Gait patterns in subjects with rheumatoid arthritis cannot be explained by reduced speed alone

Eppeland, Siv Grødal; Myklebust, Grethe; Hodt-Billington, Caroline; Moe‐Nilssen, Rolf

doi:10.1016/j.gaitpost.2008.11.010

Cited by 34 publications

(27 citation statements)

References 26 publications

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“…The GAITRite™ was positioned in a large room to allow the participant to begin walking 1m before the walkway and continue walking 1m past its end to ensure a constant walking velocity. Following an initial test-walk to familiarise the participant with the walkway, each participant was instructed to walk barefoot along the walkway at two different speeds specified with the following instructions: (1) ''Walk at A c c e p t e d M a n u s c r i p t 7 your normal, preferred speed''; and (2) ''Walk as fast as you can safely walk, but do not run'' [19].…”

Section: Methodsmentioning

confidence: 99%

Foot-related pain and disability and spatiotemporal parameters of gait during self-selected and fast walking speeds in people with gout: A two-arm cross sectional study

et al. 2016

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Please cite this article as: Stewart S, Morpeth T, Dalbeth N, Vandal AC, Carroll M, Davidtz L, Mawston G, Otter S, Rome K, Foot-related pain and disability and spatiotemporal parameters of gait during self-selected and fast walking speeds in people with gout: a two-arm cross sectional study, Gait and Posture (2015), http://dx.doi.org/10.1016/j.gaitpost. 2015.11.004 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Method Gait parameters were measured using the GAITRite™ walkway in 20 gout participants and 20 age-and sex-matched controls during self-selected and fast walking speeds. Foot-pain and disability was measured using the Manchester Foot Pain and Disability Index (MFPDI) which contains four domains relating to function, physical appearance, pain and work/leisure.Results At the self-selected speed, gout participants demonstrated increased step time (p=0.017), and stance time (p=0.012), and reduced velocity (p=0.031) and cadence (p=0.013). At the fast speed, gout participants demonstrated increased step time (p=0.007), swing time (p=0.005) and stance time (p=0.019) and reduced velocity (p=0.036) and cadence (p=0.009). For participants with gout, step length was correlated with total MFPDI (r=-0.62, p=0.008), function (r=-0.65, p=0.005) and physical appearance (r=-0.50, p=0.041); stride length was correlated with total MFPDI (r=-0.62, p=0.008), function (r=-0.65, p=0.005) and physical appearance (r=-0.50, p=0.041); and velocity was correlated with total MFPDI (r=-0.60, p=0.011), function (r=-0.63, p=0.007) and work/leisure (r=-0.53, p=0.030). ConclusionGait patterns exhibited by people with gout are different from controls during both selfselected and fast walking speeds, even after adjusting for BMI and foot-pain. Additionally, gait parameters were strongly correlated with patient-reported functional limitation, physical appearance and work/leisure difficulties, while pain did not significantly influence gait in people with gout.

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Section: Methodsmentioning

confidence: 99%

Foot-related pain and disability and spatiotemporal parameters of gait during self-selected and fast walking speeds in people with gout: A two-arm cross sectional study

et al. 2016

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“…Foot pathology in RA often results in poor physical functioning due to both structural and functional impairments [7]. Although disease activity can decline in RA, many people still suffer from reduced participation in activities of daily living and disability [8]. RA-related impairments and reduced physical functioning can also lead to an increased fear of falling; subsequently reducing quality of life and activity participation and increasing disability [9].…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2015

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“…When corrective measures were applied (i.e. orthoses or corrective surgery), both plantar pressure distribution and clinical signs and symptoms can improve, but are not necessarily correlated [28][29][30][31] .…”

Section: Resultsmentioning

confidence: 99%

“…Tibialis posterior is able to stabilise the medial arch 28 . Due to the medial and lateral moment arm of the Tibialis posterior and anterior and the Peronei around the ankle, the muscles provide transverse plane motion of the leg with respect to the foot 29 .…”

Section: Kinematic Coupling Relationshipsmentioning

confidence: 99%

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Towards a better understanding of foot and ankle kinematics in rheumatoid arthritis : the effects of walking speed and structural impairments

Dubbeldam¹

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Gait patterns in subjects with rheumatoid arthritis cannot be explained by reduced speed alone

Cited by 34 publications

References 26 publications

Foot-related pain and disability and spatiotemporal parameters of gait during self-selected and fast walking speeds in people with gout: A two-arm cross sectional study

Foot-related pain and disability and spatiotemporal parameters of gait during self-selected and fast walking speeds in people with gout: A two-arm cross sectional study

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

Towards a better understanding of foot and ankle kinematics in rheumatoid arthritis : the effects of walking speed and structural impairments

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