Forefoot pathology in relation to plantar pressure distribution in patients with rheumatoid arthritis: A cross-sectional study in the Amsterdam Foot cohort

Konings-Pijnappels, A.; Tenten-Diepenmaat, Marloes; Dahmen, Rutger; Verberne, S.K.; Dekker, Joost; Twisk, Jos W. R.; Roorda, Leo D.; Leeden, M. van der

doi:10.1016/j.gaitpost.2018.12.015

Cited by 14 publications

(17 citation statements)

References 24 publications

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“…Before the examination, the foot sole should be divided into regions by choosing one of the existing classifications based on the regional anatomic differences in the plantar pressure [40,41]. In some studies, the examination is limited to a part of the foot sole, e.g., the forefoot [42][43][44], or the anatomic region, e.g., hindfoot [45], leaving out other parts. The division of the plantar surface is made individually for each patient since the foot length must be considered.…”

Section: Pedobarographic Measurementsmentioning

confidence: 99%

Pedobarography: A Review on Methods and Practical Use in Foot Disorders

2021

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Pedobarographic examination is a non-invasive method that enables the quantitative and qualitative evaluation of plantar pressure distribution, notably the plantar pressure distribution, referring to the function of the entire musculoskeletal system. This is a scoping review that aims to update knowledge on the practical use of pedobarography in foot disorders. We also attempted to systematize the methodological principles of conducting the pedobarographic examination. We searched Medline/PubMed, Embase, Web of Science, and the Cochrane Database of Systematic Reviews for the articles on the methodology of pedobarography. The search encompassed clinical trials, randomized controlled trials, meta-analyses, and reviews published in English between January 1982 and February 2021. The literature distinguishes three different types of examinations: static, postural, and dynamic. The rationale for each is presented. The review pointedly shows the unique use of pedobarography for the quantitative and qualitative evaluations of the plantar pressure distribution. It also points to the need for enhancing the awareness among medical professionals of the method and advantages it provides for patient management. Shortcomings of the method are discussed of which the difficulty in establishing the cause-and-effect relationship of foot disorders is the most disturbing as it limits the comparative verification of results of different studies. There also appears a need for developing standardized algorithmic protocols and recommendations to seamlessly perform pedobarography in clinical settings, which would help make wider use of this valuable tool.

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Section: Pedobarographic Measurementsmentioning

confidence: 99%

Pedobarography: A Review on Methods and Practical Use in Foot Disorders

2021

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“…In a previous study, we reported a significant correlation between plantar pressure, dislocation, and callosity, and that dislocation or callosity could be quantitated by plantar pressure measurement [ 11 ]. Konings-Pijnappels et al also concluded that forefoot deformity is related to high plantar pressure [ 12 ]. These studies seem to indicate that plantar pressure at a callosity site would decrease following reconstructive surgery.…”

Section: Introductionmentioning

confidence: 99%

The Combination of Modified Mitchell’s Osteotomy and Shortening Oblique Osteotomy for Patients with Rheumatoid Arthritis: An Analysis of Changes in Plantar Pressure Distribution

Lee

Ishikawa

Shibuya

et al. 2021

IJERPH

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The present study aims to evaluate changes in plantar pressure distribution after joint-preserving surgery for rheumatoid forefoot deformity. A retrospective study was performed on 26 feet of 23 patients with rheumatoid arthritis (RA) who underwent the following surgical combination: modified Mitchell’s osteotomy (mMO) of the first metatarsal and shortening oblique osteotomy of the lateral four metatarsals. Plantar pressure distribution and clinical background parameters were evaluated preoperatively and one year postoperatively. A comparison of preoperative and postoperative values indicated a significant improvement in the visual analog scale, Japanese Society for Surgery of the Foot scale, and radiographic parameters, such as the hallux valgus angle. A significant increase in peak pressure was observed at the first metatarsophalangeal joint (MTPJ) (0.045 vs. 0.082 kg/cm2; p < 0.05) and a significant decrease at the second and third MTPJs (0.081 vs. 0.048 kg/cm2; p < 0.05, 0.097 vs. 0.054 kg/cm2; p < 0.05). While overloading at the lateral metatarsal heads following mMO has been reported in previous studies, no increase in peak pressure at the lateral MTPJs was observed in our study. The results of our study show that this surgical combination can be an effective and beneficial surgical combination for RA patients with mild to moderate joint deformity.

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“…For example, hallux valgus and flatfoot may be consequences of joint dislocation and erosion (Louwerens & Schrier, 2013), which can further cause callosities to the forefoot (Mochizuki et al, 2020). Moreover, higher plantar pressures are associated with foot problems and deformities in the forefoot (Konings‐Pijnappels et al, 2019). Foot and ankle problems can be serious and often cause difficulties for patients in taking care of their feet and finding proper footwear (Stolt et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Self‐assessed foot health in older people with rheumatoid arthritis—A cross‐sectional study

Stolt

Kilkki

Katajisto

et al. 2021

Int J Older People Nursing

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Background Foot and ankle problems are especially common in patients with RA, causing significant disability and limitation in daily activities. Previous studies have mainly focussed on foot problems in the adult population whilst the evidence of foot health in the older population is scarce. Objectives The aim of the study was to analyse self‐assessed foot health and associated factors in older people with rheumatoid arthritis (RA). Methods The study applied a descriptive cross‐sectional survey design and recruited older people with RA from the member register of one patient association. We collected the data in January 2019 with the Self‐administered Foot Health Assessment Instrument, and sociodemographic and foot‐related background questions and analysed the data with descriptive and inferential statistics. Results Older people with RA had many self‐reported foot problems. The most common problems were foot pain, dry skin and thickened toenails. In addition, structural deformities of the foot were prevalent. The level of foot health associated with the amount of daily walking or standing, and using walking or running shoes outdoors. Individuals who had consulted a physician due to their foot problems had more structural deformities in the foot. Foot problems limited their ability to perform daily activities. Conclusions This study demonstrates that older people with RA not only live with a long‐term health condition, but they also live with complex foot problems. Older people with RA need healthcare services due to their foot problems. There is a need to develop and implement care practices to alleviate foot pain and support and promote foot health and functional ability in older people with RA. Implication for practice Understanding the nature and consequences of foot problems in older people with RA allows healthcare professionals to perform more accurate clinical foot evaluations and develop effective interventions to prevent further foot problems.

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Forefoot pathology in relation to plantar pressure distribution in patients with rheumatoid arthritis: A cross-sectional study in the Amsterdam Foot cohort

Cited by 14 publications

References 24 publications

Pedobarography: A Review on Methods and Practical Use in Foot Disorders

Pedobarography: A Review on Methods and Practical Use in Foot Disorders

The Combination of Modified Mitchell’s Osteotomy and Shortening Oblique Osteotomy for Patients with Rheumatoid Arthritis: An Analysis of Changes in Plantar Pressure Distribution

Self‐assessed foot health in older people with rheumatoid arthritis—A cross‐sectional study

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