Can Ankle and Foot Musculoskeletal Ultrasound Predict Fall Risk in Rheumatoid Arthritis Patients?
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 101
- 试验地点
- 1
- 主要终点
- type of foot
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults with Rheumatoid arthritis.
排除标准
- •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.
结局指标
主要结局
type of foot
时间窗: 1 week
using the wet test . three types of feet either normal, high arched or flat feet.
sensation
时间窗: 1 week
superficial sensation reported as intact or impaired
muscle power
时间窗: 1 week
by manual testing with 5 grades where grade 5 means normal power
Tenitti balance assessment tool
时间窗: 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
时间窗: 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
时间窗: 1 week
measured clinically as normal or restricted
次要结局
未报告次要终点
研究者
safaa Mahran
Associate Proffesor
Assiut University