Comparison of health-related quality of life between patients with different metatarsalgia types and matched healthy controls
a cross-sectional analysis
Keywords:
Foot deformities, Foot diseases, Metatarsalgia, Quality of lifeAbstract
BACKGROUND: Metatarsalgia can be considered to be a common complaint in clinical practice. The aim of this study was to compare quality of life (QoL) between participants with different metatarsalgia types and matched-paired healthy controls. DESIGN AND SETTING: A cross-sectional analysis on a sample of 124 participants of median age ± inter- quartile range of 55 ± 22 years was carried out in the University Clinic of Podiatric Medicine and Surgery, Ferrol, Spain. They presented primary (n = 31), secondary (n = 31) or iatrogenic (n = 31) metatarsalgia, or were matched-paired healthy controls (n = 31). METHODS: Self-reported domain scores were obtained using the Foot Health Status Questionnaire (FHSQ) and were compared between the participants with metatarsalgia and between these and the healthy controls. RESULTS: Statistically significant differences were shown in all FHSQ domains (P ≤ 0.001). Post-hoc anal- yses showed statistically significant differences (P < 0.05) between the metatarsalgia types in relation to the matched healthy control group, such that the participants with metatarsalgia presented impaired foot-specific and general health-related QoL (lower FHSQ scores). CONCLUSION: This study demonstrated that presence of metatarsalgia had a negative impact on foot health-related QoL. Foot-specific health and general health were poorer among patients with metatarsal- gia, especially among those with secondary and iatrogenic metatarsalgia, in comparison with matched healthy controls.
Downloads
References
Bardelli M, Turelli L, Scoccianti G. Definition and classification of metatarsalgia. Foot and Ankle Surg. 2003;9(2):79-85. doi: 10.1016/S1268-7731(02)00002-4.
Vayas Díez R, Sánchez Hernández P, Ayala Rodrigo A, et al. Actualización en el Tratamiento de la Metatarsalgia según la medicina basada en la evidencia. Canarias Médica y Quirúrgica. 2011;8(24):21-3. Available from: http://hdl.handle.net/10553/5758. Accessed in 2018 (May 28).
Arie EK, Moreira NS, Freire GS, Dos Santos BS, Yi LC. Study of the metatarsal formula in patient with primary metatarsalgia. Rev Bras Ortop. 2015;50(4):438-44. PMID: 26401502; doi: 10.1016/j. rboe.2015.06.018.
Barouk P. Recurrent metatarsalgia. Foot Ankle Clin. 2014;19(3):407-24. PMID: 25129352; doi: 10.1007/s10354-016-0445-2.
Espinosa N, Brodsky JW, Maceira E. Metatarsalgia. J Am Acad Orthop Surg. 2010;18(8):474-85. PMID: 20675640.
Scranton PE Jr. Metatarsalgia: diagnosis and treatment. J Bone Joint Surg Am. 1980;62(5):723-32. PMID: 7391095.
Pardal-Fernández JML, Rodríguez-Vázquez M. Metatarsalgias y neuropatías del pie. Diagnóstico diferencial [Metatarsalgia and neuropathies of the foot. Differential diagnosis]. Rev Neurol. 2011;52(1):37-4. PMID: 21246492.
DuVries HL. Surgery of the foot. Academic Medicine. 1959;34(10):1055. Available from: https://journals.lww.com/academicmedicine/Citation/1959/10000/Surgery_of_the_Foot.38.aspx. Accessed in 2018 (May 28).
Dueñas L. Estudio del umbral de disconfort a la presión en el pie de las personas mayores [thesis]. España: Universidad de Valencia. Valencia; 2013. Available from: http://roderic.uv.es/handle/10550/32536. Accessed in 2018 (May 22).
Irwin TA. Management of Metatarsalgia and Lesser Toe Deformities. Foot Ankle Clin. 2018;23(1):xv-xvi. PMID: 29362038; doi: 10.1016/j. fcl.2017.10.003.
