Development of a foot impact scale for rheumatoid arthritis

Helliwell, Philip S.; Reay, Naomi; Gilworth, Gill; Redmond, Anthony; Slade, Anita; Tennant, Alan; Woodburn, James

doi:10.1002/art.21176

Cited by 109 publications

(136 citation statements)

References 14 publications

Supporting

Mentioning

133

Contrasting

Unclassified

Order By: Relevance

“…Patient-reported foot disability and impairment were measured using the Leeds Foot Impact Scale (LFIS), a validated measure of the impact of foot disease in RA [19]. Foot disability was represented by the total score (LFIS T ; range 0 to 51) of the LFIS and foot impairment by the first subscale (LFIS IF ; range 0 to 21) [19].…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Fear of falling and foot pain, impairment and disability in rheumatoid arthritis: a case-control study

et al. 2015

View full text Add to dashboard Cite

show abstract

Section: Methodsmentioning

confidence: 99%

“…Foot disability was represented by the total score (LFIS T ; range 0 to 51) of the LFIS and foot impairment by the first subscale (LFIS IF ; range 0 to 21) [19]. Scores of ≤ 6 were considered mild, from 7-13 were considered moderate, and ≥14…”

Section: Methodsmentioning

confidence: 99%

Fear of falling and foot pain, impairment and disability in rheumatoid arthritis: a case-control study

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Foot impairment and disability were measured using the Leeds Foot Impact Scale (LFIS) (18). This is a self-completed questionnaire that was developed to evaluate foot health status in patients with rheumatoid arthritis.…”

Section: Methodsmentioning

confidence: 99%

Foot pain, impairment, and disability in patients with acute gout flares: A prospective observational study

Rome¹,

Frecklington²,

McNair³

et al. 2012

Arthritis Care & Research

View full text Add to dashboard Cite

Objective. To evaluate the impact of acute gout on foot pain, impairment, and disability. Methods. This prospective observational study recruited 20 patients with acute gout flares. Patients were recruited from emergency departments, hospital wards, and rheumatology outpatient clinics throughout Auckland, New Zealand. Patients were recruited at the time of the flare (baseline visit) and then reassessed at a followup visit once the acute flare had resolved 6 -8 weeks after the initial assessment. Swollen and tender joint counts, C-reactive protein levels, and serum urate levels were recorded at both visits. General and foot-specific outcome measures were also recorded at each visit, including pain visual analog scale, Health Assessment Questionnaire II, Lower Limb Tasks Questionnaire, and Leeds Foot Impact Scale. Results. The foot was affected by acute gout in 17 patients (85%). Objective measures of joint inflammation, includingswollen and tender joint counts and C-reactive protein levels, significantly improved at the followup visit compared with the baseline visit. At baseline, high levels of foot pain, impairment, and disability were reported. All patient-reported outcome measures of general and foot-specific musculoskeletal function improved at the followup visit compared with the baseline visit. However, pain, impairment, and disability scores did not entirely normalize after resolution of the acute gout flare. Conclusion. Patients with acute gout flares experience severe foot pain, impairment, and disability. These data provide further support for improved management of gout to prevent the consequences of poorly controlled disease.

show abstract

“…In order to quantify current disease activity, a Disease Activity Score (DAS44) was used 16 . A 100-mm visual analog scale (VAS) score, with the anchors "no pain" and "worst pain imaginable," was recorded for current pain across the plantar MTP joint area 17 , and patients completed the Leeds Foot Impact Scale (LFIS), a self-completed foot health outcome tool for RA 18 . The LFIS has 51 items in 2 domains to assess impairment and footwear (LFIS IF ), and activity and participation (LFIS AP ).…”

Section: Recruitment Of Patientsmentioning

confidence: 99%

Magnetic Resonance Arthrography of Lesser Metatarsophalangeal Joints in Patients with Rheumatoid Arthritis: Relationship to Clinical, Biomechanical, and Radiographic Variables

Siddle

Hodgson

O’Connor³

et al. 2012

J Rheumatol

View full text Add to dashboard Cite

Objective.Our exploratory study of painful lesser metatarsophalangeal (MTP) joints in patients with rheumatoid arthritis (RA) primarily aimed to compare the clinical, biomechanical, and plain radiography findings with magnetic resonance (MR) arthrography findings. Our secondary aim was to compare standard unenhanced MR with MR arthrography in imaging the lesser MTP joints in RA.Methods.In 15 patients with RA, the more symptomatic forefoot was imaged using 3T MR imaging. Proton density fat-suppressed images were acquired through the lesser MTP joints prior to arthrography. Under ultrasound guidance, contrast agent was injected into 2 lesser MTP joints. T1-weighted fat-suppressed sequences were subsequently acquired. The MR images were read by 2 musculoskeletal radiologists and consensus was reached. Spearman’s correlation coefficient was used to assess the association between abnormalities seen on MR arthrography and the clinical, biomechanical, and plain radiography findings.Results.MR arthrography demonstrated pathology at 18 of 28 lesser MTP joints (64%) examined in patients with RA. MR arthrography abnormalities were associated with RA disease duration, forefoot deformity, Larsen score, subluxation, and peak plantar pressure. Unenhanced MR had a sensitivity of 78% and specificity of 90% for detecting pathology compared to MR arthrography.Conclusion.Capsule and plantar plate pathology occurs in the painful forefoot of patients with RA and is associated with features of disease and deformity at the lesser MTP joints. Compared with MR arthrography, standard MR imaging was highly specific and moderately sensitive for diagnosing lesser MTP joint pathology in patients with RA.

show abstract

Development of a foot impact scale for rheumatoid arthritis

Abstract: Objective. To develop a new foot impact scale to assess foot status in rheumatoid arthritis (RA) using established qualitative methodology and the latest item response techniques (Rasch analysis).

Cited by 109 publications

References 14 publications

Fear of falling and foot pain, impairment and disability in rheumatoid arthritis: a case-control study

Fear of falling and foot pain, impairment and disability in rheumatoid arthritis: a case-control study

Foot pain, impairment, and disability in patients with acute gout flares: A prospective observational study

Magnetic Resonance Arthrography of Lesser Metatarsophalangeal Joints in Patients with Rheumatoid Arthritis: Relationship to Clinical, Biomechanical, and Radiographic Variables

Contact Info

Product

Resources

About