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OBJECTIVE.: To determine whether there are differences in the foot-specific and general health-related quality of life (HRQoL) of people with and without first metatarsophalangeal joint (MTPJ) osteoarthritis (OA).
METHODS.: The foot-specific and general HRQoL of 43 participants (mean [SD] age = 50.0 [10.8]) with symptomatic radiographically confirmed first MTPJ OA (case group) was compared to an age, sex and body mass index matched control group. Foot-specific HRQoL was assessed using the Foot Health Status Questionnaire (FHSQ) and general HRQoL was assessed using the Short-Form-36 questionnaire (SF-36). Both questionnaires are validated instruments with 0 to 100 point domains.
RESULTS.: All domains of the FHSQ were significantly lower in the case group (mean [SD] foot pain = 55.5 [22.3] versus 93.0 [7.8], foot function = 73.8 [20.9] versus 96.9 [11.5], footwear = 39.1 [28.7] versus 76.6 [27.0] and general foot health = 50.2 [27.0] versus 89.7 [16.0]). Further, the SF-36 physical functioning domain was significantly lower (mean [SD] = 82.8 [14.7] versus 95.2 [6.3]) in the case group.
CONCLUSION.: People with first MTPJ OA experience more foot pain, have greater difficulty performing functional weightbearing activities, find it more difficult to obtain suitable footwear and perceive their feet to be in a poorer state of health. Additionally, people with symptomatic first MTPJ OA have greater difficulty performing a broad range of physical tasks and activities