Gait characteristics associated with the foot and ankle in inflammatory arthritis: a systematic review and meta-analysis

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aut.researcherRome, Keith
dc.contributor.authorCarroll, Men_NZ
dc.contributor.authorParmar, Pen_NZ
dc.contributor.authorDalbeth, Nen_NZ
dc.contributor.authorBoocock, Men_NZ
dc.contributor.authorRome, Ken_NZ
dc.date.accessioned2015-06-25T04:14:05Z
dc.date.available2015-06-25T04:14:05Z
dc.date.copyright2015en_NZ
dc.date.issued2015en_NZ
dc.description.abstractBackground Gait analysis is increasingly being used to characterise dysfunction of the lower limb and foot in people with inflammatory arthritis (IA). The aim of the systematic review was to evaluate the spatiotemporal, foot and ankle kinematic, kinetic, peak plantar pressure and muscle activity parameters between patients with inflammatory arthritis and healthy controls. Methods An electronic literature search was performed on Medline, CINAHL, SportsDiscus and The Cochrane Library. Methodological quality was assessed using a modified Quality Index. Effect sizes with 95 % confidence intervals (CI) were calculated as the standardised mean difference (SMD). Meta-analysis was conducted if studies were homogenous. Results Thirty six studies with quality ranging from high to low met the inclusion criteria. The majority of studies reported gait parameters in Rheumatoid arthritis (RA). The gait pattern in RA was characterised by decreased walking speed (SMD 95 % CI −1.57, −2.25 to −0.89), decreased cadence (SMD −0.97, −1.49 to −0.45), decreased stride length (SMD −1.66, −1.84 to −1.49), decreased ankle power (SMD −1.36, −1.70 to −1.02), increased double limb support time (SMD 1.03, 0.84 to 1.22), and peak plantar pressures at the forefoot (SMD 1.11, 0.76 to 1.45). Walking velocity was reduced in psoriatic arthritis and gout with no differences in ankylosing spondylitis. No studies have been conducted in polymyalgia rheumatica, systemic sclerosis or systemic lupus erythematosus. Conclusions The review identified the majority of studies reporting gait adaptations in RA, but limited evidence relating to other IA conditions. Poor data reporting, small sample sizes and heterogeneity across IA conditions limit the interpretation of the findings. Future studies may consider a standardised analytical approach to gait analysis that will provide clinicians and researchers with objective evidence of foot function in people with IA.
dc.identifier.citationBMC Musculoskeletal Disorders 2015, 16:134 doi:10.1186/s12891-015-0596-0en_NZ
dc.identifier.doi10.1186/s12891-015-0596-0
dc.identifier.issn1471-2474en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/8873
dc.publisherBioMed Central Ltd
dc.rights© 2015 Carroll et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http:// creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectGait
dc.subjectRheumatoid arthritis
dc.subjectAnkylosing spondylitis
dc.subjectPsoriatic arthritis
dc.subjectGout
dc.titleGait characteristics associated with the foot and ankle in inflammatory arthritis: a systematic review and meta-analysisen_NZ
dc.typeJournal Article
pubs.elements-id183465
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
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