Static Foot Disturbances and the Quality of Life of Older Person with Rheumatoid Arthritis

Abstract

Disturbed static foot function is one of the main causes of impaired quality of life, which may be related to the frailty syndrome of older adult patients with Rheumatoid Arthitis (RA). The aim of the study was to evaluate the relationship between parameters of static foot function disturbances and quality of life of older adult patients with RA. The study was performed among 102 patients with RA diagnosed according to the American College of Rheumatology (ACR) and EULAR 2010 criteria. Patients were divided into four subgroups depending on radiological evaluation according to the Steinbrocker classification. Plantoconturography examination was conducted using a podoscope with a 3D scanner and software for computer foot examination CQ ST2K. Quality of life of patients with RA was evaluated using the Arthritis Impact Measurement Scales-2 (AIMS-2). A statistically significant relationship between AIMS-2 and parameters of static foot function disturbances was observed. The study revealed correlations between parameters of disturbed static foot function and RA severity in comparison to disease duration. Our results indicate a relationship between static foot function disturbances and quality of life of patients with RA, not only in the area of physical activity, but also in the social an emotional domain. Study results indicate that plantoconturography and assessment of quality of life using AIMS-2 could be useful as a diagnostic and prognostic tool in RA.

Romatoid Artrit'li Bireylerde Ayak/Ayak Bileği ile İlgili Fonksiyonel Durumun İncelenmesi

“…Katarzyna et al examined the relationship between static foot dysfunction assessed by plantoconturography and quality of life in 102 elderly patients with RA in remission. They found a relationship between static foot dysfunction and physical activity domain and emotional domain of quality of life in patients with RA [26]. Based on this result, we see that foot/ankle problems affect the psychosocial parameters of the person, and we think how important and necessary are the intervention methods for foot/ankle problems.…”

A low-cost podoscope for extracting morphological features of the foot

“…(3) This technique considers ratios( 0.50 _ 0.70) to be normal, whereas ratios over 0.70 to be pes planus [31] Wejsflog's index: which is the foot length to foot width ratio, is used to diagnose transverse flatfoot [32][33][34]. The value of this index remains between 2 and 3, and transverse flatfoot may be identified when it is closer to 2, while it is normal when it is closer to 3 [32][33][34]. it is recommended that assessment of foot posture.…”

Assessment of the frequency and severity of foot deformities in patients with rheumatic diseases

“…Functional foot problems affect about 10-24% of the population, and this prevalence increases in patients with RA. Williams et al [10] report that most RA patients complain of a foot problem even before the disease is diagnosed. Measures to address the problems known as rheumatoid foot have been the subject of many studies.…”

“…According to a study Kaniewska et al [10] conducted on 102 patients with RA, involving static assessment of the feet using a podoscope, a correlation was established between foot deformities and quality of life. The study showed that static foot abnormalities had a significant impact on all areas of quality of life.…”