Author/Editor		Novak, Primož
Title		Pritiski in bolečina v stopalih ter sposobnost za hojo pri bolnikih z revmatoidnim artritisom
Translated title		Plantar pressures, foot pain and walking ability of rheumatoid arthritis patients
Type		članek
Source		Rehabilitacija
Vol. and No.		Letnik 10, št. 2
Publication year		2011
Volume		str. 5-10
Language		slo
Abstract		Background: Rheumatoid arthritis can cause severe impairment in foot structure and consequently foot function (pain), which can lead to difficulties in patients' activity (walking). The purpose of our study was to measure plantar pressures and assess their association with forefoot pain and walking ability of rheumatoid arthritis patients. Methods: Sixty rheumatoid arthritis patients were included. Plantar pressure measurement was performed with the F-scan system. Pain subscale of the Foot Function Index was used for the assessment of foot pain. Walking ability was assessed by the 6-minute walking test. Results: Plantar pressures were significantly higher on average at painful than at non-painful foot areas. Foot pain is significantly associated with walking ability - walking distance increases as foot pain decreases. Multiple regression model confirmed pain to be an independent prognostic factor of walking ability when controlling for basic patient characteristics. Conclusion: Due to foot pain, rheumatoid arthritis patients have difficulties in walking. Foot pain is related to higher plantar pressures.
Summary		Izhodišča: Revmatoidni artritis lahko povzroči hude okvare stopal in s tem telesnih funkcij (bolečina), kar vpliva na dejavnost (hojo) teh bolnikov. Namen raziskave je bil izmeriti stopalne pritiske in oceniti njihov vpliv na bolečino v sprednjem delu stopala ter sposobnost za hojo pri bolnikih z revmatoidnim artritisom. Metode: Vključili smo 60 bolnikov z revmatoidnim artritisom. Za merjenje stopalnih pritiskov v obutvi med hojo smo uporabili sistem F-Scan. Bolečino v stopalih smo ocenili z bolečinsko podlestvico Indeksa funkcioniranja zaradi težav s stopali. Sposobnost bolnikov za hojo smo preverili s šestminutnim testom hoje. Rezultati: Stopalni pritiski na bolečih mestih so pri bolnikih z revmatoidnim artritisom v povprečju statistično značilno večji kot na nebolečih mestih. Bolečina v stopalih je statistično značilno povezana z rezultatom šestminutnega preizkusa hoje - prehojena razdalja je pri bolnikih s šibkejšo bolečino v stopalih večja. Multipli regresijski model je potrdil bolečino kot neodvisni napovedni dejavnik sposobnosti za hojo, če nadzorujemo vpliv osnovnih značilnosti bolnika. Zaključek: Bolniki z revmatoidnim artritisom zaradi bolečin v stopalih težje hodijo. Bolečine so povezane z večjimi stopalnimi pritiski.
Descriptors		ARTHRITIS, RHEUMATOID ARTHRITIS, RHEUMATOID ARTHRITIS, RHEUMATOID FOOT INJURIES PAIN