The Importance of Foot Function Assessment Using the Foot Function Index-Revised Short Form (FFI-RS) Questionnaire in the Comprehensive Treatment of Patients with Rheumatoid Arthritis.

The Importance of Foot Function Assessment Using the Foot Function Index-Revised Short Form (FFI-RS) Questionnaire in the Comprehensive Treatment of Patients with Rheumatoid Arthritis.
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DOI:
10.3390/jcm11092298
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发表时间:
2022-04-20
影响因子:
3.9
通讯作者:
--
中科院分区:
医学2区
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--
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背景足部问题可能对类风湿性关节炎(RA)患者的活动能力产生重大负面影响。它们影响行走和执行日常任务的功能能力。方法.这项研究包括61例RA和足部疼痛或肿胀患者。研究组包括37例足部病变患者(年龄54.3 ± 9.5岁),如超声所示,对照组包括24例足部病变患者(年龄57.3 ± 11.5岁)。患者的健康状况进行了评估与足功能指数修订简表(FFI-RS),波兰版的健康评估量表残疾指数(HAQ-DI),疾病活动度评分28(DAS 28)。结果FFI-RS显示研究组和对照组在总体结果以及疼痛和僵硬子量表方面存在显著差异。随后的分析显示了许多显著的相关性。FFI-RS总结果与HAQ站立、行走和总结果相关。FFI-RS疼痛结果与社会问题和HAQ的总结果相关。FFI-RS难度结果与疾病持续时间相关。在研究组中,FFI-RS僵硬、困难和社会问题结果与HAQ站立、行走和总结果之间存在显著相关性,FFI-RS活动受限结果与HAQ站立结果之间也存在显著相关性。在对照组中,FFI-RS僵硬度、难度和活动受限结果与HAQ行走和总结果相关。最后,在研究组中,我们还发现了FFI-RS总结果、疼痛、僵硬、困难和社会问题结果与视觉模拟量表(VAS)结果的相关性,以及FFI-RS总结果与DAS 28结果的相关性。结论. FFI-RS是评估RA患者功能状态的有效工具,可用于评估治疗效果。通过超声评估,FFI-RS检测了无足部病变患者的足关节功能的RA相关变化。
Background. Foot problems may have a substantial negative impact on rheumatoid arthritis (RA) patients’ mobility. They affect walking and the functional capacity to perform daily tasks. Methods. This study included 61 patients with RA and foot pain or swelling. The study group comprised 37 patients (aged 54.3 ± 9.5 years) with foot lesions, as demonstrated in an ultrasound, and the control group comprised 24 patients (aged 57.3 ± 11.5 years) without foot lesions. The patients’ health statuses were evaluated with the Foot Function Index-Revised Short Form (FFI-RS), the Polish version of the Health Assessment Questionnaire-Disability Index (HAQ-DI), and the Disease Activity Score 28 (DAS 28). Results. The FFI-RS showed significant differences between the study and control groups in total results, as well as in the pain and stiffness subscales. Subsequent analyses showed numerous significant correlations. The FFI-RS total results correlated with the HAQ’s standing up, walking, and total results. The FFI-RS pain results correlated with the social issues and HAQ’s total results. The FFI-RS difficulty results correlated with the disease’s duration. In the study group, there were significant correlations of the FFI-RS stiffness, difficulty, and social issues results with the HAQ’s standing up, walking, and total results, and also of the FFI-RS activity limitation results with the HAQ’s standing up results. In the control group, there were correlations of the FFI-RS stiffness, difficulty, and activity limitation results with the HAQ’s walking and total results. Finally, in the study group, we also found correlations of the FFI-RS total, pain, stiffness, difficulty, and social issues results with the Visual Analog Scale (VAS) results, as well as of the FFI-RS total results with the DAS 28 results. Conclusions. The FFI-RS is an effective tool for assessing RA patients’ functional status and can be used to evaluate treatment effects. The FFI-RS detected RA-related changes in the foot joint function in patients without foot lesions, as assessed by ultrasound.
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