Skip to main content
Erschienen in: Rheumatology International 1/2005

01.11.2005 | Original Article

Pedobarography and its relation to radiologic erosion scores in rheumatoid arthritis

verfasst von: Hakan Tuna, Murat Birtane, Nurettin Taştekin, Siranuş Kokino

Erschienen in: Rheumatology International | Ausgabe 1/2005

Einloggen, um Zugang zu erhalten

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.
Literatur
1.
Zurück zum Zitat Harris ED Jr (1990) Rheumatoid arthritis. Pathophysiology and implications for therapy. N Engl J Med 322:1277–1289PubMed Harris ED Jr (1990) Rheumatoid arthritis. Pathophysiology and implications for therapy. N Engl J Med 322:1277–1289PubMed
2.
Zurück zum Zitat Coughlin MJ (1984) The rheumatoid foot. Postgrad Med 75:207–216 Coughlin MJ (1984) The rheumatoid foot. Postgrad Med 75:207–216
3.
Zurück zum Zitat 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 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
4.
Zurück zum Zitat 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 31:315–324PubMed 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 31:315–324PubMed
5.
Zurück zum Zitat Paimela L (1992) The radiographic criterion in the 1987 revised criteria for rheumatoid arthritis. Reassessment in a prospective study of early disease. Arthritis Rheum 35:255–258PubMed Paimela L (1992) The radiographic criterion in the 1987 revised criteria for rheumatoid arthritis. Reassessment in a prospective study of early disease. Arthritis Rheum 35:255–258PubMed
6.
Zurück zum Zitat Mottonen TT (1988) Prediction of erosiveness and rate of development of new erosions in early rheumatoid arthritis. Ann Rheum Dis 47:648–653PubMed Mottonen TT (1988) Prediction of erosiveness and rate of development of new erosions in early rheumatoid arthritis. Ann Rheum Dis 47:648–653PubMed
7.
Zurück zum Zitat 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 43:1465–1472CrossRefPubMed 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 43:1465–1472CrossRefPubMed
8.
Zurück zum Zitat Bitzan P, Giurea A, Wanivenhaus A (1997) Plantar pressure distribution after resection of the metatarsal heads in rheumatoid arthritis. Foot Ankle Int 18:391–397PubMed Bitzan P, Giurea A, Wanivenhaus A (1997) Plantar pressure distribution after resection of the metatarsal heads in rheumatoid arthritis. Foot Ankle Int 18:391–397PubMed
9.
Zurück zum Zitat Dereymaeker G, Mulier T, Stuer P, Peeraer L, Fabry G (1997) Pedogynographic measurements after forefoot reconstruction in rheumatoid arthritis patients. Foot Ankle Int 18:270–276PubMed Dereymaeker G, Mulier T, Stuer P, Peeraer L, Fabry G (1997) Pedogynographic measurements after forefoot reconstruction in rheumatoid arthritis patients. Foot Ankle Int 18:270–276PubMed
10.
Zurück zum Zitat 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 25:1674–1679CrossRefPubMed 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 25:1674–1679CrossRefPubMed
11.
Zurück zum Zitat 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 37:416–420PubMed 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 37:416–420PubMed
12.
Zurück zum Zitat 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 15:349–353PubMed 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 15:349–353PubMed
13.
Zurück zum Zitat Pinals RS, Masi AT, Larsen RA (1981) Preliminary criteria for clinical remission in rheumatoid arthritis. Arthritis Rheum 24:1308–1315PubMed Pinals RS, Masi AT, Larsen RA (1981) Preliminary criteria for clinical remission in rheumatoid arthritis. Arthritis Rheum 24:1308–1315PubMed
14.
Zurück zum Zitat Larsen A (1995) How to apply Larsen score in evaluating radiographs of rheumatoid arthritis in long-term studies. J Rheumatol 22:1974–1975PubMed Larsen A (1995) How to apply Larsen score in evaluating radiographs of rheumatoid arthritis in long-term studies. J Rheumatol 22:1974–1975PubMed
