Foot-related Pain and Disability and Spatiotemporal Parameters of Gait During Self-selected and Fast Walking Speeds in People With Gout: A Two-arm Cross Sectional Study

aut.researcherVandal, Alain
dc.contributor.authorStewart, Sen_NZ
dc.contributor.authorMorpeth, Ten_NZ
dc.contributor.authorDalbeth, Nen_NZ
dc.contributor.authorVandal, ACen_NZ
dc.contributor.authorCarroll, Men_NZ
dc.contributor.authorDavidtz, Len_NZ
dc.contributor.authorMawston, Gen_NZ
dc.contributor.authorOtter, Sen_NZ
dc.contributor.authorRome, Ken_NZ
dc.date.accessioned2015-12-15T23:39:25Z
dc.date.available2015-12-15T23:39:25Z
dc.date.copyright2015en_NZ
dc.date.issued2015en_NZ
dc.description.abstractObjectives To examine gait parameters in people with gout during different walking speeds whileadjusting for body mass index (BMI) and foot-pain, and to determine the relationship between gait parameters and foot-pain and disability. Method Gait parameters were measured using the GAITRiteā„¢ walkway in 20 gout participants and 20 age- and sex-matched controls during self-selected and fast walking speeds. Foot-pain and disability was measured using the Manchester Foot Pain and Disability Index (MFPDI) which contains four domains relating to function, physical appearance, pain and work/leisure. Results At the self-selected speed, gout participants demonstrated increased step time (p=0.017), and stance time (p=0.012), and reduced velocity (p=0.031) and cadence (p=0.013). At the fast speed, gout participants demonstrated increased step time (p=0.007), swing time (p=0.005) and stance time (p=0.019) and reduced velocity (p=0.036) and cadence (p=0.009). For participants with gout, step length was correlated with total MFPDI (r=-0.62, p=0.008), function (r=-0.65, p=0.005) and physical appearance (r=-0.50, p=0.041); stride length was correlated with total MFPDI (r=-0.62, p=0.008), function (r=-0.65, p=0.005) and physical appearance (r=-0.50, p=0.041); and velocity was correlated with total MFPDI (r=-0.60, p=0.011), function (r=-0.63, p=0.007) and work/leisure (r=-0.53, p=0.030). Conclusion Gait patterns exhibited by people with gout are different from controls during both selfselected and fast walking speeds, even after adjusting for BMI and foot-pain. Additionally, gait parameters were strongly correlated with patient-reported functional limitation, physical appearance and work/leisure difficulties, while pain did not significantly influence gait in people with gout.en_NZ
dc.identifier.citationGait and Posture. Volume 44, February 2016, Pages 18ā€“22.en_NZ
dc.identifier.doi10.1016/j.gaitpost.2015.11.004en_NZ
dc.identifier.issn1879-2219en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/9333
dc.publisherElsevier
dc.relation.urihttp://dx.doi.org/10.1016/j.gaitpost.2015.11.004
dc.rightsCopyright Ā© 2016 Elsevier Ltd. All rights reserved. This is the authorā€™s version of a work that was accepted for publication in (see Citation). Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. The definitive version was published in (see Citation). The original publication is available at (see Publisher's Version).
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectGouten_NZ
dc.subjectSpatiotemporal gaiten_NZ
dc.subjectFoot painen_NZ
dc.subjectDisabilityen_NZ
dc.subjectActivities of daily livingen_NZ
dc.titleFoot-related Pain and Disability and Spatiotemporal Parameters of Gait During Self-selected and Fast Walking Speeds in People With Gout: A Two-arm Cross Sectional Studyen_NZ
dc.typeJournal Article
pubs.elements-id193787
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
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