IJERPH, Vol. 18, Pages 10037: Association of Decreased Physical Activity with Rheumatoid Mid-Hindfoot Deformity/Destruction

IJERPH, Vol. 18, Pages 10037: Association of Decreased Physical Activity with Rheumatoid Mid-Hindfoot Deformity/Destruction International Journal of Environmental Research and Public Health doi: 10.3390/ijerph181910037 Authors: Takaaki Noguchi Makoto Hirao Shigeyoshi Tsuji Kosuke Ebina Hideki Tsuboi Yuki Etani Shosuke Akita Jun Hashimoto Foot/ankle problems remain important issues in rheumatoid arthritis (RA) patients. Although forefoot deformity generally takes a major place in surgical treatment, concomitant mid-hindfoot deformity is also commonly seen. In this situation, it can be easy to overlook that mid-hindfoot deformity can also induce or exacerbate clinical problems behind the forefoot events. Thus, the relationship between mid-hindfoot deformity/destruction and physical activity/ADL was investigated. Radiographic findings of 101 lower limbs (59 patients) were retrospectively evaluated. Alignment parameters in the lower extremity and joint destruction grade (Larsen grade) were measured. The timed-up-and-go (TUG) test, modified health assessment questionnaire (mHAQ), pain, self-reported scores for the foot and ankle (SAFE-Q), and RA disease activity were investigated to assess clinical status. The relationships among these parameters were evaluated. Subtalar joint destruction was correlated with TUG time (r = 0.329), mHAQ score (r = 0.338), and SAFE-Q: social functioning (r = 0.332). TUG time was correlated with the HKA (r = −0.527), talo-1st m...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research