Can Musculoskeletal Ultrasound Predict Fall Risk in Rheumatoid Arthritis Patients?

Study Overview
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Brief Summary
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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
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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.

Official Title
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Can Ankle and Foot Musculoskeletal Ultrasound Predict Fall Risk in Rheumatoid Arthritis Patients?

Conditions
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Rheumatoid Arthritis

Intervention / Treatment
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* Other: non


Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: non|non|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| range of motion | measured clinically as normal or restricted | 1 week | 
| muscle power | by manual testing with 5 grades where grade 5 means normal power | 1 week | 
| sensation | superficial sensation reported as intact or impaired | 1 week | 
| type of foot | using the wet test . three types of feet either normal, high arched or flat feet. | 1 week | 
| Tenitti balance assessment tool | The maximum total score is 28 points. In general, residents who score below 19 are at a high risk for falls | 1 week | 
| Berge Balance assessment | 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. | 1 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Rheumatoid arthritis, foot problems, Fall risk, predictors