Assessment of foot impairment in rheumatoid arthritis patients by dynamic pedobarography

Schmiegel, A.; Rosenbaum, Dieter; Schorat, Annette; Hilker, Arvid; Gaubitz, M.

doi:10.1016/j.gaitpost.2007.02.008

Cited by 47 publications

(40 citation statements)

References 30 publications

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“…Diverse osservazioni hanno dimostrato che il grado di disabilità articolare o di alterazione dei parametri della pressione podalica sono in genere correlati sia con la durata e l'attività di malattia che con il danno erosivo articolare (12)(13)(14)(15). Un dato rilevante emerso dal presente studio è la dimostrazione che la positività sierica per anticorpi anti-CCP si associa a maggiori alterazioni anatomiche del piede caratterizzate da marcato valgismo dell'alluce ed atteggiamento in pronazione.…”

Section: Discussioneunclassified

Analysis of foot structural damage in rheumatoid arthritis: clinical evaluation by validated measures and serological correlations

Biscontini¹,

Bocci²,

Gerli³

2011

Reumatismo

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tità del danno a carico delle strutture podaliche ha un andamento in genere variabile, talvolta ad evoluzione progressiva, con manifestazioni dipendenti dalle sedi anatomiche interessate, dall'età del soggetto affetto, ma in particolar modo dal grado di aggressività della malattia. In questo contesto, la determinazione del fattore reumatoide (FR) e, soprattutto, degli anticorpi anti-citrullina (anti-CCP) rappresentano, alla luce di numerose evidenze in letteratura, dei validi indici non solo diagnostici ma anche prognostici di malattia (3, 4). Il distretto più frequentemente colpito è l'avampiede dove si riscontrano segni e sintomi legati al danno anatomico che si crea, quali dolore, deformità e limitazione funzionale. Le sedi articolari selettivamente colpite sono le articolazioni metatarso-falangee (MTF) dove la flogosi prolungata produce nel tempo un indebolimento delle strutture di sostegno del piede (tendini e legamenti) che, uni-artrite reumatoide (AR) è una malattia infiammatoria cronica che colpisce elettivamente le piccole articolazioni delle mani e dei piedi. Frequente è l'interessamento podalico, riscontrabile sia in una fase precoce di malattia, con una incidenza riportata che va dal 16% al 45%, sia in una fase tardiva, in cui si vengono a realizzare deformità anatomiche clinicamente rilevanti in circa l'85% dei soggetti affetti dalla malattia (1, 2). L'en- Reumatismo, 2009; 61(1):48-53

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Section: Discussioneunclassified

Analysis of foot structural damage in rheumatoid arthritis: clinical evaluation by validated measures and serological correlations

Biscontini¹,

Bocci²,

Gerli³

2011

Reumatismo

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“…Both parameters were considered because previous studies have found a strong correlation between these parameters and a number of pathological conditions [2,14,15], and because they are calculated in a different way. The PP determined by the software represents the highest pressure recorded by one of the four sensors of the mask.…”

Section: Methodsmentioning

confidence: 99%

“…Plantar pressure measurement equipment is used in many areas of health science [1][2][3][4][5]. This equipment is now considered to be an invaluable tool in the assessment of 'feet at risk' [6] and in integrated biomechanical approaches combining EMG, 3D motion analysis and force plate [7,8].…”

Section: Introductionmentioning

confidence: 99%

Inter- and intra-observer reliability of masking in plantar pressure measurement analysis

et al. 2009

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“…The distribution and magnitude of plantar FP can provide useful information for diagnosing the various foot disorders [9][10][11] . Study of foot biomechanics reported that variation of plantar FP is useful for determining abnormal gait 12) .…”

Section: Introductionmentioning

confidence: 99%

Analysis of Plantar Foot Pressure during the Non-crutch, Two-point, and Four-point Crutch Gait performed by Healthy Volunteers

Lee

Kim

et al. 2011

J Phys Ther Sci

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Abstract.[Purpose] The measurement of foot pressure (FP) is widely used for the evaluation of gait. The fluctuating changes of FP parameters according to various types of crutch gait, however, are not fully understood. This study examined the changes of FP during normal, two-point, and four-point crutch gait of healthy volunteers.[Subjects] The subjects were thirty-three adults who were 26.5 ± 1.4 years old, weighed 64.2 ± 10.3 kg, and were 168.8 ± 8.7 cm in height.[Methods] FP parameters were collected by a force plate with 2,304 resistive sensors. Regional plantar FP, trajectories of center of pressure (COP) in the anterior-posterior (AP) and the medio-lateral (ML) directions, contact time of foot on the ground, and the relative durations of sub-stages of the stance phase were measured during gait with or without a crutch.[Results] The regional plantar FP significantly decreased during two-point and four-point crutch gait compared with that during normal gait in the AP direction and overall. Analyzed by its trajectory, displacement of COP in the AP direction was significantly smaller during four-point gait than during normal gait. Contact time during two-point and four-point gait was significantly longer than during normal gait. Also, the relative duration of heel contact stage during four-point gait was significantly smaller than during normal gait. The relative durations of the midstance stage during two-point and fourpoint gait, however, were longer than that of normal gait. [Conclusion] These results suggest that types of gait with or without a crutch affect the fluctuation of FP and that may lead to a change of body position and gait pattern. The present data therefore may be useful for understanding the variations of crutch gait.

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Assessment of foot impairment in rheumatoid arthritis patients by dynamic pedobarography

Cited by 47 publications

References 30 publications

Analysis of foot structural damage in rheumatoid arthritis: clinical evaluation by validated measures and serological correlations

Analysis of foot structural damage in rheumatoid arthritis: clinical evaluation by validated measures and serological correlations

Inter- and intra-observer reliability of masking in plantar pressure measurement analysis

Analysis of Plantar Foot Pressure during the Non-crutch, Two-point, and Four-point Crutch Gait performed by Healthy Volunteers

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