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Pedobarography and its relation to radiologic erosion scores in rheumatoid arthritis

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Abstract

Objective

The aim of this study was to assess probable plantar pressure alterations in rheumatoid arthritis (RA) patients by comparison with normal subjects and to investigate the probable relation between pressure distribution under the foot and radiologic foot erosion score.

Methods

Two hundred feet of 50 chronic RA patients and 50 healthy controls were evaluated. Static and dynamic pedobarographic evaluations were used to define the plantar pressure distribution. Also, the modified Larsen scoring system was used to detect the staging of erosions on feet radiograms of the RA patients.

Results

Static pedobarography revealed higher pressure and contact areas in the forefoot. All dynamic pedobarographic parameters except for plantar contact area were significantly different between the RA patients and control subjects. Patients with high erosion scores had higher static forefoot and dynamic phalanx peak pressure values.

Conclusion

Pedobarographic investigation can be useful to evaluate pressure distribution disorders in RA feet and may provide suitable guidelines for the design of various plantar supports.

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References

  1. Harris ED Jr (1990) Rheumatoid arthritis. Pathophysiology and implications for therapy. N Engl J Med 322:1277–1289

    PubMed  Google Scholar 

  2. Coughlin MJ (1984) The rheumatoid foot. Postgrad Med 75:207–216

    CAS  Google Scholar 

  3. Priolo F, Bacarini L, Cammisa M, Cerase A, Ferrara R, Della Casa-Alberighi OJ (1997) Radiographic changes in the feet of patients with early rheumatoid arthritis. Rheumatol 24:2113–2118

    CAS  Google Scholar 

  4. Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF, Cooper NS, Healey LA, Kaplan SR, Liang MH, Luthra HS et al (1988) The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum 31:315–324

    CAS  PubMed  Google Scholar 

  5. Paimela L (1992) The radiographic criterion in the 1987 revised criteria for rheumatoid arthritis. Reassessment in a prospective study of early disease. Arthritis Rheum 35:255–258

    CAS  PubMed  Google Scholar 

  6. Mottonen TT (1988) Prediction of erosiveness and rate of development of new erosions in early rheumatoid arthritis. Ann Rheum Dis 47:648–653

    CAS  PubMed  Google Scholar 

  7. Drossaers-Bakker KW, Amesz E, Zwinderman AH, Breedveld FC, Hazes JM (2000) A comparison of three radiologic scoring systems for the long-term assessment of rheumatoid arthritis: findings of an ongoing prospective inception cohort study of 132 women followed up for a median of twelve years. Arthritis Rheum 43:1465–1472

    Article  CAS  PubMed  Google Scholar 

  8. Bitzan P, Giurea A, Wanivenhaus A (1997) Plantar pressure distribution after resection of the metatarsal heads in rheumatoid arthritis. Foot Ankle Int 18:391–397

    CAS  PubMed  Google Scholar 

  9. Dereymaeker G, Mulier T, Stuer P, Peeraer L, Fabry G (1997) Pedogynographic measurements after forefoot reconstruction in rheumatoid arthritis patients. Foot Ankle Int 18:270–276

    CAS  PubMed  Google Scholar 

  10. Hills AP, Hennig EM, McDonald M, Bar-Or O (2001) Plantar pressure differences between obese and non-obese adults: a biomechanical analysis. Int J Obes Relat Metab Disord 25:1674–1679

    Article  CAS  PubMed  Google Scholar 

  11. Vela SA, Lavery LA, Armstrong DG, Anaim AA (1998) The effect of increased weight on peak pressures: implications for obesity and diabetic foot pathology. J Foot Ankle Surg 37:416–420

    CAS  PubMed  Google Scholar 

  12. Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M (1994) Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int 15:349–353

    CAS  PubMed  Google Scholar 

  13. Pinals RS, Masi AT, Larsen RA (1981) Preliminary criteria for clinical remission in rheumatoid arthritis. Arthritis Rheum 24:1308–1315

    CAS  PubMed  Google Scholar 

  14. Larsen A (1995) How to apply Larsen score in evaluating radiographs of rheumatoid arthritis in long-term studies. J Rheumatol 22:1974–1975

