Abstract
Fear of falling, foot pain, impairment and disability are commonly reported in rheumatoid arthritis (RA). However, the relationship between fear of falling and foot pain, impairment and disability has not been investigated in established RA. The aim of the study was to evaluate the relationship between fear of falling and foot pain, walking velocity and foot impairment and disability in women with established RA. A secondary aim was to evaluate differences between fear of falling, foot pain, walking velocity and foot impairment and disability in women with established RA and age- and sex-matched control participants. Twenty-one women with established RA and twenty-one age- and sex-matched controls were assessed for fear of falling, foot pain, foot impairment and disability and walking velocity. Pearson’s r-correlations were used to examine relationships between fear of falling and the foot measures. Independent samples t tests evaluated the differences in fear of falling and foot measures between the two groups. In people with RA, significant correlations were found between fear of falling and foot impairment (r = 0.53, p = 0.015), foot disability (r = 0.77, p <0.001) and walking velocity (r = 0.56, p < 0.001). No correlation was found between fear of falling and foot pain (r = 0.36; p = 0.11). Significant differences between cases and control participants were found between fear of falling (p = 0.001), foot impairment (p = 0.004) and foot disability (p < 0.001). Foot impairment and disability relates to fear of falling in women with established RA. A better understanding of fear of falling in people with established RA may contribute to more efficient falls assessments in order to identify at risk individuals.
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References
Bugdayci D, Paker N, Rezvani A, Kesiktas N, Yilmaz O, Sahin M, Ince N (2013) Frequency and predictors for falls in the ambulatory patients with rheumatoid arthritis: a longitudinal prospective study. Rheumatol Int 33(10):2523–2527
Deandrea S, Lucenteforte E, Bravi F, Foschi R, La Vecchia C, Negri E (2010) Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis. Epidemiology 21(5):658–668
Hooper L, Bowen CJ, Gates L, Culliford DJ, Ball C, Edwards CJ, Arden NK (2012) Prognostic indicators of foot-related disability in patients with rheumatoid arthritis: results of a prospective three-year study. Arthritis Care Res 64(8):1116–1124
Grondal L, Tengstrand B, Nordmark B, Wretenberg P, Stark A (2008) The foot: still the most important reason for walking incapacity in rheumatoid arthritis: distribution of symptomatic joints in 1,000 RA patients. Acta Orthop 79(2):257–261
MacSween A, Brydson GJ, Hamilton J (1999) The effect of custom moulded ethyl vinyl acetate foot orthoses on the gait of patients with rheumatoid arthritis. Foot 9:128–133
Shi K, Tomita T, Hayashida K, Owaki H, Ochi T (2000) Foot deformities in rheumatoid arthritis and relevance of disease severity. J Rheumatol 27(1):84–89
Turner DE, Helliwell PS, Siegel KL, Woodburn J (2008) Biomechanics of the foot in rheumatoid arthritis: identifying abnormal function and the factors associated with localised disease ‘impact’. Clin Biomech 23(1):93–100
Eppeland SG, Myklebust G, Hodt-Billington C, Moe-Nilssen R (2009) Gait patterns in subjects with rheumatoid arthritis cannot be explained by reduced speed alone. Gait Posture 29(3):499–503
Fessel KD, Nevitt MC (1997) Correlates of fear of falling and activity limitation among persons with rheumatoid arthritis. Arthritis Care Res 10(4):222–228
Lohkamp M, Burrow G, McCarron T, Maclaren W, Granat M (2006) The prevalence of disabling foot pain in patients with early rheumatoid arthritis. Foot 16(4):201–207
Turner DE, Helliwell PS, Emery P, Woodburn J (2006) The impact of rheumatoid arthritis on foot function in the early stages of disease: a clinical case series. BMC Musculoskelet Disord 7(1):102–102
