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Joint Bone Spine
Volume 71, n° 6
pages 542-545 (novembre 2004)
Doi : 10.1016/j.jbspin.2003.09.007
Received : 13 August 2002 ;  accepted : 18 September 2003
Foot orthotics decrease pain but do not improve gait in rheumatoid arthritis patients
 

Othmane Mejjad a, b, , Olivier Vittecoq a, b, Sophie Pouplin a, b, Léocadie Grassin-Delyle a, b, Jacques Weber c, Xavier Le Loët a, b

Groupe de Recherche sur le Handicap de l’Appareil Locomoteur (GRHAL)

a Department of Rheumatology, CHU de Rouen, Centre Hospitalier Universitaire, 76031 Rouen cedex, France 
b Department of Inserm U 519 and IFR 23, Centre Hospitalier Universitaire, 76031 Rouen cedex, France 
c Department of Neurophysiology, Centre Hospitalier Universitaire, 76031 Rouen cedex, France 

*Corresponding author.
Abstract

Objectives. – Prescribing foot orthotics in rheumatoid arthritis patients with symptomatic forefoot involvement is a standard practice. However, limited research has been reported regarding gait and pain improvement with the use of foot orthotics.

Patients and methods. – Sixteen patients (13 F, 3 M; mean age: 52 ± 12 years) with metatarsalgia due to rheumatoid arthritis were included in this prospective, randomized with crossover study, and received foot orthotics. At 1 month follow-up, space and time gait variables with and without foot orthotics were assessed by Bessou’s locometer; pain was assessed by visual analogue scale (VAS).

Results. – Pain levels significantly decreased (P  = 0.008) by wearing foot orthotics. Despite a significant step length increase (P  = 0.05) with orthotics, there was no significant improvement of stride length, cadence, or walking speed which was the main assessment criterion.

Conclusions. – Wearing foot orthotics improves pain, but not sufficiently to improve gait in rheumatoid arthritis patients with metatarsalgia. Foot orthotics improved comfort levels because of a decrease in pain, but was not sufficient to correct gait.

The full text of this article is available in PDF format.

Keywords : Rheumatoid arthritis, Gait, Pain, Foot orthotics, Forefoot




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