Thursday, November 8, 2018

#FootPain, Function and Plantar Pressure Distribution in #Rheumatoid Patients Wearing Insoles an Observational Study by Eduardo de Paiva Magalhaes in BJSTR

Abstract

Objective: To evaluate the efficacy of insoles in rheumatoid foot reducing pain, improving function and mean peak pressure.
Methods: This was an observational study. 27 patients with foot pain, referred to #Orthoses and Prostheses Unit of Unicamp were assessed regarding #foot pain, #footdeformity, disability (Health Assessment Questionnaire – HAQ-DI) and disease activity (Clinical Disease Activity Index – CDAI). Foot orthoses were prescribed according to each patient’s needs aiming to reduce pain, improve function and reduce the mean peak plantar pressures. The Foot Function Index (FFI) and the #pedobarography (FSCAN system) were assessed at base line and after two weeks of intervention.
Results: FFI values decreased in all subscales (pain, disability and activity limitation) with orthoses. No significant difference was noted in the plantar pressure. CDAI and HAQ-DI were associated with FFI but not with plantar pressure. Orthoses were worn on average for was 7.08 hours-day. Minor adverse effects were noted in 7 patients, none of them resulting in treatment interruption.




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