Evaluation of foot functionality in cases of rheumatoid arthritis through the FFI-BR and FHSQ-BR questionnaires : a cross-sectional observational study

BACKGROUND: Rheumatoid arthritis (RA) can affect the feet, thus compromising the patient’s gait and autonomy. In this study, we investigated foot disability in RA patients using the Brazilian versions of the Foot Health Status Questionnaire (FHSQ-BR) and Foot Function Index (FFI-BR). DESIGN AND SETT...

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Authors: Inoue, Elinah Narumi, Andrade, Agnes Patricia de, Skare, Thelma
Format: article
Status:Published version
Publication Date:2018
Country:Brasil
Institution:Associação Paulista de Medicina
Repository:São Paulo medical journal (Online)
Language:English
OAI Identifier:oai:ojs.diagnosticoetratamento.emnuvens.com.br:article/640
Online Access:https://periodicosapm.emnuvens.com.br/spmj/article/view/640
Access Level:Open access
Keyword:Foot
Rheumatoid arthritis
Inflammation
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spelling Evaluation of foot functionality in cases of rheumatoid arthritis through the FFI-BR and FHSQ-BR questionnaires : a cross-sectional observational studyFootRheumatoid arthritisInflammationBACKGROUND: Rheumatoid arthritis (RA) can affect the feet, thus compromising the patient’s gait and autonomy. In this study, we investigated foot disability in RA patients using the Brazilian versions of the Foot Health Status Questionnaire (FHSQ-BR) and Foot Function Index (FFI-BR). DESIGN AND SETTING: Cross-sectional, observational study conducted in a tertiary care hospital. METHODS: Two hundred individuals were studied: 100 with RA and 100 controls. Demographic variables and FFI-BR and FHSQ-BR scores were analyzed. In relation to RA patients, data on medications used and on the following clinical variables were collected: Disease Activity Score-28-ESR; erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) level and rheumatoid factor (RF) level. The groups were compared and the scores and clinical variables were correlated. RESULTS: RA patients’ scores in the pain, difficulty and disability domains of the FFI-BR questionnaire were worse (P < 0.0001). The FHSQ-BR showed that there were differences between RA patients and controls in relation to the pain and foot function domains: shoes (P < 0.0001), foot health (P < 0.0001), general health (P = 0.0002), physical activity (P < 0.0001), social capacity (P = 0.0006) and vigor (P = 0.01). There were correlations between FFI-BR and DAS-28-ESR scores (rho = 0.45), ESR (rho = 0.27) and CRP (rho = 0.24). According to the FHSQ-BR questionnaire, there was a correlation between DAS-28-ESR and worse foot health (rho = 0.29). CONCLUSION: RA patients’ scores in the foot health assessment questionnaires were worse than those of controls. A correlation between inflammatory activity and worse foot function was found.São Paulo Medical JournalSão Paulo Medical Journal2018-12-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicosapm.emnuvens.com.br/spmj/article/view/640São Paulo Medical Journal; Vol. 136 No. 6 (2018); 520-524São Paulo Medical Journal; v. 136 n. 6 (2018); 520-5241806-9460reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APMenghttps://periodicosapm.emnuvens.com.br/spmj/article/view/640/582https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessInoue, Elinah NarumiAndrade, Agnes Patricia deSkare, Thelma2023-08-31T21:42:33Zoai:ojs.diagnosticoetratamento.emnuvens.com.br:article/640Revistahttp://www.scielo.br/spmjPUBhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2023-08-31T21:42:33São Paulo medical journal (Online) - Associação Paulista de Medicinafalse
dc.title.none.fl_str_mv Evaluation of foot functionality in cases of rheumatoid arthritis through the FFI-BR and FHSQ-BR questionnaires : a cross-sectional observational study
title Evaluation of foot functionality in cases of rheumatoid arthritis through the FFI-BR and FHSQ-BR questionnaires : a cross-sectional observational study
spellingShingle Evaluation of foot functionality in cases of rheumatoid arthritis through the FFI-BR and FHSQ-BR questionnaires : a cross-sectional observational study
