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The impact of rheumatoid foot on disability in Colombian patients with rheumatoid arthritis

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dc.creatorRojas-Villarraga, Adriana
dc.creatorBayona, Javierspa
dc.creatorZuluaga, Nataliaspa
dc.creatorMejia, Santiagospa
dc.creatorHincapie, Maria-Eugeniaspa
dc.creatorAnaya, Juan-Manuelspa
dc.date.accessioned2020-05-26T00:03:16Z
dc.date.available2020-05-26T00:03:16Z
dc.date.created2009spa
dc.description.abstractBackground. Alterations in the feet of patients with rheumatoid arthritis (RA) are a cause of disability in this population. The purpose of this research was to evaluate the impact that foot impairment has on the patients' global quality of life (QOL) based on validated scales and its relationship to disease activity. Methods. This was a cross-sectional study in which 95 patients with RA were enrolled. A complete physical examination, including a full foot assessment, was done. The Spanish versions of the Health Assessment Questionnaire (HAQ) Disability Index and of the Disease Activity Score (DAS 28) were administered. A logistic regression model was used to analyze data and obtain adjusted odds ratios (AORs). Results. Foot deformities were observed in 78 (82%) of the patients; hallux valgus (65%), medial longitudinal arch flattening (42%), claw toe (lesser toes) (39%), dorsiflexion restriction (tibiotalar) (34%), cock-up toe (lesser toes) (25%), and transverse arch flattening (25%) were the most frequent. In the logistic regression analysis (adjusted for age, gender and duration of disease), forefoot movement pain, subtalar movement pain, tibiotalar movement pain and plantarflexion restriction (tibiotalar) were strongly associated with disease activity and disability. The positive squeeze test was significantly associated with disability risk (AOR = 6,3; 95% CI, 1.2830.96; P = 0,02); hallux valgus, and dorsiflexion restriction (tibiotalar) were associated with disease activity. Conclusion. Foot abnormalities are associated with active joint disease and disability in RA. Foot examinations provide complementary information related to the disability as an indirect measurement of quality of life and activity of disease in daily practice. © 2009 Rojas-Villarraga et al; licensee BioMed Central Ltd.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1186/1471-2474-10-67
dc.identifier.issn14712474
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/23576
dc.language.isoengspa
dc.relation.citationIssueNo. 1
dc.relation.citationTitleBMC Musculoskeletal Disorders
dc.relation.citationVolumeVol. 10
dc.relation.ispartofBMC Musculoskeletal Disorders, ISSN:14712474, Vol.10, No.1 (2009)spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-68149117288&doi=10.1186%2f1471-2474-10-67&partnerID=40&md5=dd480b6328faecf33fcd931a9d9b4462spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordChloroquinespa
dc.subject.keywordrheumatoideng
dc.subject.keywordacquiredeng
dc.subject.keywordDisease modifying antirheumatic drugspa
dc.subject.keywordMethotrexatespa
dc.subject.keywordSteroidspa
dc.subject.keywordTumor necrosis factor alpha inhibitorspa
dc.subject.keywordArticlespa
dc.subject.keywordColombiaspa
dc.subject.keywordCross-sectional studyspa
dc.subject.keywordDisabilityspa
dc.subject.keywordDisease activityspa
dc.subject.keywordDisease durationspa
dc.subject.keywordFemalespa
dc.subject.keywordFoot malformationspa
dc.subject.keywordFoot painspa
dc.subject.keywordGenderspa
dc.subject.keywordHallux valgusspa
dc.subject.keywordHealth assessment questionnairespa
dc.subject.keywordHumanspa
dc.subject.keywordMajor clinical studyspa
dc.subject.keywordMalespa
dc.subject.keywordPhysical examinationspa
dc.subject.keywordQuality of lifespa
dc.subject.keywordRheumatoid arthritisspa
dc.subject.keywordSteroid therapyspa
dc.subject.keywordSubluxationspa
dc.subject.keywordAdolescentspa
dc.subject.keywordAdultspa
dc.subject.keywordAgedspa
dc.subject.keywordColombiaspa
dc.subject.keywordComorbidityspa
dc.subject.keywordDaily life activityspa
dc.subject.keywordFootspa
dc.subject.keywordFoot malformationspa
dc.subject.keywordMiddle agedspa
dc.subject.keywordPathologyspa
dc.subject.keywordPathophysiologyspa
dc.subject.keywordPrevalencespa
dc.subject.keywordQuality of lifespa
dc.subject.keywordQuestionnairespa
dc.subject.keywordRheumatoid arthritisspa
dc.subject.keywordWalking difficultyspa
dc.subject.keywordActivities of daily livingspa
dc.subject.keywordAdolescentspa
dc.subject.keywordAdultspa
dc.subject.keywordAgedspa
dc.subject.keywordAged, 80 and overspa
dc.subject.keywordArthritiseng
dc.subject.keywordColombiaspa
dc.subject.keywordComorbidityspa
dc.subject.keywordCross-sectional studiesspa
dc.subject.keywordDisability evaluationspa
dc.subject.keywordFemalespa
dc.subject.keywordFootspa
dc.subject.keywordFoot deformitieseng
dc.subject.keywordFoot jointsspa
dc.subject.keywordHumansspa
dc.subject.keywordMalespa
dc.subject.keywordMiddle agedspa
dc.subject.keywordMobility limitationspa
dc.subject.keywordPhysical examinationspa
dc.subject.keywordPrevalencespa
dc.subject.keywordQuality of lifespa
dc.subject.keywordQuestionnairesspa
dc.subject.keywordYoung adultspa
dc.titleThe impact of rheumatoid foot on disability in Colombian patients with rheumatoid arthritisspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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