Surgical footwear in rheumatoid arthritis—a patient acceptability study

Park, C.; Craxford, Alan D.

doi:10.3109/03093648109146227

Cited by 16 publications

(11 citation statements)

References 1 publication

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“…Despite being thought of as being 'satisfied' the females in this study revealed aspects with which they were not satisfied but they demonstrated gratitude for the practitioners' interventions. This appreciation may be what is reported in previous questionnaires as satisfaction [ 8 - 10 ]. This implies that they are not entirely satisfied but feel that they should be grateful for anything even if it is not satisfying all the aspects associated with footwear use.…”

Section: Discussionsupporting

confidence: 84%

“…The depth of information obtained from these participants has revealed some extremely important issues in addition to what is known from the existing literature that have used more quantitative methods such as questionnaires [ 8 - 10 ]. The interviews have revealed a richness of data about the participants' feelings, perceptions and behaviour with the footwear, particularly in the female group.…”

Section: Discussionmentioning

confidence: 99%

“…However, the most significant barrier to achieving these benefits is patients choosing not to wear the footwear. Patient dissatisfaction and variable levels of usage have been identified in several studies [ 8 - 11 ] and every report [ 1 , 12 , 13 ] that has sought to investigate footwear use, with the fate of this footwear being described as;…”

Section: Introductionmentioning

confidence: 99%

“…The reasons why patients make the choice not to wear the footwear are complex in relation to the footwear itself, the service which provides it and the influences that affect the patient before and after receiving it. The majority of most previous research has focused on patient dissatisfaction with the appearance of the footwear and the lack of compliance with the practitioners' instructions to wear the footwear [ 8 - 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…Previous research on this topic has employed questionnaires to ascertain the perspectives of patients. However, these questionnaires are generally focussed on the problem areas as viewed by the practitioner [ 8 - 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Rheumatoid arthritis patients' experiences of wearing therapeutic footwear - A qualitative investigation

Williams

Nester

Ravey

2007

BMC Musculoskelet Disord

120

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Background: Specialist 'therapeutic' footwear is recommended for patients with diseases such as rheumatoid arthritis (RA) as a beneficial intervention for reducing foot pain, improving foot health, and increasing general mobility. However, many patients choose not to wear this footwear. Recommendations from previous studies have been implemented but have had little impact in improving this situation. The aim of this study was to explore RA patients' experiences of this footwear to ascertain the factors which influence their choice to wear it or not. Method:Ten females and three males with RA and experience of wearing specialist footwear were recruited from four National Health Service orthotic services. Semi-structured interviews were carried out in the participants own homes. A hermeneutic phenomenological analysis of the transcripts was carried out to identify themes. Results:The analysis revealed two main themes from both the female and male groups. These were the participants' feelings about their footwear and their experiences of the practitioner/s involved in providing the footwear. In addition, further themes were revealed from the female participants. These were feelings about their feet, behaviour associated with the footwear, and their feelings about what would have improved their experience. Conclusion:Unlike any other intervention specialist therapeutic footwear replaces something that is normally worn and is part of an individual's body image. It has much more of a negative impact on the female patients' emotions and activities than previously acknowledged and this influences their behaviour with it. The patients' consultations with the referring and dispensing practitioners are pivotal moments within the patient/practitioner relationship that have the potential to influence whether patients choose to wear the footwear or not.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Rheumatoid arthritis patients' experiences of wearing therapeutic footwear - A qualitative investigation

Williams

Nester

Ravey

2007

BMC Musculoskelet Disord

120

View full text Add to dashboard Cite

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Impact of hallux valgus severity on general and foot‐specific health‐related quality of life

Menz¹,

Roddy²,

Thomas³

et al. 2011

Arthritis Care & Research

173

154

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Objective. To explore the prevalence of and factors associated with hallux valgus and to assess the impact of hallux valgus severity on general and foot-specific health-related quality of life (HRQOL) in older people. Methods. People age >56 years who participated in the 6-year followup of the North Staffordshire Osteoarthritis Project (n ‫؍‬ 2,831) completed a survey that included the Medical Outcomes Study Short Form 36 (SF-36) health survey and the Manchester Foot Pain and Disability Index (FPDI). Self-reported hallux valgus severity was assessed using a validated instrument. Comparisons of SF-36 and FPDI scores were made across 5 severity grades of hallux valgus. Results. Hallux valgus was present in 36.3% of the study population and was associated with female sex, older age, and pain in other bodily regions. There was a progressive reduction in all SF-36 component scores as the severity of hallux valgus increased; this association remained after adjusting for age, sex, education, and body mass index. The strength of these associations diminished after also adjusting for pain in the back, hip, knee, and foot, but hallux valgus severity remained significantly associated with reduced physical function, bodily pain, general health, social function, and mental health subscale scores. Among participants with foot pain, increasing hallux valgus severity was also significantly associated with greater impairment on the pain and function subscales of the FPDI after adjusting for age, sex, and body mass index. Conclusion. There is a progressive reduction in both general and foot-specific HRQOL with increasing severity of hallux valgus deformity.

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Interventions for foot disease in rheumatoid arthritis: A systematic review

2005

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Objective. To systematically review medical and surgical foot intervention studies in rheumatoid arthritis (RA), focusing on clinical efficacy, study quality, and risk of harm. Methods. We searched appropriate databases using a combination of the terms "rheumatoid arthritis" and "foot" against terms indicating treatment; we also hand-searched references. We selected articles in English (1968 -2003) comprising randomized controlled trials (RCTs), controlled clinical trials (CCTs), prospective observational studies, and large retrospective observational surgical studies (>50 cases). RCT quality was examined using Jadad scoring; other designs were assessed qualitatively. Results. Inclusion criteria were met by 33 of 894 identified studies, comprising 5 RCTs and 1 CCT (all nonsurgical), 15 prospective observational studies (8 nonsurgical, 7 surgical), and 12 large retrospective studies (all surgical). Functional, custom-designed and semirigid orthoses and extra-depth shoes were effective in single RCTs of variable quality; no comparative studies have been conducted. This finding was supported by a CCT and prospective observational studies. There was no evidence of harm. There were no controlled trials of surgery. Prospective observational studies suggest that forefoot arthroplasty and first metatarsophalangeal joint implants, but not plantar callous debridement, are effective. Comparative retrospective analyses suggest that some procedure variants may be better, and surgery may relieve pain better than orthoses. Infection was the main risk. Conclusion. RCT evidence shows that orthoses and special shoes are likely to be beneficial in patients with RA. The only evidence of benefit from surgery comes from observational studies, because no RCTs have been conducted. Further RCT evidence is needed, although well-designed observational studies may be helpful.

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Surgical footwear in rheumatoid arthritis—a patient acceptability study

Cited by 16 publications

References 1 publication

Rheumatoid arthritis patients' experiences of wearing therapeutic footwear - A qualitative investigation

Rheumatoid arthritis patients' experiences of wearing therapeutic footwear - A qualitative investigation

Impact of hallux valgus severity on general and foot‐specific health‐related quality of life

Interventions for foot disease in rheumatoid arthritis: A systematic review

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