Abstract：
BACKGROUND: In patients with rheumatoid arthritis (RA), the pathological progression of lower limb biomechanics is established. Although specific aspects of RA gait patterns have been studied and described, we are aware of no studies of gait pattern compensations over the entire disease course. This study aimed to describe a model that could predict the evolution of lower limb pathomechanics in patients with RA.
METHODS: A literature review was conducted of electronic databases (MEDLINE, PEDro, Trip Database, DOAJ, BioMed Central, PLOS clinical trial, ScienceDirect, and CRD York University, AHRQ, NICE, Cochrane Library) to October 3, 2023.
RESULTS: A theory was developed that all people with RA induce or augment gait evolution syndromes following the same biomechanical course. Specifically, we postulate the \"rheumatoid equinus syndrome,\" the \"rheumatoid abnormal pronation syndrome\" and the \"rheumatoid shuffle syndrome,\" which have never been described before.
CONCLUSIONS: A new model of the evolution of gait compensation in RA is proposed. An important challenge of RA is that it increases the risk of ulcerative lesions, falls, pain, fractures, and healthcare costs. The proposed model can be used to reduce morbidity in this patient group by helping to explain and reduce the pain, deformity, and ankylosis of foot RA.
METHODS: A literature review was conducted of electronic databases (MEDLINE, PEDro, Trip Database, DOAJ, BioMed Central, PLOS clinical trial, ScienceDirect, and CRD York University, AHRQ, NICE, Cochrane Library) to October 3, 2023.
RESULTS: A theory was developed that all people with RA induce or augment gait evolution syndromes following the same biomechanical course. Specifically, we postulate the \"rheumatoid equinus syndrome,\" the \"rheumatoid abnormal pronation syndrome\" and the \"rheumatoid shuffle syndrome,\" which have never been described before.
CONCLUSIONS: A new model of the evolution of gait compensation in RA is proposed. An important challenge of RA is that it increases the risk of ulcerative lesions, falls, pain, fractures, and healthcare costs. The proposed model can be used to reduce morbidity in this patient group by helping to explain and reduce the pain, deformity, and ankylosis of foot RA.
摘要：
背景：在类风湿关节炎（RA）患者中，建立了下肢生物力学的病理进展。尽管已经研究和描述了RA步态模式的特定方面，我们知道没有关于整个疾病过程中步态模式补偿的研究。本研究旨在描述一种可以预测RA患者下肢病理力学演变的模型。
方法：对电子数据库进行了文献综述(MEDLINE，PEDro,跳闸数据库,DOAJ,BioMedCentral,PLOS临床试验,ScienceDirect,和CRD约克大学，AHRQ,Nice,Cochrane图书馆）至2023年10月3日。
结果：提出了一种理论，即所有RA患者在相同的生物力学过程中诱发或增强步态进化综合征。具体来说,我们假设\“类风湿马蹄综合征，“类风湿异常内旋综合征”和“类风湿洗牌综合征”，“这是以前从未描述过的。
结论：提出了一种新的RA步态补偿演变模型。RA的一个重要挑战是它增加了溃疡性病变的风险，falls,疼痛,骨折,和医疗费用。所提出的模型可用于通过帮助解释和减少疼痛来降低该患者组中的发病率。畸形,和足RA强直。
方法：对电子数据库进行了文献综述(MEDLINE，PEDro,跳闸数据库,DOAJ,BioMedCentral,PLOS临床试验,ScienceDirect,和CRD约克大学，AHRQ,Nice,Cochrane图书馆）至2023年10月3日。
结果：提出了一种理论，即所有RA患者在相同的生物力学过程中诱发或增强步态进化综合征。具体来说,我们假设\“类风湿马蹄综合征，“类风湿异常内旋综合征”和“类风湿洗牌综合征”，“这是以前从未描述过的。
结论：提出了一种新的RA步态补偿演变模型。RA的一个重要挑战是它增加了溃疡性病变的风险，falls,疼痛,骨折,和医疗费用。所提出的模型可用于通过帮助解释和减少疼痛来降低该患者组中的发病率。畸形,和足RA强直。
