Gait Analysis of the Lower Limb in Patients with Rheumatoid Arthritis: A Systematic Review

Baan H, Dubbeldam R, Nene AV, Laar MAFJ

Forschungsartikel (Zeitschrift)

Zusammenfassung

Introduction: In rheumatoid arthritis (RA), signs and symptoms of feet and ankle are common. To evaluate the dynamic function of feet and ankles, namely walking, a variety of gait studies have been published. In this systematic review, we provide a systematic overview of the available gait studies in RA, give a clinimetrical assignment, and review the general conclusions regarding gait in RA. Methods: A systematic literature search within the databases PubMed, CINAHL, sportdiscus, Embase, and Scopus was described and performed and delivered 78 original gait studies that were included for further data extraction. Results: The clinimetrical quality of the 78 included RA gait studies measured according a tailored QUADAS item list and proposed clinimetrical criteria by Terwee and coworkers are moderate. General conclusions regarding the walking abnormalities of RA patients point to a slower walk, longer double support time, and avoidance of extreme positions. Frequently found static features in RA are hallux valgus, pes planovalgus, and hind foot abnormalities. Conclusions: Gait studies in RA patients show moderate clinimetrical properties, but are a challenging way of expressing walking disability. Future gait research should focus on more uniformity in methodology. When this need is satisfied, more clinical applicable conclusions can be drawn. {\textcopyright} 2012 Elsevier Inc.

Details zur Publikation

Veröffentlichungsjahr: 2012
Sprache, in der die Publikation verfasst istEnglisch
Link zum Volltext: http://www.sciencedirect.com/science/article/pii/S0049017211003593{\%}5Cnhttp://www.sciencedirect.com/science/article/pii/S0049017211003593/pdfft?md5=3f40a7b42de8d722a4e9a3517e680536{&}pid=1-s2.0-S0049017211003593-main.pdf