The Swindon Foot and Ankle Questionnaire: Is a Picture Worth a Thousand Words?

Objectives. Despite increased awareness of the high prevalence and significance of foot and ankle problems in rheumatoid arthritis (RA), feet remain neglected. Reasons may include the perception that feet are difficult to assess, they are not included in the DAS28, and lack of freely available foot...

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Main Authors:	Waller, Rosemary, Manuel, Peter, Williamson, Lyn
Format:	Online
Language:	English
Published:	International Scholarly Research Network 2012
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3463932/

id	pubmed-3463932
recordtype	oai_dc
spelling	pubmed-34639322012-10-10 The Swindon Foot and Ankle Questionnaire: Is a Picture Worth a Thousand Words? Waller, Rosemary Manuel, Peter Williamson, Lyn Research Article Objectives. Despite increased awareness of the high prevalence and significance of foot and ankle problems in rheumatoid arthritis (RA), feet remain neglected. Reasons may include the perception that feet are difficult to assess, they are not included in the DAS28, and lack of freely available foot screening tools specific for RA. Methods. The Swindon Foot and Ankle Questionnaire (SFAQ) is a simply worded 10-point foot and ankle screening questionnaire with diagrams of feet and ankles for use in general rheumatology outpatients. All RA patients on our electronic database were invited to complete the questionnaire and attend clinic for assessment. Patients assessed clinically were scored out of 10 using the parameters from the questionnaire. The SFAQ was compared to the Manchester Foot Pain and Disability Index (MFPDI), DAS28, HAQ, HAD, and OSRA scores. Results. 597 questionnaires were sent, 301 (50%) returned, and 137 seen in clinic. There was good correlation between the postal SFAQ score, clinic score (r = 0.63), and the MFPDI (r = 0.65). Neither of the foot scores correlated with other RA disease outcome measures. 75% patients completed the picture. 73% corresponded to clinical findings. 45% of patients required an intervention following clinical review and trended towards higher scores. Conclusions. The SFAQ was quick to complete and correlated with the MFPDI. Lack of association with standard RA outcome measures suggests that relying on these scores alone may miss foot pathology. The diagrams were a useful complement. This simple screening tool could aid identification of RA foot and ankle problems. International Scholarly Research Network 2012-09-26 /pmc/articles/PMC3463932/ /pubmed/23056959 http://dx.doi.org/10.5402/2012/105479 Text en Copyright © 2012 Rosemary Waller et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Waller, Rosemary Manuel, Peter Williamson, Lyn
spellingShingle	Waller, Rosemary Manuel, Peter Williamson, Lyn The Swindon Foot and Ankle Questionnaire: Is a Picture Worth a Thousand Words?
author_facet	Waller, Rosemary Manuel, Peter Williamson, Lyn
author_sort	Waller, Rosemary
title	The Swindon Foot and Ankle Questionnaire: Is a Picture Worth a Thousand Words?
title_short	The Swindon Foot and Ankle Questionnaire: Is a Picture Worth a Thousand Words?
title_full	The Swindon Foot and Ankle Questionnaire: Is a Picture Worth a Thousand Words?
title_fullStr	The Swindon Foot and Ankle Questionnaire: Is a Picture Worth a Thousand Words?
title_full_unstemmed	The Swindon Foot and Ankle Questionnaire: Is a Picture Worth a Thousand Words?
title_sort	swindon foot and ankle questionnaire: is a picture worth a thousand words?
description	Objectives. Despite increased awareness of the high prevalence and significance of foot and ankle problems in rheumatoid arthritis (RA), feet remain neglected. Reasons may include the perception that feet are difficult to assess, they are not included in the DAS28, and lack of freely available foot screening tools specific for RA. Methods. The Swindon Foot and Ankle Questionnaire (SFAQ) is a simply worded 10-point foot and ankle screening questionnaire with diagrams of feet and ankles for use in general rheumatology outpatients. All RA patients on our electronic database were invited to complete the questionnaire and attend clinic for assessment. Patients assessed clinically were scored out of 10 using the parameters from the questionnaire. The SFAQ was compared to the Manchester Foot Pain and Disability Index (MFPDI), DAS28, HAQ, HAD, and OSRA scores. Results. 597 questionnaires were sent, 301 (50%) returned, and 137 seen in clinic. There was good correlation between the postal SFAQ score, clinic score (r = 0.63), and the MFPDI (r = 0.65). Neither of the foot scores correlated with other RA disease outcome measures. 75% patients completed the picture. 73% corresponded to clinical findings. 45% of patients required an intervention following clinical review and trended towards higher scores. Conclusions. The SFAQ was quick to complete and correlated with the MFPDI. Lack of association with standard RA outcome measures suggests that relying on these scores alone may miss foot pathology. The diagrams were a useful complement. This simple screening tool could aid identification of RA foot and ankle problems.
publisher	International Scholarly Research Network
publishDate	2012
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3463932/
_version_	1611913619984875520

The Swindon Foot and Ankle Questionnaire: Is a Picture Worth a Thousand Words?

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