Foot orthotics decrease pain but do not improve gait in rheumatoid arthritis patients - 23/08/10
, Olivier Vittecoq a, b, Sophie Pouplin a, b, Léocadie Grassin-Delyle a, b, Jacques Weber c, Xavier Le Loët a, bGroupe de Recherche sur le Handicap de l’Appareil Locomoteur (GRHAL)
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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.
Le texte complet de cet article est disponible en PDF.Keywords : Rheumatoid arthritis, Gait, Pain, Foot orthotics, Forefoot
Plan
Vol 71 - N° 6
P. 542-545 - novembre 2004 Retour au numéro
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