Haque S, Kakwani R, Chadwick C, Davies MB, Blundell CM. Outcome of Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy (DMMO) for Lesser Toe Metatarsalgia. Foot Ankle Int. 2016;37(1):58-63. PMID: 26314303; doi: 10.1177/1071100715598601.
Dunn JE, Link CL, Felson DT, et al. Prevalence of foot and ankle conditions in a multiethnic community sample of older adults. Am J Epidemiol. 2004;159(5):491-8. PMID: 14977645.
Roddy E, Muller S, Thomas E. Onset and persistence of disabling foot pain in community-dwelling older adults over a 3-year period: a prospective cohort study. J Gerontol A Biol Sci Med Sci. 2011;66(4):474-80. PMID: 21106703; doi: 10.1093/gerona/glq203
Hermida GLF. Metatarsalgia propulsiva. Tratamiento con la osteotomía triple de Maceira. An Med (Mex) 2012; 57 (2): 118-122. Available from: http://www.medigraphic.com/pdfs/abc/bc-2012/bc122f.pdf. Accessed in 2018 (May 29).
Espinosa N, Maceira E, Myerson MS. Current concepts review: metatarsalgia. Foot Ankle Int. 2008;29(8):871-9. PMID: 18752791; doi: 10.3113/FAI.2008.0000.
Espinosa N, Brodsky JW, Maceira E. Metatarsalgia. J Am Acad Orthop Surg. 2010;18(8):474-85. PMID: 20675640.
Nery CAS. Metatarsalgias. In: Hebert S, Xavier R, Pardini Júnior AG, Barros Filho TEP. Ortopedia e traumatologia: princípios e prática. 4th ed. Artmed; Porto Alegre; 2009. ISBN-10: 8536317531; ISBN-13: 978-8536317533.
Mifsut Miedes D, Franco Peris E, Turowicz M, Subías López A, Cutillas Ybarra B. Osteotomía de Weil percutánea en el tratamiento de las metatarsalgias. Correlación clínico-radiológica. Revista Española de Cirugía Osteoarticular. 2009;44(237):30-5. Available from: http://roderic.uv.es/bitstream/handle/10550/40727/30-35.pdf?sequence=1&isAllowed=y. Accessed in 2018 (May 28).
Parada I, Santamaria A, Muriano J, et al. Complicaciones en el tratamiento quirúrgico del hallux rigidus. Rev Pie Tobillo. 2016;30(1):32-8. doi: 10.1016/j.rptob.2016.04.009.
Moreno Rodríguez J. Metatarsalgia. Semin Fund Esp Reumatol. 2012;13(4):130-3. doi.org/10.1016/j.semreu.2012.07.002.
Balanowski KR, Flynn LM. Effect of painful keratoses debridement on foot pain, balance and function in older adults. Gait Posture. 2005;22(4):302‑7. PMID: 16274911; doi: 10.1016/j.gaitpost.2004.10.006.
Menz HB, Morris ME. Clinical determinants of plantar forces and pressures during walking in older people. Gait Posture. 2006;24(2):229-36. PMID: 16214340; doi: 10.1016/j.gaitpost.2005.09.002.
Ueshima K, Ishikawa-Takata K, Yorifuji T, et al. Physical activity and mortality risk in the Japanese elderly: a cohort study. Am J Prev Med. 2010;38(4):410-8. PMID: 20307810; doi: 10.1016/j.amepre.2009.12.033.
Landi F, Russo A, Cesari M, et al. Walking one hour or more per day prevented mortality among older persons: results from ilSIRENTE study. Prev Med. 2008;47(4):422-6. PMID: 18672001; doi: 10.1016/j. ypmed.2008.06.020.
Menz HB, Morris ME. Footwear characteristics and foot problems in older people. Gerontology. 2005;51(5):346-51. PMID: 16110238; doi: 10.1159/000086373.
