Theory of Biomechanical Evolution of the Rheumatoid Foot: A Narrative Review.

IF 0.5 4区 医学 Q4 ORTHOPEDICS
Gaetano Di Stasio, Carles Vergés-Salas, Elena de Planell-Mas
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引用次数: 0

Abstract

Background: In patients with rheumatoid arthritis (RA), the pathological progression of lower limb biomechanics is established. Although specific aspects of RA gait patterns have been studied and described, we are aware of no studies of gait pattern compensations over the entire disease course. This study aimed to describe a model that could predict the evolution of lower limb pathomechanics in patients with RA.

Methods: A literature review was conducted of electronic databases (MEDLINE, PEDro, Trip Database, DOAJ, BioMed Central, PLOS clinical trial, ScienceDirect, and CRD York University, AHRQ, NICE, Cochrane Library) to October 3, 2023.

Results: A theory was developed that all people with RA induce or augment gait evolution syndromes following the same biomechanical course. Specifically, we postulate the "rheumatoid equinus syndrome," the "rheumatoid abnormal pronation syndrome" and the "rheumatoid shuffle syndrome," which have never been described before.

Conclusions: A new model of the evolution of gait compensation in RA is proposed. An important challenge of RA is that it increases the risk of ulcerative lesions, falls, pain, fractures, and healthcare costs. The proposed model can be used to reduce morbidity in this patient group by helping to explain and reduce the pain, deformity, and ankylosis of foot RA.

类风湿足的生物力学演变理论:叙述性综述。
背景:在类风湿性关节炎(RA)患者中,下肢生物力学的病理发展已经得到证实。虽然已经对 RA 步态模式的某些方面进行了研究和描述,但我们尚未发现对整个病程中步态模式代偿的研究。本研究旨在描述一个可预测RA患者下肢病理力学演变的模型:方法:对电子数据库(MEDLINE、PEDro、Trip Database、DOAJ、BioMed Central、PLOS clinical trial、ScienceDirect、CRD York University、AHRQ、NICE、Cochrane Library)中截至 2023 年 10 月 3 日的文献进行回顾:我们提出了一种理论,即所有 RA 患者都会诱发或加重步态演变综合征,并遵循相同的生物力学过程。具体而言,我们推测出了 "类风湿等位综合征"、"类风湿异常前倾综合征 "和 "类风湿趿拉综合征",这些综合征之前从未被描述过:结论:本文提出了 RA 步态代偿演变的新模型。RA的一个重要挑战是增加了溃疡性病变、跌倒、疼痛、骨折和医疗费用的风险。所提出的模型有助于解释和减少足部RA的疼痛、畸形和强直,从而降低这类患者的发病率。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
128
审稿时长
6-12 weeks
期刊介绍: The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.
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