Can Musculoskeletal Ultrasound Predict Fall Risk in Rheumatoid Arthritis Patients?

Completed

• Conditions: Rheumatoid Arthritis

• Registration Number: NCT04464096
• Lead Sponsor: Assiut University

Brief Summary

Rheumatoid patients have higher fall risk than normal population. Several fall risk factors were studied. No previous study investigated the role of musculoskeletal ultrasound as a predictor of fall risk in rheumatoid arthritis.

Detailed Description

Adults with rheumatoid arthritis are exposed to higher risk of fracture. Risk factors included joint tenderness, fatigue, muscle weakness, impaired balance and disease activity.

Musculoskeletal ultrasound is a bed side radiographic tool that gained much attention in the last decade.It can detect stuctural chnges in the musculoskeletal system even before beeing detected by the x ray.

Nowadays, musculoskeletal ultrasound is a very useful tool in examining rheumatoid patients.

No previous study was done to investigate the role of musculoskeletal ultrasound as a predicting factor of fall risk in rheumatoid patients.

Predicting the fall risk in such disease could help setting preventing measures to prevent falls with its sequels.

Study Timeline

• Study Start: 2018-04-10
• Primary Completion: 2019-01-30
• Study Completion: 2019-02-15
• Study First Submitted: 2020-06-18
• Status Verified: 2020-07
• Study First Submitted QC: 2020-07-07
• Last Update Submitted: 2020-07-07
• Study First Posted: 2020-07-09
• Last Update Posted: 2020-07-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 101

Inclusion Criteria

• Adults with Rheumatoid arthritis.

Exclusion Criteria

• patients aged < 18 years
• Patients with lower limb disability preventing the participant from performing the mobility tests,
• Patients who were using antidepressants and sedatives.
• Patients with severe comorbidities, severe vision impairment, or hearing loss or neurological diseases that interferes with the mobility as stroke or neuropathy, were also excluded.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
type of foot	1 week	using the wet test . three types of feet either normal, high arched or flat feet.
sensation	1 week	superficial sensation reported as intact or impaired
muscle power	1 week	by manual testing with 5 grades where grade 5 means normal power
Tenitti balance assessment tool	1 week	The maximum total score is 28 points. In general, residents who score below 19 are at a high risk for falls
Berge Balance assessment	1 week	It is a 14 item list with each item consisting of a five-point ordinal scale ranging from 0 to 4, with 0 indicating the lowest level of function and 4 the highest level of function A score of \< 45 indicates individuals may be at greater risk of falling.
range of motion	1 week	measured clinically as normal or restricted

Trial Locations

Locations (1)

Assiut University; 🇪🇬 Assiut, Egypt