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Trial registered on ANZCTR
Registration number
ACTRN12612000597897
Ethics application status
Approved
Date submitted
30/05/2012
Date registered
4/06/2012
Date last updated
28/08/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
The rheumatoid foot and falls
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Scientific title
Foot and ankle characteristics associated with falls and falls risk in people with rheumatoid arthritis
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Secondary ID [1]
280589
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Counties Manukau District Health Board research registration number 1220
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Secondary ID [2]
280590
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Auckland District Health Board research registration number A+5364
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Universal Trial Number (UTN)
U1111-1131-2428
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
rheumatoid arthritis
286586
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falls
286587
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Condition category
Condition code
Inflammatory and Immune System
286862
286862
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0
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Rheumatoid arthritis
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Public Health
286863
286863
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0
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Epidemiology
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Injuries and Accidents
286896
286896
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0
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Other injuries and accidents
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
90 minutes clinical assessments at baseline and 12 months plus completion of a monthly falls diary for 12 months.
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Intervention code [1]
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Not applicable
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Comparator / control treatment
Uncontrolled
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Falls history (no falls, 1 falls , more than 1 fall in preceding 12 months) - self-reported by participants
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Assessment method [1]
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Timepoint [1]
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at baseline
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Primary outcome [2]
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Prospectively determined falls (proportion of fallers; the proportion of multiple fallers; falling rate) participant self-reported using 12 month falls calendar / diary and standardised post fall interview
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Assessment method [2]
287219
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Timepoint [2]
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at 12 months after baseline
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Secondary outcome [1]
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Foot deformity (bunions, claw/hammer toes, corns, calluses) using Foot Problem Score and Manchester Foot Disability Scale
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Assessment method [1]
297651
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Timepoint [1]
297651
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at baseline and 12 months after baseline
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Secondary outcome [2]
297652
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Foot pain using 100mm Visual Analogue Scale
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Assessment method [2]
297652
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Timepoint [2]
297652
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at baseline and 12 months after baseline
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Secondary outcome [3]
297653
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Plantar sensation using a biosthesiometer (vibration perception threshold) and 10g SW monofilament (fine touch)
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Assessment method [3]
297653
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Timepoint [3]
297653
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at baseline and 12 months after baseline
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Secondary outcome [4]
297654
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Ankle range of motion using a goniometer
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Assessment method [4]
297654
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Timepoint [4]
297654
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at baseline and 12 months after baseline
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Secondary outcome [5]
297655
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Foot and ankle muscle strength (inversion/eversion, dorsiflexion/plantarflexion) using a hand-held dynamometer
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Assessment method [5]
297655
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Timepoint [5]
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at baseline and 12 months after baseline
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Secondary outcome [6]
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Hallux and lessor toe strength using the Paper Grip Test and a plantar pressure mat system
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Assessment method [6]
297656
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Timepoint [6]
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at baseline and 12 months after baseline
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Secondary outcome [7]
297657
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Plantar pressure (Peak Plantar Pressure and Pressure Time integral) using a plantar pressure mat system
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Assessment method [7]
297657
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Timepoint [7]
297657
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at baseline and 12 months after baseline
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Secondary outcome [8]
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Disability assessed using the Leeds Foot Impact Scale (LFIS), the Health Assessment Questionnaire-II (HAQII) and the Short Falls Efficacy Scale (FES-1).
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Assessment method [8]
297658
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Timepoint [8]
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at baseline and 12 months after baseline
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Secondary outcome [9]
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Postural Sway (anterio-posterior and medio-lateral) using a plantar pressure mat system.
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Assessment method [9]
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Timepoint [9]
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At baseline and 12 months after baseline
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Secondary outcome [10]
301782
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Indeitifcation of footwear worn to study visit and self-reported usual footwear indoors and usual footwear worn outside.
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Assessment method [10]
301782
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Timepoint [10]
301782
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at baseline and 12 months after baseline
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Secondary outcome [11]
301783
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Self reported hearing impairment and hearing devices used
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Assessment method [11]
301783
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Timepoint [11]
301783
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Baseline and 12 months after baseline
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Secondary outcome [12]
301784
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Identification of visual aids used
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Assessment method [12]
301784
0
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Timepoint [12]
301784
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Baseline and at 12 months after baseline
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Secondary outcome [13]
301785
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Indentification of assistive devices used for walking (e.g. walker, cane)
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Assessment method [13]
301785
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Timepoint [13]
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Baseline and 12 months after baseline
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Eligibility
Key inclusion criteria
Adults 18 years and older with diagnosed rheumatoid arthritis (according to ACR criteria) who can read, understand and sign the consent form
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Under the age of 18 years, unable to read and understand the information sheet and unable to provide written informed consent.