    CAS  PubMed  Google Scholar 

  15. Priolo F, Bacarini L, Cammisa M, Cerase A, Ferrara R, Della Casa-Alberighi O (1997) Radiologic changes in the feet of patients with early rheumatoid arthritis. J Rheumatol 24:2113–2118

    CAS  PubMed  Google Scholar 

  16. Mini-Emed System (1991) Operating manual. Novel, Munich

  17. Hennig EM, Rosenbaum D (1994) Plantar pressure distribution patterns of young school children in comparison with adults. Foot Ankle 15:35–40

    CAS  PubMed  Google Scholar 

  18. Hodge MC, Bach TM, Carter GM (1999) Orthotic management of plantar pressure and pain in rheumatoid arthritis. Clin Biomech (Bristol, Avon) 14:567–575

    Google Scholar 

  19. Stoop ND (2002) Surgery of the rheumatoid forefoot. Curr Orthopaed 16:187–192

    Article  Google Scholar 

  20. Haas C, Kladny B, Lott S, Weseloh G, Swoboda B (1999) Progression of foot deformities in rheumatoid arthritis—a radiologic follow-up study over 5 years. Z Rheumatol 58:351–357

    Article  CAS  PubMed  Google Scholar 

  21. Woodburn J, Helliwell P (1996) Relationship between heel position and distribution of forefoot plantar pressures and skin callosities in rheumatoid arthritis. Ann Rheum Dis 55:806–810

    CAS  PubMed  Google Scholar 

  22. Woodburn J, Stableford Z, Helliwell PS (2000) Preliminary investigation of debridement of plantar callosities in rheumatoid arthritis. Rheumatology (Oxford) 39:652–654

    Google Scholar 

  23. Kerry RM, Holt GM, Stockley I (1994) The foot in chronic rheumatoid arthritis: a continuing problem. Foot 4:201–203

    Article  Google Scholar 

  24. Richardson EG (1998) Rheumatoid foot. In: Canale TS (ed) Campbell’s operative orthopaedics. Ninth edn. Mosby, St. Louis, pp 1785–1812

  25. Hanyu T, Yamazaki H, Ishikawa H, Arai K, Tohyama CT, Nakazono K, Murasawa A (2001) Flexible hinge toe implant arthroplasty for rheumatoid arthritis of the first metatarsophalangeal joint: long-term results. J Orthop Sci 6:141–147

    Article  CAS  PubMed  Google Scholar 

  26. Sokka T, Kainkainen A, Kankainen A, Hannonen P (2000) Scores for functional disability in patients with rheumatoid arthritis are correlated at higher levels with pain scores than with radiographic scores. Arthritis Rheum 43:386–389

    Article  CAS  PubMed  Google Scholar 

  27. Belt EA, Kaarela K, Maenpaa H, Kauppi MJ, Lehtinen JT, Lehto MU (2001) Relationship of ankle joint involvement with subtalar destruction in patients with rheumatoid arthritis. A 20-year follow-up study. Joint Bone Spine 68:154–157

    Article  CAS  PubMed  Google Scholar 

  28. Hulmans MH, Jacobs JWG, Van Der Heijde DMFM, Van Albada-Kuipers GA, Schenk Y, Bijlsma LWJ (2000) The course of radiologic damage during the first six years of rheumatoid arthritis. Arthritis Rheum 43:1927–1940

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Physical Medicine and Rehabilitation Department, Trakya University Hospital, Edirne, Turkey

    Hakan Tuna, Murat Birtane, Nurettin Taştekin & Siranuş Kokino

  2. Fatih mah. İzzet Arseven Apt., A blok. Daire No:10, 22030, Edirne, Turkey

    Hakan Tuna

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  1. Hakan Tuna
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  2. Murat Birtane
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  3. Nurettin Taştekin
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  4. Siranuş Kokino
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Correspondence to Hakan Tuna.

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Tuna, H., Birtane, M., Taştekin, N. et al. Pedobarography and its relation to radiologic erosion scores in rheumatoid arthritis. Rheumatol Int 26, 42–47 (2005). https://doi.org/10.1007/s00296-004-0504-7

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  • DOI: https://doi.org/10.1007/s00296-004-0504-7

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