'Choosing shoes': a preliminary study into the challenges facing clinicians in assessing footwear for rheumatoid patients
نویسندگان
چکیده
BACKGROUND Footwear has been accepted as a therapeutic intervention for the foot affected by rheumatoid arthritis (RA). Evidence relating to the objective assessment of footwear in patients with RA is limited. The aims of this study were to identify current footwear styles, footwear characteristics, and factors that influence footwear choice experienced by patients with RA. METHODS Eighty patients with RA were recruited from rheumatology clinics during the summer months. Clinical characteristics, global function, and foot impairment and disability measures were recorded. Current footwear, footwear characteristics and the factors associated with choice of footwear were identified. Suitability of footwear was recorded using pre-determined criteria for assessing footwear type, based on a previous study of foot pain. RESULTS The patients had longstanding RA with moderate-to severe disability and impairment. The foot and ankle assessment demonstrated a low-arch profile with both forefoot and rearfoot structural deformities. Over 50% of shoes worn by patients were open-type footwear. More than 70% of patients' footwear was defined as being poor. Poor footwear characteristics such as heel rigidity and sole hardness were observed. Patients reported comfort (17%) and fit (14%) as important factors in choosing their own footwear. Only five percent (5%) of patients wore therapeutic footwear. CONCLUSIONS The majority of patients with RA wear footwear that has been previously described as poor. Future work needs to aim to define and justify the specific features of footwear that may be of benefit to foot health for people with RA.
منابع مشابه
Choosing shoes: a preliminary study into the challenges facing clinicians in assessing footwear for rheumatoid arthritis patients
Methods Eighty patients with RA were recruited from rheumatology clinics during the summer months from clinics based in Auckland, New Zealand. Clinical characteristics of RA, global function, and foot impairment and disability measures were recorded. Current footwear, footwear characteristics and the factors associated with choice of footwear were identified. Suitability of footwear was recorde...
متن کاملAuthor ' s response to reviews Title : ' Choosing shoes ' ; the challenges for clinicians in assessing rheumatoid footwear : a preliminary study
متن کامل
An evaluation of seasonal variations in footwear worn by adults with inflammatory arthritis: a cross-sectional observational study using a web-based survey
BACKGROUND Foot problems are common in adults with inflammatory arthritis and therapeutic footwear can be effective in managing arthritic foot problems. Accessing appropriate footwear has been identified as a major barrier, resulting in poor adherence to treatment plans involving footwear. Indeed, previous New Zealand based studies found that many people with rheumatoid arthritis and gout wore ...
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OBJECTIVE Gout is associated with foot pain, impairment, and disability. The aim of this study was to assess footwear characteristics and key factors influencing footwear choice in patients with gout. We also wanted to evaluate the relationship between footwear characteristics and foot disability. METHODS Fifty patients with a history of acute gout were recruited from rheumatology clinics dur...
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عنوان ژورنال:
دوره 3 شماره
صفحات -
تاریخ انتشار 2010