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Symmetry Criterion for Patients with Rheumatoid Arthritis of the Foot: A Cross-Sectional Study

Objective: The aim of the study was to analyze the feet of rheumatoid arthritis (RA) patients, to determine the degree to which both feet were affected, primarily analyzing the severity of RA in both feet looking at structure and morphology, and secondly looking at the symmetry in terms of the anthr...

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Autores principales: Sanchez-Castillo, Jose Alberto, Reinoso-Cobo, Andres, Gijon-Nogueron, Gabriel, Caliz-Caliz, Rafael, Exposito-Ruiz, Manuela, Ramos-Petersen, Laura, Ortega-Avila, Ana Belen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8036999/
https://www.ncbi.nlm.nih.gov/pubmed/33807259
http://dx.doi.org/10.3390/ijerph18073619
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author Sanchez-Castillo, Jose Alberto
Reinoso-Cobo, Andres
Gijon-Nogueron, Gabriel
Caliz-Caliz, Rafael
Exposito-Ruiz, Manuela
Ramos-Petersen, Laura
Ortega-Avila, Ana Belen
author_facet Sanchez-Castillo, Jose Alberto
Reinoso-Cobo, Andres
Gijon-Nogueron, Gabriel
Caliz-Caliz, Rafael
Exposito-Ruiz, Manuela
Ramos-Petersen, Laura
Ortega-Avila, Ana Belen
author_sort Sanchez-Castillo, Jose Alberto
collection PubMed
description Objective: The aim of the study was to analyze the feet of rheumatoid arthritis (RA) patients, to determine the degree to which both feet were affected, primarily analyzing the severity of RA in both feet looking at structure and morphology, and secondly looking at the symmetry in terms of the anthropometrics and posture. Method: This cross-sectional study was conducted from January to December 2018. The data from 229 patients with RA and with foot pain and no RA recruited (Granada, Spain) were analyzed. Two researchers independently interviewed the patients to obtain the study data. The clinical data were obtained using specific foot health and quality of life questionnaires and a validated platform for foot measurement. Anthropometric measurements were obtained by means of a foot measurement platform and the Foot Posture Index (FPI). The bivariate analysis was performed with the Student’s t test and the non-parametric Wilcoxon test. The level of significance was established at p < 0.05. Results: In the RA group, anthropometric measurements revealed significant differences between the left and right feet in 13 of the 23 parameters considered, as follows: (non-load-bearing) foot length, length of the first metatarsophalangeal joint, maximum height of the internal longitudinal arch, and width of the midfoot (p < 0.001, p = 0.038, p < 0.001, and p = 0.037 respectively); and Foot Posture Index (p = 0.001). Conclusions: In patients with RA, statistically significant differences were found in the Foot Posture Index and in several parameters related to foot structure and morphology. From this, we conclude that from a morphological, structural, and postural standpoint, a pattern of symmetric joint involvement should not be viewed as a specific criterion for RA in the foot.
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spelling pubmed-80369992021-04-12 Symmetry Criterion for Patients with Rheumatoid Arthritis of the Foot: A Cross-Sectional Study Sanchez-Castillo, Jose Alberto Reinoso-Cobo, Andres Gijon-Nogueron, Gabriel Caliz-Caliz, Rafael Exposito-Ruiz, Manuela Ramos-Petersen, Laura Ortega-Avila, Ana Belen Int J Environ Res Public Health Article Objective: The aim of the study was to analyze the feet of rheumatoid arthritis (RA) patients, to determine the degree to which both feet were affected, primarily analyzing the severity of RA in both feet looking at structure and morphology, and secondly looking at the symmetry in terms of the anthropometrics and posture. Method: This cross-sectional study was conducted from January to December 2018. The data from 229 patients with RA and with foot pain and no RA recruited (Granada, Spain) were analyzed. Two researchers independently interviewed the patients to obtain the study data. The clinical data were obtained using specific foot health and quality of life questionnaires and a validated platform for foot measurement. Anthropometric measurements were obtained by means of a foot measurement platform and the Foot Posture Index (FPI). The bivariate analysis was performed with the Student’s t test and the non-parametric Wilcoxon test. The level of significance was established at p < 0.05. Results: In the RA group, anthropometric measurements revealed significant differences between the left and right feet in 13 of the 23 parameters considered, as follows: (non-load-bearing) foot length, length of the first metatarsophalangeal joint, maximum height of the internal longitudinal arch, and width of the midfoot (p < 0.001, p = 0.038, p < 0.001, and p = 0.037 respectively); and Foot Posture Index (p = 0.001). Conclusions: In patients with RA, statistically significant differences were found in the Foot Posture Index and in several parameters related to foot structure and morphology. From this, we conclude that from a morphological, structural, and postural standpoint, a pattern of symmetric joint involvement should not be viewed as a specific criterion for RA in the foot. MDPI 2021-03-31 /pmc/articles/PMC8036999/ /pubmed/33807259 http://dx.doi.org/10.3390/ijerph18073619 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Sanchez-Castillo, Jose Alberto
Reinoso-Cobo, Andres
Gijon-Nogueron, Gabriel
Caliz-Caliz, Rafael
Exposito-Ruiz, Manuela
Ramos-Petersen, Laura
Ortega-Avila, Ana Belen
Symmetry Criterion for Patients with Rheumatoid Arthritis of the Foot: A Cross-Sectional Study
title Symmetry Criterion for Patients with Rheumatoid Arthritis of the Foot: A Cross-Sectional Study
title_full Symmetry Criterion for Patients with Rheumatoid Arthritis of the Foot: A Cross-Sectional Study
title_fullStr Symmetry Criterion for Patients with Rheumatoid Arthritis of the Foot: A Cross-Sectional Study
title_full_unstemmed Symmetry Criterion for Patients with Rheumatoid Arthritis of the Foot: A Cross-Sectional Study
title_short Symmetry Criterion for Patients with Rheumatoid Arthritis of the Foot: A Cross-Sectional Study
title_sort symmetry criterion for patients with rheumatoid arthritis of the foot: a cross-sectional study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8036999/
https://www.ncbi.nlm.nih.gov/pubmed/33807259
http://dx.doi.org/10.3390/ijerph18073619
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