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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2017

Open Access 01-12-2017 | Research article

Impact of midfoot and Hindfoot involvement on functional disability in Korean patients with rheumatoid arthritis

Authors: Hye-Jin Jeong, Il Woong Sohn, Dam Kim, Soo-Kyung Cho, Si-Bog Park, Il-Hoon Sung, Yoon-Kyoung Sung

Published in: BMC Musculoskeletal Disorders | Issue 1/2017

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Abstract

Background

Foot involvement in rheumatoid arthritis (RA) patients has been reported to severely affect functional capacity and quality of life. We aimed to determine the impact of midfoot and hindfoot involvement on functional disability in Korean patients with RA.

Methods

We evaluated the RA involvement and deformity of three regions of the foot (forefoot, midfoot and hindfoot) and ankle using conventional radiography in Korean patients with RA. We compared the clinical features between RA patients with and without foot or ankle involvement. Using multivariable logistic regression analyses, the impact of midfoot or hindfoot involvement on functional disability in RA patients was evaluated.

Results

Overall, 120 patients with a median age of 48.0 [interquartile range (IQR), 37–56] years and median disease duration of 58.0 (IQR, 10–89) months were included. The prevalence of foot or ankle RA involvement was 74 (61.7%). The number of patients with forefoot, midfoot, hindfoot and ankle involvement was 32 (43.2%), 24 (32.4%), 46 (62.2%) and 4 (5.4%), respectively. Compared to patients without foot or ankle involvement those with such involvement had greater disease activity and functional disability, more of them were treated with biologic agents, and they had a lower health-related quality of life. After adjusting for potential confounders, hindfoot involvement was associated with a higher degree of functional disability. However, walking difficulty was more associated with midfoot involvement rather than with involvement in other regions.

Conclusions

In Korean patients with RA, hindfoot involvement is associated with functional disability and midfoot involvement affects walking.
Appendix
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Metadata
Title
Impact of midfoot and Hindfoot involvement on functional disability in Korean patients with rheumatoid arthritis
Authors
Hye-Jin Jeong
Il Woong Sohn
Dam Kim
Soo-Kyung Cho
Si-Bog Park
Il-Hoon Sung
Yoon-Kyoung Sung
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2017
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-017-1726-7

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