Foot problems in psoriatic arthritis: high burden and low care provision

Hyslop, Elaine; McInnes, Iain B.; Woodburn, James; Turner, Deborah E.

doi:10.1136/ard.2009.111971

Cited by 46 publications

(52 citation statements)

References 3 publications

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“…In general terms, small SEM values were found for most kinematic variables but with wide 95% CIs in some cases. Heel pain associated with enthesitis involving the Achilles tendon and plantar fascia is found in approximately one-quarter to half of all PsA patients [2,3]. The anatomical basis for the role of mechanical stresses at these two sites has been described in detail by Benjamin and McGonagle [7,16].…”

Section: Characteristicmentioning

confidence: 98%

“…These global gait metrics are reliably measured in PsA and provide the basis for differentiating normal and abnormal function, measuring change over time, and as functional outcome in interventions studies. Inflammatory metatarsalgia, dactylitis, and plantar heel pain have been reported in PsA [2,3]. If localised foot pain leads to adapted gait then important metrics such as Table 2 Mean (range) coefficient of multiple correlation (CMC) for inter-segmental kinematic data; ground reaction forces and ankle moments and power.…”

Section: Characteristicmentioning

confidence: 99%

“…Drawing on experience from a clinical survey and gait analysis in rheumatoid arthritis, a conceptual model was developed to map PsA foot and ankle impairments to altered gait function [2,4,5,10,11]. This enabled a 'core-set' of functional variables to be formed a priori.…”

Section: Foot and Ankle Biomechanical Analysismentioning

confidence: 99%

“…Typical features such as arthritis, dactylitis, enthesitis and tendinopathy as well as skin psoriasis and nail dystrophy commonly present in the feet [2,3]. Disabling foot pain occurs in approximately two-thirds of patients and overall the burden of disease is similar to that reported in rheumatoid arthritis [2]. These localised features, combined with proximal joint disease and sacroiliitis, and systemic features such as pain and fatigue, may lead to degraded and adapted gait patterns.…”

Section: Introductionmentioning

confidence: 95%

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A reliability study of biomechanical foot function in psoriatic arthritis based on a novel multi-segmented foot model

et al. 2010

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Section: Characteristicmentioning

confidence: 98%

Section: Characteristicmentioning

confidence: 99%

Section: Foot and Ankle Biomechanical Analysismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 95%

See 2 more Smart Citations

A reliability study of biomechanical foot function in psoriatic arthritis based on a novel multi-segmented foot model

et al. 2010

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“…Disease activity can be assessed by evaluating synovial proliferation, joint effusion, synovial hyperemia, and changes on bone surfaces (cortical changes including periost reactions). Entheses and tendon involvement are characteristic features of the spondyloarthritides, probably most prominent in PsA, accessible mostly on the plantar fascia and Achilles tendon insertion (26). A consensus definition of enthesopathy has been suggested by Outcomes Measures in Rheumatology (OMERACT) group, which defined enthesopathy as "abnormally hypoechoic (loss of normal fibrillar architecture) and/or thickened tendon or ligament at its bony attachment, seen in two perpendicular planes that may exhibit Doppler signal and/or bony changes including enthesophytes, erosions, or irregularity" (3).…”

Section: Psoriatic Arthritismentioning

confidence: 99%

Doppler US in rheumatic diseases with special emphasis on rheumatoid arthritis and spondyloarthritis

Toprak

Kılıç

Serter³

et al. 2013

Diagn Interv Radiol

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Developments in digital ultrasonography (US) technology and the use of high-frequency broadband transducers have increased the quality of US imaging, particularly of superficial tissues. Thus, US, particularly color US or power Doppler US, in which high-resolution transducers are used, has become an important imaging modality in the assessment of rheumatic diseases. Furthermore, therapeutic interventions and biopsies can be performed under US guidance during the assessment of lesions. In this era of effective treatments, such as biologics, improvements in synovial inflammation in rheumatoid arthritis as well as changes in enthesitis in spondyloarthropathies, including ankylosing spondylitis and psoriatic arthritis, can be monitored effectively using gray-scale and/ or power Doppler US. US is also a good imaging modality for crystal arthropathies, including gout and pseudogout, in which synovitis, erosions, tophi, and crystal deposition within or around the joint can be visualized readily. Vascular and tenosynovial structures, as well as the salivary glands, can be assessed with US in vasculitis and connective tissue disorders, including systemic lupus erythematosus and Sjögren's syndrome. Current research is focused on improving the sensitivity, specificity, validity, and reproducibility of US findings. In this review, we summarized the role of US, particularly power Doppler US, in rheumatic diseases and inflammation in superficial tissues.

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Footwear Experiences of People With Chronic Musculoskeletal Diseases

Hendry

Brenton‐Rule

Barr

et al. 2015

Arthritis Care & Research

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Objective. Foot pain and deformities are frequently reported by people with chronic musculoskeletal diseases, but only limited research has been conducted to explore the key issues concerning footwear difficulties in this population. The aim of this study is to explore, identify, and describe the main issues surrounding the footwear experiences of people with chronic musculoskeletal diseases. Methods. A qualitative manifest content analysis of open-ended survey responses concerning footwear experiences was conducted from a national footwear survey of people with chronic musculoskeletal diseases in New Zealand. Eighty-five respondents submitted usable responses. Specific statements in the text were identified as units of analysis prior to coding and organizing these units into emerging mutually exclusive categories. Content analysis was independently undertaken by 3 researchers, and the final categories and coding were achieved through consensus. Frequencies of assigned units of analysis were calculated in order to obtain a quantitative description for each category. Results. Four categories encompassing a total of 9 subcategories related to the footwear experiences of respondents emerged from the qualitative data content analysis: difficulty finding appropriate footwear; dissatisfaction with therapeutic footwear provision and foot care access; high costs of footwear, foot care, and self-care; and satisfaction with therapeutic footwear and foot care. Conclusion. Key categories describing the important issues surrounding the footwear experiences of respondents with chronic musculoskeletal diseases were identified, which may provide important targets for improving footwear and foot care services and self-management strategies.

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Foot problems in psoriatic arthritis: high burden and low care provision

Cited by 46 publications

References 3 publications

A reliability study of biomechanical foot function in psoriatic arthritis based on a novel multi-segmented foot model

A reliability study of biomechanical foot function in psoriatic arthritis based on a novel multi-segmented foot model

Doppler US in rheumatic diseases with special emphasis on rheumatoid arthritis and spondyloarthritis

Footwear Experiences of People With Chronic Musculoskeletal Diseases

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