Association of Decreased Physical Activity with Rheumatoid Mid-Hindfoot Deformity/Destruction.
Association of Decreased Physical Activity with Rheumatoid Mid-Hindfoot Deformity/Destruction.
复制标题
DOI：
10.3390/ijerph181910037
复制
发表时间：
2021-09-24
影响因子：
--
通讯作者：
Hashimoto J
中科院分区：
文献类型：
--
作者：
Noguchi T;Hirao M;Tsuji S;Ebina K;Tsuboi H;Etani Y;Akita S;Hashimoto J
足部/脚踝问题仍然是类风湿性关节炎(RA)患者的重要问题。虽然前足畸形通常在外科治疗中占主要地位，但伴随的后足中部畸形也很常见。在这种情况下，很容易忽视后足中部畸形也会导致或加剧前足事件背后的临床问题。因此，研究了后足中部畸形/破坏与体力活动/日常生活活动能力的关系。对59例101条小腿的X线表现进行了回顾分析。测量两组患者的下肢对位参数和关节破坏分级(Larsen分级)。采用计时起跑试验(TUG)、改良健康评估问卷(MHAQ)、疼痛、足踝自述评分(SAFE-Q)和类风湿关节炎(RA)疾病活动性来评估临床状态。对这些参数之间的关系进行了评价。距下关节破坏与牵引时间(r=0.329)、mHAQ评分(r=0.338)和安全问答：社会功能(r=0.332)相关。拔牙时间与HKA(r=−0.527)、距第一跟骨角(r=0.64)、跟骨俯仰角(r=−0.433)、M1-M5A(r=−0.345)、M2-M5A(r=−0.475)呈正相关。在多元线性回归分析中，牵引时间与距第一跟骨角有较强的相关性(β=0.452)，与跟骨俯仰角呈负相关(β=−0.326)。踝关节破坏也与拖拽时间相关(β=0.214)。后足中部结构问题或状况的发展，特别是扁平足畸形，与类风湿关节炎患者体力活动减少有关。在RA的治疗中，从后足中部畸形/破坏的早期开始，就应考虑佩戴鞋垫(足弓支撑)作为预防措施和短足锻炼。
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 metatarsal angle (r = 0.64), calcaneal pitch angle (r = −0.433), M1-M5A (r = −0.345), and M2-M5A (r = −0.475). On multivariable linear regression analysis, TUG time had a relatively strong correlation with the talo-1st metatarsal angle (β = 0.452), and was negatively correlated with calcaneal pitch angle (β = −0.326). Ankle joint destruction was also correlated with TUG time (β = 0.214). Development of structural problems or conditions in mid-hindfoot, especially flatfoot deformity, were related with decreased physical activity in RA patients. Wearing an insole (arch support) as a preventative measure and short foot exercise should be considered from the early phase of deformity/destruction in the mid-hindfoot in the management of RA.
登录
查看更多内容
影响因子：
2.2
作者：
Hirao, Makoto;Ebina, Kosuke;Yoshikawa, Hideki
通讯作者：
Yoshikawa, Hideki
影响因子：
1.3
作者：
Tovaruela-Larrion, Natalia;Becerro-de-Bengoa-Vallejo, Ricardo;Lopez-Lopez, Daniel
通讯作者：
Lopez-Lopez, Daniel
影响因子：
2.2
作者：
Yamada, Shutaro;Hirao, Makoto;Hashimoto, Jun
通讯作者：
Hashimoto, Jun
在类风湿关节炎病例中校正后足外侧畸形对踝关节疼痛缓解的影响：两例报告。
影响因子：
0.8
作者：
Hirao M;Tsuboi H;Akita S;Matsushita M;Ohshima S;Saeki Y;Hashimoto J
通讯作者：
Hashimoto J
DOI：
10.1111/j.1532-5415.1991.tb01616.x
发表时间：
1991-02-01
影响因子：
6.3
作者：
PODSIADLO, D;RICHARDSON, S
通讯作者：
RICHARDSON, S