2 Iconography
Access to the text (HTML) Access to the text (HTML)
PDF Access to the PDF text

Access to the full text of this article requires a subscription.
  • If you are a subscriber, please sign in 'My Account' at the top right of the screen.

  • If you want to subscribe to this journal, see our rates

  • You can purchase this item in Pay Per ViewPay per View - FAQ : 30,00 € Taxes included to order
    Pages Iconography Videos Other
    4 2 0 0

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.

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

© 2003  Éditions scientifiques et médicales Elsevier SAS. All Rights Reserved.
EM-CONSULTE.COM is registrered at the CNIL, déclaration n° 1286925.
As per the Law relating to information storage and personal integrity, you have the right to oppose (art 26 of that law), access (art 34 of that law) and rectify (art 36 of that law) your personal data. You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted.
Personal information regarding our website's visitors, including their identity, is confidential.
The owners of this website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties.
Article Outline