AI Article Synopsis
- The study aimed to evaluate foot function in patients with Systemic Sclerosis (SSc) and how it relates to various sociodemographic and clinical factors, assessing aspects like mobility, foot pain, and foot care.
- Among 101 SSc patients, over half experienced forefoot pain, around one-third had hindfoot pain, and many had other foot issues such as ulcers and callosities; foot function and pain levels correlated with the severity of symptoms related to SSc.
- The findings highlighted a significant prevalence of foot dysfunction in SSc patients, underlining the need for better foot care and routine examinations in clinical practice to address these issues effectively.
Article Abstract
Objectives: To assess foot function in SSc and its association with socio-demographic and clinical factors. To evaluate mobility, foot alterations, foot pain, and foot care in these patients.
Methods: Consecutive SSc patients underwent structured interviews and physical examinations. Disability was assessed using the HAQ disability index (HAQ-DI) and the Scleroderma HAQ (SHAQ). Foot function was measured using the Foot Function Index (FFI), foot pain using a numeric pain scale (NPS), and mobility using the Timed-Up-and-Go test (TUG).
Results: A total of 101 patients were included. Forefoot pain was observed in 50.5%, hindfoot pain in 31.7%, foot ulcers in 6.9%, foot plantar callosities in 38.6%, foot arthritis in 2.97%, hallux valgus in 9.9%, claw toes in 5%, and valgus ankle in 3% of patients. The mean FFI was 3.54 (±2.6), the mean NPS was 6.08 (±3.58), and the mean TUG test result was 10.52 (±6.5) seconds. Higher FFI scores, increased NPS, and prolonged TUG were associated with RP severity, SHAQ and HAQ-DI. Of the 101 patients, 36.6% of patients reported never having had their feet examined, and only 32.7% had had their feet examined within the past year.
Conclusion: Foot dysfunction and pain are common in SSc. Higher FFI scores, increased pain, and prolonged TUG duration were linked to disability (HAQ-DI and SHAQ). These analyses should be considered exploratory and require confirmation in external cohorts. Routine foot examinations were lacking in clinical practice. Improved attention for evaluating and caring for the feet in SSc patients is needed.
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| http://dx.doi.org/10.1093/rheumatology/kead670 | DOI Listing |
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