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.
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 Type
OBSERVATIONAL
Enrollment
101
non
Assiut University
Asyut, Egypt
range of motion
measured clinically as normal or restricted
Time frame: 1 week
muscle power
by manual testing with 5 grades where grade 5 means normal power
Time frame: 1 week
sensation
superficial sensation reported as intact or impaired
Time frame: 1 week
type of foot
using the wet test . three types of feet either normal, high arched or flat feet.
Time frame: 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
Time frame: 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.
Time frame: 1 week
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