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Impact of foot functionality in patients with systemic sclerosis: Cross-sectional study
Esther Chicharro-Luna1, Miguel Ángel Gracia-Vesga2, Laura Ramos-Petersen3
1Department Behavioral Sciences and Health, Nursing Area, Faculty of Medicine, University Miguel Hernández, Spain.
Journal of Tissue Viability
|March 21, 2024
Summary
Systemic sclerosis (SS) significantly impacts foot function, particularly causing pain. Improving foot function in SS patients may enhance their overall quality of life.
Area of Science:
- Rheumatology
- Autoimmune Diseases
- Patient-Reported Outcomes
Background:
- Systemic sclerosis (SS) is a rare, chronic autoimmune disease affecting skin and internal organs.
- Raynaud's phenomenon and digital ulcers are common foot manifestations in SS, reducing patient quality of life.
Purpose of the Study:
- To assess foot functionality in patients diagnosed with systemic sclerosis (SS).
- To determine the impact of impaired foot function on the daily lives of individuals with SS.
Main Methods:
- 165 SS patients (154 female, 11 male) completed the Foot Function Index (FFI) and Systemic Sclerosis Questionnaire (SySQ).
- Multivariate analysis was employed to identify factors associated with higher questionnaire scores.
Main Results:
- High prevalence of claw toe deformities (32.1%), Raynaud's disease (79.4%), and foot ulcers (20%) were observed.
- The FFI revealed the highest scores in pain (5.06±2.75), followed by foot disability (3.26±2.91).
- Significant correlations were found between FFI and SySQ scores (r=0.712, p<0.001), indicating a link between foot function and overall well-being.
Conclusions:
- Systemic sclerosis adversely affects foot functionality, with pain being a primary concern.
- A strong correlation exists between foot function (FFI) and overall systemic sclerosis symptoms (SySQ).
- Interventions aimed at improving foot functionality may enhance the overall quality of life for SS patients.
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