15.
Zurück zum Zitat 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 24:2113–2118PubMed 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 24:2113–2118PubMed
16.
Zurück zum Zitat Mini-Emed System (1991) Operating manual. Novel, Munich Mini-Emed System (1991) Operating manual. Novel, Munich
17.
Zurück zum Zitat Hennig EM, Rosenbaum D (1994) Plantar pressure distribution patterns of young school children in comparison with adults. Foot Ankle 15:35–40PubMed Hennig EM, Rosenbaum D (1994) Plantar pressure distribution patterns of young school children in comparison with adults. Foot Ankle 15:35–40PubMed
18.
Zurück zum Zitat Hodge MC, Bach TM, Carter GM (1999) Orthotic management of plantar pressure and pain in rheumatoid arthritis. Clin Biomech (Bristol, Avon) 14:567–575 Hodge MC, Bach TM, Carter GM (1999) Orthotic management of plantar pressure and pain in rheumatoid arthritis. Clin Biomech (Bristol, Avon) 14:567–575
19.
Zurück zum Zitat Stoop ND (2002) Surgery of the rheumatoid forefoot. Curr Orthopaed 16:187–192CrossRef Stoop ND (2002) Surgery of the rheumatoid forefoot. Curr Orthopaed 16:187–192CrossRef
20.
Zurück zum Zitat 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 58:351–357CrossRefPubMed 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 58:351–357CrossRefPubMed
21.
Zurück zum Zitat Woodburn J, Helliwell P (1996) Relationship between heel position and distribution of forefoot plantar pressures and skin callosities in rheumatoid arthritis. Ann Rheum Dis 55:806–810PubMed Woodburn J, Helliwell P (1996) Relationship between heel position and distribution of forefoot plantar pressures and skin callosities in rheumatoid arthritis. Ann Rheum Dis 55:806–810PubMed
22.
Zurück zum Zitat Woodburn J, Stableford Z, Helliwell PS (2000) Preliminary investigation of debridement of plantar callosities in rheumatoid arthritis. Rheumatology (Oxford) 39:652–654 Woodburn J, Stableford Z, Helliwell PS (2000) Preliminary investigation of debridement of plantar callosities in rheumatoid arthritis. Rheumatology (Oxford) 39:652–654
23.
Zurück zum Zitat Kerry RM, Holt GM, Stockley I (1994) The foot in chronic rheumatoid arthritis: a continuing problem. Foot 4:201–203CrossRef Kerry RM, Holt GM, Stockley I (1994) The foot in chronic rheumatoid arthritis: a continuing problem. Foot 4:201–203CrossRef
24.
Zurück zum Zitat Richardson EG (1998) Rheumatoid foot. In: Canale TS (ed) Campbell’s operative orthopaedics. Ninth edn. Mosby, St. Louis, pp 1785–1812 Richardson EG (1998) Rheumatoid foot. In: Canale TS (ed) Campbell’s operative orthopaedics. Ninth edn. Mosby, St. Louis, pp 1785–1812
25.
Zurück zum Zitat 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 6:141–147CrossRefPubMed 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 6:141–147CrossRefPubMed
26.
Zurück zum Zitat 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 43:386–389CrossRefPubMed 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 43:386–389CrossRefPubMed
27.
Zurück zum Zitat 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 68:154–157CrossRefPubMed 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 68:154–157CrossRefPubMed
28.
Zurück zum Zitat 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 43:1927–1940CrossRefPubMed 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 43:1927–1940CrossRefPubMed
Metadaten
Titel
Pedobarography and its relation to radiologic erosion scores in rheumatoid arthritis
verfasst von
Hakan Tuna
Murat Birtane
Nurettin Taştekin
Siranuş Kokino
Publikationsdatum
01.11.2005
Verlag
Springer-Verlag
Erschienen in
Rheumatology International / Ausgabe 1/2005
Print ISSN: 0172-8172
Elektronische ISSN: 1437-160X
DOI
https://doi.org/10.1007/s00296-004-0504-7

Weitere Artikel der Ausgabe 1/2005

Rheumatology International 1/2005 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.