Footwear Interventions for Foot and Ankle Arthritis
limitation and disability in the new design therapeutic footwear compared to traditional therapeutic footwear at 12 weeks ( d = 0.88 – 1.07 ; large effect ). Significant within group improvement was seen in the new design therapeutic footwear ( d = 0.92 – 1.06 ; large
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effect ) with non-significant within group improvement in the traditional therapeutic footwear group ( d = 0.04 – 0.33 ; negligiblesmall effect ). One RCT [ 21 ] comparing therapeutic footwear with soft orthoses and therapeutic footwear with semi-rigid orthoses reported no significant between group differences in activity limitation and disability at 24 weeks ( d = 0.94 ; large effect ). Nonsignificant within group improvements in activity limitation and disability was observed in the footwear with semi-rigid orthoses group ( d = 0.78 ; medium effect ) and the footwear
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® with soft orthoses group ( d = 1.31 ; large effect ). One prospective observational study [ 17 ] reported a significant within group improvement in self-reported walking ability with heatmoldable footwear ( unable to calculate effect size ). Another prospective observational study [ 22 ] reported within group improvements in foot function , activity limitation and disability with rockersole footwear use at four weeks ( d = 1.03 ; large effect ).
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One prospective observational study [ 11 ] measured function , footrelated impairment and
34 Pedorthic Footcare Association | www . pedorthics . org