Foot static disturbances and clinical features in overweight patients with rheumatoid arthritis

Kuryliszyn-Moskal, Anna; Hryniewicz, Anna; Bagiński, Norbert; Moskal-Jasińska, Diana; Dzięcioł-Anikiej, Zofia; Dzięcioł, J

doi:10.5114/aoms.2020.94971

Cited by 9 publications

(9 citation statements)

References 21 publications

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“…The increased risk of falls in patients with RA and OA is associated with the presence of pain, joint deformities, limited physical activity and muscle strength, and disturbances in gait and postural control. Proprioception disorders as a component of the postural control system lead to an increased risk of falls [ 41 , 42 , 43 , 44 , 45 ]. In our study, 42.0% of patients with RA and 41.4% of patients with OA had a fall history within the last year, and this rate is in agreement with other studies.…”

Section: Discussionmentioning

confidence: 99%

What Influences Proprioceptive Impairments in Patients with Rheumatic Diseases? Analysis of Different Factors

Konarzewski¹,

Konarzewska²,

Kuryliszyn-Moskal

et al. 2023

IJERPH

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Rheumatic diseases lead to postural problems, which increase the risk of falls and lead to greater disability. The aim of the present work is to evaluate posture disorders in patients with osteoarthritis (OA) and rheumatoid arthritis (RA), as well as to evaluate the influence of other factors. A total of 71 subjects were enrolled in this study. Joint position sense (JPS) and the functional assessment of proprioception on a balance platform for both lower limbs were examined. The Average Trace Error (ATE), test time (t), and Average Platform Force Variation (AFV) were calculated. Additionally, an equilibrium test was carried out in the one-legged standing position (Single Leg Stance—SLS). The results were compared in several ways and revealed the following: (1) A JPS of 10° plantar flexion in RA obtained significantly worse results when repeating the movement than OA; the ATEs were significantly lower in RA; and RA needed more support during SLS assessment. (2) RA patients with higher DAS28 had statistically significantly higher values in JPS, with 5° plantar flexion and 10° dorsal flexion, SLS assessment, and stabilometric rates. A statistically significant correlation between DAS28 and RA was found in a JPS of 10° plantar flexion. The VAS ruler demonstrated a significant moderate correlation with t. (3) Patients who experienced at least one fall demonstrated higher JPS and t. Our study shows that proprioception is the most influenced by the nature of the disease and the level of disease activity. We can see that the stability and balance functions are also greatly influenced by the patient’s falling experience and the level of pain. These findings may be useful in designing an optimal proprioception-enhancing movement training plan.

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Section: Discussionmentioning

confidence: 99%

What Influences Proprioceptive Impairments in Patients with Rheumatic Diseases? Analysis of Different Factors

Konarzewski¹,

Konarzewska²,

Kuryliszyn-Moskal

et al. 2023

IJERPH

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“…It is very important to undertake comprehensive therapy of the knee joint to prevent functional changes in other adjacent joints, e.g., in the joints of the feet, which may be affected by RA, as they play a very important role in maintaining proper body posture and movement [ 48 , 49 , 50 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Effectiveness of Iontophoresis with Perskindol Gel in Patients with Osteoarthritis of the Knee Joints

Dakowicz

Dzięcioł-Anikiej

Hryniewicz

et al. 2022

IJERPH

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Introduction: Osteoarthritis (OA) is one of the most common causes of pain in the musculoskeletal system leading to disability. The basic principle of the therapy is the simultaneous use of pharmacological and non-pharmacological treatments. The aim of this study was to evaluate the effectiveness of galvanic and iontophoresis treatments with Perskindol Active Classic Gel (Perskindol) in patients with OA of the knee joints. Moreover, a comparative evaluation of the effectiveness of the application was performed depending on the selection of the active electrode. Material and Methods: The study included 100 patients with gonarthrosis, treated at the Rehabilitation Clinic of the Białystok University Hospital. Three groups were randomly selected: in group I (n = 33), anodic galvanic treatment was applied, group II (n = 33) received iontophoresis with Perskindol gel from the negative pole (“−” iontophoresis), and group III (n = 34) received iontophoresis with Perskindol gel from the positive pole (“+” iontophoresis). The VAS, the Laitinen questionnaire, the Lequesne Index, the Lysholm questionnaire, and the SF-36v2 health survey were used for the clinical evaluation of the patients. Results: In the group of patients who underwent iontophoresis with the use of Perskindol gel introduced from the positive pole, a statistically significant improvement was shown in all the assessed parameters in comparison to the patients who underwent anodic galvanic treatment. Conclusions: The most favorable effect of iontophoresis was observed in the case of iontophoresis with Perskindol gel introduced from the positive pole.

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“…Further studies of issues related to childhood obesity and foot pain, based on a longitudinal and analytical design, are necessary. In addition, health-related quality of life or even in another chronic diseases as the case of arthritis rheumatoid, risk of fall or infection can be affected by obesity in the general population or children [32][33][34].…”

Section: Discussionmentioning

confidence: 99%

Influence of childhood overweight and obesity on foot and lower limb pain in a population of primary school children

et al. 2020

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Introduction: In childhood, juvenile obesity affects the functional characteristics of the lower limb, predisposing children to pain, discomfort and musculoskeletal comorbidities. This cross-sectional descriptive study analyses the relationship between childhood overweight/obesity and foot/lower limb pain in a population of primary school children. Material and methods: The study population consisted of 150 children aged 9-12 years recruited at a primary school in Malaga (Spain). None had pathologic feet. Anthropometric and demographic data were compiled by questionnaire and by personal interview. Among other variables, the foot posture index was calculated and knee alignment was measured. In the statistical analysis, the dependent variables considered were foot and lower limb pain, and the predictor variables were age, sex, body mass index, sports activity, foot posture index and knee alignment. A descriptive analysis of these variables was performed, together with an association analysis (using the c 2 test) and a multivariate analysis (using binary logistic regression). Results: In the study sample, 47.3% were girls, 15.3% were overweight and 12.7% obese. The overall prevalence of foot pain was 10.7% and that of lower limb pain, 27.3%. Of the study variables analyzed, the only ones significantly related to both foot pain and lower limb pain were overweight and obesity. Conclusions: Overweight and obesity are the main factors related to pain in the feet and lower limbs in primary school children.

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Foot static disturbances and clinical features in overweight patients with rheumatoid arthritis

Cited by 9 publications

References 21 publications

What Influences Proprioceptive Impairments in Patients with Rheumatic Diseases? Analysis of Different Factors

What Influences Proprioceptive Impairments in Patients with Rheumatic Diseases? Analysis of Different Factors

Evaluation of the Effectiveness of Iontophoresis with Perskindol Gel in Patients with Osteoarthritis of the Knee Joints

Influence of childhood overweight and obesity on foot and lower limb pain in a population of primary school children

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