Inoue, Elinah Narumi
Foot
Rheumatoid arthritis
Inflammation
title_short Evaluation of foot functionality in cases of rheumatoid arthritis through the FFI-BR and FHSQ-BR questionnaires : a cross-sectional observational study
title_full Evaluation of foot functionality in cases of rheumatoid arthritis through the FFI-BR and FHSQ-BR questionnaires : a cross-sectional observational study
title_fullStr Evaluation of foot functionality in cases of rheumatoid arthritis through the FFI-BR and FHSQ-BR questionnaires : a cross-sectional observational study
title_full_unstemmed Evaluation of foot functionality in cases of rheumatoid arthritis through the FFI-BR and FHSQ-BR questionnaires : a cross-sectional observational study
title_sort Evaluation of foot functionality in cases of rheumatoid arthritis through the FFI-BR and FHSQ-BR questionnaires : a cross-sectional observational study
dc.creator.none.fl_str_mv Inoue, Elinah Narumi
Andrade, Agnes Patricia de
Skare, Thelma
author Inoue, Elinah Narumi
author_facet Inoue, Elinah Narumi
Andrade, Agnes Patricia de
Skare, Thelma
author_role author
author2 Andrade, Agnes Patricia de
Skare, Thelma
author2_role author
author
dc.subject.por.fl_str_mv Foot
Rheumatoid arthritis
Inflammation
topic Foot
Rheumatoid arthritis
Inflammation
description BACKGROUND: Rheumatoid arthritis (RA) can affect the feet, thus compromising the patient’s gait and autonomy. In this study, we investigated foot disability in RA patients using the Brazilian versions of the Foot Health Status Questionnaire (FHSQ-BR) and Foot Function Index (FFI-BR). DESIGN AND SETTING: Cross-sectional, observational study conducted in a tertiary care hospital. METHODS: Two hundred individuals were studied: 100 with RA and 100 controls. Demographic variables and FFI-BR and FHSQ-BR scores were analyzed. In relation to RA patients, data on medications used and on the following clinical variables were collected: Disease Activity Score-28-ESR; erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) level and rheumatoid factor (RF) level. The groups were compared and the scores and clinical variables were correlated. RESULTS: RA patients’ scores in the pain, difficulty and disability domains of the FFI-BR questionnaire were worse (P < 0.0001). The FHSQ-BR showed that there were differences between RA patients and controls in relation to the pain and foot function domains: shoes (P < 0.0001), foot health (P < 0.0001), general health (P = 0.0002), physical activity (P < 0.0001), social capacity (P = 0.0006) and vigor (P = 0.01). There were correlations between FFI-BR and DAS-28-ESR scores (rho = 0.45), ESR (rho = 0.27) and CRP (rho = 0.24). According to the FHSQ-BR questionnaire, there was a correlation between DAS-28-ESR and worse foot health (rho = 0.29). CONCLUSION: RA patients’ scores in the foot health assessment questionnaires were worse than those of controls. A correlation between inflammatory activity and worse foot function was found.
publishDate 2018
dc.date.none.fl_str_mv 2018-12-06
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicosapm.emnuvens.com.br/spmj/article/view/640
url https://periodicosapm.emnuvens.com.br/spmj/article/view/640
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://periodicosapm.emnuvens.com.br/spmj/article/view/640/582
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv São Paulo Medical Journal
São Paulo Medical Journal
publisher.none.fl_str_mv São Paulo Medical Journal
São Paulo Medical Journal
dc.source.none.fl_str_mv São Paulo Medical Journal; Vol. 136 No. 6 (2018); 520-524
São Paulo Medical Journal; v. 136 n. 6 (2018); 520-524
1806-9460
reponame:São Paulo medical journal (Online)
instname:Associação Paulista de Medicina
instacron:APM
instname_str Associação Paulista de Medicina
instacron_str APM
institution APM
reponame_str São Paulo medical journal (Online)
collection São Paulo medical journal (Online)
repository.name.fl_str_mv São Paulo medical journal (Online) - Associação Paulista de Medicina
repository.mail.fl_str_mv revistas@apm.org.br
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score 15,300719

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