciuk, M., Dzięcioł-Anikiej, Z. 2022. Static Foot Disturbances and the Quality of Life of Older Person with Rheumatoid Arthritis. Int J Environ Res Public Health, 19(14), 8633.
  • [27] Khan, N.A., Yazici, Y., Calvo-Alen, J., Dadoniene, J., Gossec, L., Hansen, T.M., et al. 2009. Reevaluationof the role of duration of morning stiffness in the assess-ment of rheumatoid arthritis activity. J Rheumatol, 36, 2435–42.
  • [28] Yazici, Y., Pincus, T., Kautiainen, H., Sokka, T. 2004. Morningstiffness in patients with early rheumatoid arthritis is asso-ciated more strongly with functional disability than withjoint swelling and erythrocyte sedimentation rate. J Rheumatol, 31, 1723–6.
  • [29] Lindstrom, T., Robinson, W. 2010. Rheumatoid arthritis: A role for immunosenescence? J Am Geriatr Soc, 58, 1565–75.
  • [30] Baker, J.F., Von Feldt, J., Mostouf-Moab, S., Noaiseh, G., Taratuta, E., Kim, W., et al. 2014. Defcits in muscle mass, muscle density, and modifed associations with fat in rheumatoid arthritis. Arthritis Care Res, 66, 1612–1618.
There are 28 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Araştırma Articlesi
Authors

Elif Gur Kabul 0000-0003-3209-1499

Sinem Bozcuk 0000-0001-9157-8550

Bilge Başakcı Çalık 0000-0002-7267-7622

Sinem Kuru 0000-0003-3036-0624

Murat Yiğit 0000-0001-8298-5373

Publication Date August 15, 2023
Submission Date February 22, 2023
Published in Issue Year 2023 Volume: 14 Issue: 2

Cite

Vancouver Gur Kabul E, Bozcuk S, Başakcı Çalık B, Kuru S, Yiğit M. Investigation of Functional Status of Foot/Ankle in Individuals with Rheumatoid Arthritis. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2023;14(2):162-9.
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