A parametric study of effect of experimental tibialis posterior muscle pain on joint loading and muscle forces—Implications for patients with rheumatoid arthritis?

Simonsen, Morten Bilde; Yurtsever, Aysun; Andersen, Michael Skipper; Leutscher, Peter Derek Christian; Hørslev‐Petersen, Kim; Hirata, Rogério Pessoto; Andersen, Michael Skipper

doi:10.1016/j.gaitpost.2019.06.001

Cited by 13 publications

(3 citation statements)

References 29 publications

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“…Therefore, it is unknown whether the NGF-induced pain would have detected movement alterations if the pain had lasted longer than four days, which was the case in the present study design. An alternative explanation could be that the central nervous system utilizes other muscle recruitment strategies to stabilize the head without changing the kinematics of the motion (Hirata et al, 2015;Hirata et al, 2022;Simonsen et al, 2019aSimonsen et al, , 2019b.…”

Section: Discussionmentioning

confidence: 99%

The impact of prolonged experimental neck pain on walking stability and gait kinematics - A parallel-group study

Simonsen¹,

Cancino²,

Silva³

et al. 2023

Clinical Biomechanics

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Section: Discussionmentioning

confidence: 99%

The impact of prolonged experimental neck pain on walking stability and gait kinematics - A parallel-group study

Simonsen¹,

Cancino²,

Silva³

et al. 2023

Clinical Biomechanics

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“…The assessment of foot problems and foot biomechanics is a key issue in unmet needs that requires research by the EULAR research roadmap (33). Previous studies have also suggested a need for a tool to monitor the feet in patients with RA (8,34,35).…”

Section: Discussionmentioning

confidence: 99%

Foot and Ankle Problems in Patients With Rheumatoid Arthritis in 2019: Still an Important Issue

Simonsen

Hørslev‐Petersen

Cöster

et al. 2021

ACR Open Rheumatology

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Objective To study the prevalence of foot pain in patients with rheumatoid arthritis (RA) and whether including a 12‐joint foot count in addition to the 28‐joint count (from the Disease Activity Score 28 [DAS28]) improved detection of foot or ankle pain. In addition, the association between the self‐reported foot and ankle score (SEFAS), patient‐reported function, and disease‐specific factors was studied. Methods Physician‐reported data (swollen/tender 12‐joint foot count, DAS28, and medication) and patient‐reported data (foot/ankle pain, physical function, global health, and SEFAS) were assessed during a clinical visit. Data were analyzed with t test, χ2 tests, and regression analysis. Results A total of 320 patients with RA were included (mean age 63 years, SD 13 years; 73% women), of whom 69% reported foot or ankle pain. Patients who reported foot or ankle pain had a lower mean age and worse disease activity, general pain, function, and global health (P ≤ 0.016), and fewer were in remission (50% versus 75%; P < 0.001) compared with patients without foot pain. The 12‐joint foot count identified 3.2% and 9.5% additional patients with swollen and tender joints, respectively, compared with the 28‐joint count. The SEFAS was associated with walking problems (β = −2.733; 95% confidence interval [CI] = −3.963 to −1.503) and worse function (β = −3.634; 95% CI = −5.681 to −1.587) but not with joint inflammation severity. Conclusion The prevalence of foot or ankle pain in patients with RA is high. The 12‐joint foot count had minor effects on detecting patients with foot pain. However, the SEFAS contributed additional information on foot problems that was not identified by joint examinations alone.

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“…The TP tendon has an important effect of stabilizing the lower leg through its functional role in inversion, plantar flexion and supporting the arch of the foot. This explains why RA involvement of its tendon can result in a characteristic plano-valgus deformity of the foot [10, 17,18]. Some authors have argued for the use of isolated talonavicular arthrodesis in patients with TP tendon dysfunction in order to prevent further anatomical deformity of the ankle [19].…”

Section: Discussionmentioning

confidence: 99%

Ankle ultrasound tenosynovitis is a significant predictor of DAS28 – defined rheumatoid arthritis activity

Enache¹,

Popescu²,

Codreanu³

et al. 2019

Ro J Rheumatol.

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Objective. The study aimed to observe the frequency of ultrasound-defined tenosynovitis in ankle tendon and to evaluate the relationship of ankle tenosynovitis with clinical examination and rheumatoid arthritis (RA) activity measures. Methods. RA patients were recruited in 2018 in the random order of presentation from the outpatient clinic. On the same day of inclusion, all patients underwent clinical examination, laboratory tests (inflammatory markers), ankle ultrasound and patient-reported outcomes. Results. the study included 183 patients with established RA, mostly women (86.3%), with mean age of 57.3 years. The most frequent tenosynovitis was observed in the tibialis posterior tendon (TP; 40.4%), followed by the peroneus longus (23.0%) and peroneus brevis (18.0%) tendons. Compared to patients without TP tenosynovitis, patients with TP tenosynovitis had significantly higher titres of rheumatoid factors (RF; median of 123 IU/mL compared to 64 IU/mL; p = 0.023). Clinically tender (55.2%) and swollen (30.6%) ankles were 4.2 and respectively 11.6 times more likely to reveal tenosynovitis on ultrasound. The presence of ankle tenosynovitis was associated with higher disease activity measures. DAS28 increased proportionally and significantly with the number of ankles with tenosynovitis, the grade of ankle tenosynovitis and power Doppler activity. The absence of ankle tenosynovitis independently and significantly decreased DAS28 with 1.2 points (p < 0.001). Conclusions. the most frequent ankle tenosynovitis observed in RA patients involves the TP tendon, which is associated with higher titres of RF. Swollen ankles are more specific and better predictors of ultrasound-defined ankle tenosynovitis, which has a directly proportional relationship with disease activity in RA. Disease activity scores should include clinical evaluation of ankles and ultrasound information.

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A parametric study of effect of experimental tibialis posterior muscle pain on joint loading and muscle forces—Implications for patients with rheumatoid arthritis?

Cited by 13 publications

References 29 publications

The impact of prolonged experimental neck pain on walking stability and gait kinematics - A parallel-group study

The impact of prolonged experimental neck pain on walking stability and gait kinematics - A parallel-group study

Foot and Ankle Problems in Patients With Rheumatoid Arthritis in 2019: Still an Important Issue

Ankle ultrasound tenosynovitis is a significant predictor of DAS28 – defined rheumatoid arthritis activity

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