Effectiveness of foot orthoses in patients with rheumatoid arthritis related to disability and pain: a systematic review and meta-analysis

Gijón-Noguerón, Gabriel; Ramos‐Petersen, Laura; Ortega-Ávila, Ana Belén; Morales‐Asencio, José Miguel; García‐Mayor, Silvia

doi:10.1007/s11136-018-1913-5

Cited by 28 publications

(18 citation statements)

References 34 publications

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“…Leczenie objawowe zmian przeciążeniowych, w przypadku nadmiernego docisku przodostopia -a dokładniej głów kości śródstopia -do podłoża, wymaga odciążenia tych okolic stopy [44,45]. U pacjenta z płaskostopiem poprzecznym lub z deformacjami kostno--stawowymi (paluch koślawy, palce młotkowate, młoteczkowate) można zastosować leczenie zachowawcze w postaci indywidualnych wkładek ortopedycznych (ryc.…”

Section: Leczenie Przyczynoweunclassified

Metatarsalgia as osteoarticular cause of foot dysfunction

Jastrzębski¹,

Kaczor²,

Żłobiński

et al. 2019

Ann. Acad. Med. Siles.

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Metatarsalgia-bolesność przodostopia-to określenie, które odnosi się do wszystkich zmian w obrębie śródstopia mających przyczyny anatomiczne lub/i biomechaniczne. Przodostopie (obszar rozciągający się między linią stawów śródstopno-paliczkowych a linią stawów stępowo-śródstopnych) to najczęstsze miejsce występowania objawów bólowych w obrębie stopy. Jest to obszar, w którym może występować kilka objawów powiązanych ze sobą, jak i występujących niezależnie od siebie-od bardziej powierzchownych zmian skórnych, przez stany zapalne tkanek miękkich, po bóle wywołane uszkodzeniami kości śródstopia lub zmianami w obrębie stawów tej okolicy i ograniczenia funkcji stopy. To jeden z trudniejszych obszarów diagnostycznych z powodu mnogości mogących tu wystąpić schorzeń-od problemów błahych, niewymagających skomplikowanego leczenia, po zmiany wymagające zaopatrzenia ortopedycznego, leczenia onkologicznego, a w niektórych przypadkach nawet amputacji stopy. Skuteczne leczenie pacjenta z metatarsalgią wymaga postawienia trafnej diagnozy, a co za tym idzie często kooperacji całego zespołu terapeutycznego.

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Section: Leczenie Przyczynoweunclassified

Metatarsalgia as osteoarticular cause of foot dysfunction

Jastrzębski¹,

Kaczor²,

Żłobiński

et al. 2019

Ann. Acad. Med. Siles.

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“…Furthermore, there is a long-standing debate on the relative merits of different types of FO and this trial is a response to this debate. 15 We hypothesised that patients with RA and custom FO made either by direct adaptation technique or through a digital design and production process, will improve their activity level in comparison with patients with RA and prefabricated orthoses. Our null hypothesis is that we will not find any significant difference between results from each custom orthoses and prefabricated orthoses, related to improve their physical activity increasing the period time when the patient is standing or walking.…”

Section: Introductionmentioning

confidence: 99%

Foot orthoses for people with rheumatoid arthritis, involving quantitative and qualitative outcomes: protocol for a randomised controlled trial

et al. 2020

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IntroductionRheumatoid arthritis (RA) involves changes to foot structure and function, and there is an association between RA and foot pain. This pain affects those patient’s physical activity and experience of daily living. While there is clinical evidence for the value of foot orthoses (FO) on foot pain, there is a wide range of FO available and there is little evidence on the relative benefits of one orthoses type over another, especially in terms of their impact on physical activity and associated well-being. The aim of this study is to compare physical activity, general and foot health and foot health experiences in people with RA when wearing three different types of FO.Methods and analysisA randomised controlled trial with three arms will compare the effects of (1) custom FO made using a direct adaptation technique, (2) custom FO made through a digital design and production process and (3) prefabricated orthoses. The primary outcome is physical activity measured using a GENEActiv bracelet. Secondary outcomes will be pain, function and disability and associated foot and general health evaluated using existing questionnaires. Semistructured interviews will identify patients’ experiences of the orthoses and living with RA.Ethics and disseminationThe study has been approved by the Portal de Ética de la Investigación Biomédica de Andalucía ethical committee (SPAR-001). The results will be disseminated regardless of the magnitude or direction of effect.Trial registration numberNCT03170947.

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“…In the past decade, researchers have been able to develop many types of rehabilitation equipment that have been enhanced with robotic technology. One such piece of equipment is the Ankle-Foot Orthosis (AFO), which is usually used to hold in position an ankle that is weak due to spasticity or foot drop, and in some cases, to relieve pain in the foot of the patient [13,14]. Initially, a rigid AFO was developed to assist with dorsiflexion, thereby removing unnecessary restrictions on the plantar flexion direction.…”

Section: Introductionmentioning

confidence: 99%

A Review on the Control of the Mechanical Properties of Ankle Foot Orthosis for Gait Assistance

et al. 2019

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In the past decade, advanced technologies in robotics have been explored to enhance the rehabilitation of post-stroke patients. Previous works have shown that gait assistance for post-stroke patients can be provided through the use of robotics technology in ancillary equipment, such as Ankle Foot Orthosis (AFO). An AFO is usually used to assist patients with spasticity or foot drop problems. There are several types of AFOs, depending on the flexibility of the joint, such as rigid, flexible rigid, and articulated AFOs. A rigid AFO has a fixed joint, and a flexible rigid AFO has a more flexible joint, while the articulated AFO has a freely rotating ankle joint, where the mechanical properties of the AFO are more controllable compared to the other two types of AFOs. This paper reviews the control of the mechanical properties of existing AFOs for gait assistance in post-stroke patients. Several aspects that affect the control of the mechanical properties of an AFO, such as the controller input, number of gait phases, controller output reference, and controller performance evaluation are discussed and compared. Thus, this paper will be of interest to AFO researchers or developers who would like to design their own AFOs with the most suitable mechanical properties based on their application. The controller input and the number of gait phases are discussed first. Then, the discussion moves forward to the methods of estimating the controller output reference, which is the main focus of this study. Based on the estimation method, the gait control strategies can be classified into subject-oriented estimations and phase-oriented estimations. Finally, suggestions for future studies are addressed, one of which is the application of the adaptive controller output reference to maximize the benefits of the AFO to users.

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Effectiveness of foot orthoses in patients with rheumatoid arthritis related to disability and pain: a systematic review and meta-analysis

Abstract: Foot orthoses can relieve pain and disability and enhance patients, but no significant differences were found between control and intervention groups.

Cited by 28 publications

References 34 publications

Metatarsalgia as osteoarticular cause of foot dysfunction

Metatarsalgia as osteoarticular cause of foot dysfunction

Foot orthoses for people with rheumatoid arthritis, involving quantitative and qualitative outcomes: protocol for a randomised controlled trial

A Review on the Control of the Mechanical Properties of Ankle Foot Orthosis for Gait Assistance

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