Footwear Interventions for Foot and Ankle Arthritis
Bagherzadeh Cham et al . [ 22 ] |
18 RA ( 100 %) |
• Age : 47 ( 8 )
• Disease duration : 8 ( 7 )
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4 • Good footwear characteristics
• ( ASICS CardioZip )
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No control |
• Primary outcome Not stated
• Outcomes assessed
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• Between group measures
• Not assessed .
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50 % |
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• Leather upper , rubbersole , |
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• Footpain , disability , activity limitation ( FFI ) |
• Within group measures |
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dual densitymidsole , rigid
heel counter , moderate
midfoot sole stability , heel and forefootcushioning
• Poor footwear characteristics
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• Significant improvement in FFI pain ( p = 0.001 ), disability ( p = 0.044 ), activitylimitation ( p = 0.04 ) andtotal ( p = 0.001 ) scoresat followup . |
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• ( Dunlop Asteroid ) Synthetic upper , rubbersole , single density midsole , minimal heel counter stiffness , minimal midfoot sole stability , no cushioning |
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• ( Dunlop Apollo ) |
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• Synthetic upper , synthetic sole , single density midsole , minimal heel counter stiffness , minimal midfoot sole stability , no cushioning |
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• ( Helix Viper ) Synthetic upper , Phylonsole , single density midsole , moderate heel counter stiffness , minimal midfoot sole stability , heel and forefoot cushioning
VAS , visual analogue scale ; HAQ , health assessment questionnaire ; LLTQ , lower limb tasks questionnaire ; LFIS ; Leeds foot impact scale ; FFI , foot function index .
Foot pain Rheumatoid arthritis
Three RCTs [ 13 ], [ 19 ], [ 21 ] and one prospective observational study [ 22 ] measured foot pain in people with rheumatoid arthritis . One RCT [ 13 ] compared traditional therapeutic footwear to a newer therapeutic footwear designed with patient and practitioner input . After 12 weeks , significant between group improvement was observed for the newer therapeutic footwear group compared to the traditional therapeutic footwear group ( d : 0.92 – 1.26 ; large effect ). Significant within group improvement in foot pain was observed in the newer therapeutic footwear group ( d :
1.08 – 1.24 ; large effect ), with no significant improvement in the traditional therapeutic footwear group ( d : 0.18 – 0.19 ; negligible effect ). Another RCT [ 19 ] compared three footwear conditions ; extra-depth footwear only , extradepth footwear with soft foot orthoses and extra-depth footwear with semi-rigid foot orthoses . At 12 weeks , significant between group reductions in MTP pain was reported in the extra-depth footwear with semi-rigid orthoses group compared to the footwear with soft orthoses group ( d = 0.45 ; medium effect ) and footwear only group ( d = 0.78 ; medium effect ). There was no significant within group improvement observed in the footwear with soft orthoses and footwear
Current Pedorthics | March-April 2021 31