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Defined population
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Timing
Both
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/02/2013
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Actual
20/02/2013
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Date of last participant enrolment
Anticipated
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Actual
21/08/2013
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
200
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Accrual to date
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Final
201
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Recruitment outside Australia
Country [1]
4340
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New Zealand
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State/province [1]
4340
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Auckland
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Funding & Sponsors
Funding source category [1]
285345
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Charities/Societies/Foundations
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Name [1]
285345
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Arthritis New Zealand
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Address [1]
285345
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Level 2, 166 Featherston Street,Wellington 6011
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Country [1]
285345
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New Zealand
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Funding source category [2]
285346
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Commercial sector/Industry
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Name [2]
285346
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Asics New Zealand
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Address [2]
285346
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Brittain Wynyard & Co Ltd
24 Heather Street,
Parnell, Auckland 1052
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Country [2]
285346
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New Zealand
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Primary sponsor type
Individual
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Name
Keith Rome
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Address
Division of Rehabilitation & Occupation Studies
AUT University
Private Bag 92006
Auckland 1020
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Country
New Zealand
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Secondary sponsor category [1]
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Individual
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Name [1]
284196
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Nicola Dalbeth
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Address [1]
284196
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Department of Medicine
University of Auckland
Private Bag 92-019
Auckland 1142
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Country [1]
284196
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New Zealand
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Other collaborator category [1]
276833
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Individual
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Name [1]
276833
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Hylton Menz
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Address [1]
276833
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La Trobe University
Melbourne Victoria 3086
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Country [1]
276833
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Australia
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Other collaborator category [2]
276834
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Individual
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Name [2]
276834
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Sandra Bassett
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Address [2]
276834
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AUT University
Private Bag 92006
Auckland 1020
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Country [2]
276834
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
287359
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Northern X Regional Ethics Committee
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Ethics committee address [1]
287359
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Private Bag 92522 Wellesley Street Auckland 1141 New Zealand
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Ethics committee country [1]
287359
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New Zealand
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Date submitted for ethics approval [1]
287359
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Approval date [1]
287359
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07/02/2012
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Ethics approval number [1]
287359
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NTX/11/12/114
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Summary
Brief summary
People with rheumatoid arthritis (RA) have an increased risk of falling. Foot deformity is common in RA and may be linked to falls. The research will assess the relationship between foot deformity and falls in people with RA. Falls can result in death, injury, loss of confidence and independence and increased risk of falling. The identification of modifiable falls risk factors, in the rheumatoid foot, may lead to the development of an intervention that prevents falls in people with RA and improves quality of life. Hypotheses to be tested: 1. There will be a significant difference in structural and functional foot and ankle characteristics in RA patients with a history of falls, compared to RA patients who have not fallen. 2. There will be an association found between foot and ankle characteristics and falls in patients with RA. 3. Specific foot and ankle characteristics, in the rheumatoid foot, will be identified as predictors of falls in patients with RA.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Mrs Angela Brenton-Rule
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Address
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Division of Rehabilitation & Occupation Studies AUT University Private Bag 92006 Auckland 1020
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Country
34243
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New Zealand
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Phone
34243
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+64 9 5780121
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Fax
34243
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Email
34243
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[email protected]
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Contact person for public queries
Name
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Angela Brenton-Rule
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Address
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Division of Rehabilitation & Occupation Studies
AUT University
Private Bag 92006
Auckland 1020
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Country
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New Zealand
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Phone
17490
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+64 9 5780121
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Fax
17490
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Email
17490
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[email protected]
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Contact person for scientific queries
Name
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Keith Rome
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Address
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Division of Rehabilitation & Occupation Studies
AUT University
Private Bag 92006
Auckland 1020
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Country
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New Zealand
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Phone
8418
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+64 9 921 9999
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Fax
8418
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+64 9 921 9839
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Email
8418
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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