Bus SA, Maas M, de Lange A, Michels RP, Levi M. Elevated plantar pressures in neuropathic diabetic patients with claw/hammer toe deformity. J Biomech. 2005;38(9):1918-25. PMID: 16023481; doi: 10.1016/j.jbiomech.2004.07.034.
Menz HB, Morris ME, Lord SR. Foot and ankle risk factors for falls in older people: a prospective study. J Gerontol A Biol Sci Med Sci. 2006;61(8):866-70. PMID: 16912106.
Mickle KJ, Munro BJ, Lord SR, Menz HB, Steele JR. ISB Clinical Biomechanics Award 2009: Toe weakness and deformity increase the risk of falls in older people. Clin Biomech. 2009;24(10):787-91. PMID: 19751956; doi: 10.1016/j.clinbiomech.2009.08.011.
Chang BC, Liu DH, Chang JL, Lee SH, Wang JY. Plantar pressure analysis of accommodative insole in older people with metatarsalgia. Gait Posture. 2014;39(1):449-54. PMID: 24119776; doi: 10.1016/j.gaitpost.2013.08.027.
Cuesta-Vargas A, Bennett P, Jimenez-Cebrian AM, Labajos-Manzanares MT. The psychometric properties of the Spanish version of the Foot Health Status Questionnaire. Qual Life Res. 2013;22(7):1739-3. PMID: 23065118; doi: 10.1007/s11136-012-0287-3.
Bennett PJ, Patterson C, Wearing S, Baglioni T. Development and validation of a questionnaire designed to measure foot-health status. J Am Podiatr Med Assoc. 1998;88(9):419-28. PMID: 9770933; doi: 10.7547/87507315-88-9-419.
Bennett PJ, Patterson C, Dunne MP. Health-related quality of life following podiatric surgery. J Am Podiatr Med Assoc. 2001;91(4):164-73. PMID: 11319246.
Landorf KB, Keenan AM. An evaluation of two foot-specific, health-related quality-of-life measuring instruments. Foot Ankle Int. 2002;23(6):538-46. PMID: 12095123; doi: 10.1177/107110070202300611.
Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30(6):473-83. PMID: 1593914.
Irving DB, Cook JL, Young MA, Menz HB. Impact of chronic plantar heel pain on health-related quality of life. J Am Podiatr Med Assoc. 2008;98(4):283-9. PMID: 18685048.
Mitty E. Nursing care of the aging foot. Geriatr Nurs. 2009;30(5):350-4. PMID: 19818272; doi: 10.1016/j.gerinurse.2009.08.004.
Dawson J, Thorogood M, Marks SA, et al. The prevalence of foot problems in older women: a cause for concern. J Public Health Med. 2002;24(2):77‑84. PMID: 12141589.
Hughes M. Fall prevention among older adults: is London ready for the NSF? Br J Community Nurs. 2002;7(7):352-8. PMID: 12131850; doi: 10.12968/bjcn.2002.7.7.10631.
Menz HB, Lord SR. Foot pain impairs balance and functional ability in community-dwelling older people. J Am Podiatr Med Assoc. 2001;91(5):222-9. PMID: 11359885.
Gines-Cespedosa A, Alentorn-Geli E, Sanchez JF, et al. Influence of common associated forefoot disorders on preoperative quality of life in patients with hallux valgus. Foot Ankle Int. 2013;34(12):1634-7. PMID: 23943654; doi: 10.1177/1071100713502321.
Morales-Muñoz P, De Los Santos Real R, Barrio Sanz P, et al. Gastrocnemius Proximal Release in the Treatment of Mechanical Metatarsalgia. Foot Ankle Int. 2016;37(7):782-9. PMID: 27036137; doi: 10.1177/1071100716640612.
Toepfer A, von Eisenhart-Rothe R, Harrasser N. Metatarsalgia: Differential diagnosis and therapy. Wien Med Wochenschr. 2017;167(11-12):285-92. doi: 10.1007/s10354-016-0445-2.