Stanmore EK, Oldham J, Skelton DA, O'Neill T, Pilling M, Campbell AJ, Todd C (2013) Risk factors for falls in adults with rheumatoid arthritis: a prospective study. Arthritis Care Res 65(8):1251–1258. doi:10.1002/acr.21987
Böhler C, Radner H, Ernst M, Binder A, Stamm T, Aletaha D, Smolen JS, Köller M (2012) Rheumatoid arthritis and falls: the influence of disease activity. Rheumatology 51(11):2051–2057
Yamagiwa K, Iijima S, Furuya T, Ikai T, Inoue E, Taniguchi A, Momohara S, Yamanaka H (2011) Incidence of falls and fear of falling in Japanese patients with rheumatoid arthritis. Mod Rheumatol 21(1):51–56
Turner DE, Woodburn J, Helliwell PS, Cornwall MW, Emery P (2003) Pes planovalgus in RA: a descriptive and analytical study of foot function determined by gait analysis. Musculoskeletal Care 1(1):21–33
Duyur Cakit B, Nacir B, Erdem HR, Karagoz A, Saracoglu M (2011) Fear of falling, fall risk and disability in patients with rheumatoid arthritis Turk. J Rheumatol 26(3):217
Jamison M, Neuberger GB, Miller PA (2003) Correlates of falls and fear of falling among adults with rheumatoid arthritis. Arthritis Rheumatol 49(5):673–680
Hawker G, Aletaha D, Silman AJ, Cohen MD, Bykerk VP, Wolfe F, Costenbader KH, Symmons D, Kavanaugh A, Funovits J, Huizinga TWJ, Naden RL, Neogi T, Hobbs K, Tak PP, Vencovský J, Pincus T, Birnbaum NS, Mease P, Emery P, Burmester GR, Ménard HA, Ferraccioli G, Kvien TK, Moreland LW, Kay J, Stanislawska-Biernat E, Combe B, Bingham CO, Smolen JS, Upchurch KS, Hazes JMW, Dougados M, Felson D, Laing T (2010) 2010 Rheumatoid arthritis classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative. Arthritis Care Res 62(9):2569
Helliwell P, Reay N, Gilworth G, Redmond A, Slade A, Tennant A, Woodburn J (2005) Development of a foot impact scale for rheumatoid arthritis. Arthritis Rheumatol 53(3):418–422
Rome K, Hanchard NC (2005) Within-day reliability of temporal-spatial gait parameters associated with rheumatoid arthritic feet. Musculoskeletal Care 3(1):17–23
Yardley L, Beyer N, Haeur K, Kempen G, Piot-Ziegler C, Todd C (2005) Development and initial validation of the Falls Efficacy Scale-International (FES-I). Age Ageing 34(6):614–619
Delbaere K, Close JCT, Mikolaizak AS, Sachdev PS, Brodaty H, Lord SR (2010) The Falls Efficacy Scale International (FES-I). A comprehensive longitudinal validation study. Age Ageing 39(2):210–216
Rome K, Dixon J, Gray M, Woodley R (2009) Evaluation of static and dynamic postural stability in established rheumatoid arthritis: exploratory study. Clin Biomech 24(6):524–526
Furuya T, Yamagiwa K, Ikai T, Inoue E, Taniguchi A, Momohara S, Yamanaka H (2009) Associated factors for falls and fear of falling in Japanese patients with rheumatoid arthritis. Clin Rheumatol 28(11):1325–1330
Otter SJ, Lucas K, Springett K, Moore A, Davies K, Cheek L, Young A, Walker-Bone K (2010) Foot pain in rheumatoid arthritis prevalence, risk factors and management: an epidemiological study. Clin Rheumatol 29(3):255–271
Carroll M, Joyce W, Brenton-Rule A, Dalbeth N, Rome K (2013) Assessment of foot and ankle muscle strength using hand held dynamometry in patients with established rheumatoid arthritis. J Foot Ankle Res 6(1):10–14
Brenton-Rule A, D'Almeida S, Bassett S, Carroll M, Dalbeth N, Rome K (2014) The effects of sandals on postural stability in patients with rheumatoid arthritis: an exploratory study. Clin Biomech 29(3):350–353
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TM was supported through a scholarship from ASICS New Zealand.
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Morpeth, T., Brenton-Rule, A., Carroll, M. et al. Fear of falling and foot pain, impairment and disability in rheumatoid arthritis: a case-control study. Clin Rheumatol 35, 887–891 (2016). https://doi.org/10.1007/s10067-015-3124-6
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DOI: https://doi.org/10.1007/s10067-015-3124-6