Systematic review on the comparative effectiveness of foot orthoses in patients with rheumatoid arthritis

Tenten-Diepenmaat, Marloes; Dekker, Joost; Heymans, Martijn W.; Roorda, Leo D.; Vlieland, Thea Vliet; Leeden, M. van der

doi:10.1186/s13047-019-0338-x

Cited by 23 publications

(7 citation statements)

References 67 publications

(154 reference statements)

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“…Загалом, цілями призначення ортезів є захист та розвантаження суглобів, зменшення болю та запалення за рахунок створення контрольованого спокою, корекція анатомічних осей, попередження чи уповільнення розвитку контрактур, девіації та деформації. Ортези встановлюються між підошовною поверхнею стопи і підошвою взуття пацієнта, мають передбачуваний терапевтичний ефект і виготовляються або готові, або виготовляються на замовлення, надаються відповідно до індивідуальних вимог пацієнта [29].…”

Section: національний фармацевтичний університет харків українаunclassified

Basic Methods of Physical Rehabilitation of Patients with Rheumatoid Arthritis

Кононенко¹,

Чикиткина²

2022

Ukr. ž. med. bìol. sportu

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Rheumatoid arthritis is a common disease characterized by a high level of disability and disability due to dysfunction of the musculoskeletal system. It is important to combine the basic therapy of rheumatoid arthritis and non-drug methods of recovery and physical rehabilitation of patients. The purpose of the study was to show the main methods of physical rehabilitation of patients with rheumatoid arthritis. Materials and method. Analysis and generalization of scientific literature were used in the study. Results and discussion. The formation of functional insufficiency of the joints in patients requires improving the functioning of the musculoskeletal system and the quality of life of patients through the use of physical rehabilitation methods. The main element of the rehabilitation complex for patients with rheumatoid arthritis is therapeutic physical culture, aimed at increasing the range of motion of the limbs, muscle strength, reducing pain and improving the general physical condition. One of the important methods of rehabilitation of patients with rheumatoid arthritis is orthosis, since the progression of the disease is inevitably associated with the development of joint deformations, especially in the feet. The goals of orthoses prescription are to protect and relieve joint stress, reduce pain and inflammation by creating controlled rest, correct anatomical axes, prevent or slow down the development of contractures, deviations and deformations. Physiotherapy methods in different periods of the disease provide anti-inflammatory and analgesic effects. Restorative treatment and physical rehabilitation of patients with rheumatoid arthritis involves a combination of various methods, among which the most effective are exercise therapy, orthotics, and physical therapy. Conclusion. Rheumatoid arthritis is characterized by a significant limitation of the functions of the musculoskeletal system due to damage to the articular cartilage and bone, which requires, in addition to drug therapy, the use of methods to restore an adequate level of physical activity and physical rehabilitation. The most effective methods of complex rehabilitation of patients with rheumatoid arthritis are physical exercises of therapeutic physical culture, orthotics and physiotherapy methods that reduce the activity of the inflammatory process, progression of deformities, maintain the volume of daily household activities, the ability to self-service, professional work and improvement of quality of life

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Section: національний фармацевтичний університет харків українаunclassified

Basic Methods of Physical Rehabilitation of Patients with Rheumatoid Arthritis

Кононенко¹,

Чикиткина²

2022

Ukr. ž. med. bìol. sportu

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“…Although the gait parameters in men and women are somewhat different, the gait symmetry, which indicates the level of GRF in each limb, is slightly different between both genders [41]. Min-Chi Chiu stated that because women are shorter than men, they need more muscle activity to achieve a predetermined constant speed, which increases the maxi-mum loading rate compared with men [42].…”

Section: The Effect Of Gendermentioning

confidence: 99%

The Effect of Foot Orthosis on the Vertical Component of the Ground Reaction Force While Walking: A Review Study

ندوشن¹,

طاهری²

2021

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Objective Everyone is required to walk and stand for long time in daily activities, especially in the workplace. As a result, the Ground Reaction Force (GRF) on the components and joints is so great that they sometimes reach several times the weight of the body. These forces can have devastating effects on the feet and ankles. Various studies have suggested different methods and factors for reducing the GRF while walking. The purpose of this study was to identify the different causes of factors and methods affecting the GRF according to the current study. Materials & Methods This review study was conducted by searching the databases of ProQuest, PabMed, Web of Science, and MBS from 1995 to 2019. The keywords included 'Ground Reaction Force', foot orthosis', 'walking', 'long term standing impact force'. After reviewing the abstract and title of each study by the authors, the criteria for selecting the article were considered. At the control level of each article, based on the main design of the search, from 1 to 5 were scored as randomized control trial, prospective controlled trial (Cohort), case-control, pre/post, observational clinical consensus, respectively. The quality of the articles was evaluated and scored using the Down and Black tool. Results Out of 82 articles, 21 articles were selected for analysis based on the criteria. Reporting scores, external validity, and internal validity varied between 4-8, 3-1, 5-2, 6-3, 7-4, respectively. From the studies performed on the molding insoles and the change in the loading rate of the maximum vertical GRF, there is a contradiction in proving it. Investigating the effect of foot orthoses in terms of material may lead to a further reduction in plantar. Conclusion Determining the effect of different components on GRF in the sole of the foot will help us better understand the factors involved in quality of life. The four domains of gender, post, material, and molding had different effects. Due to the lack of articles related to the study of the effect of gender and the creation of posts in the insole on the GRF can not be decisive.

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“…Recent systematic reviews indicate the efficacy of FO when treating foot pathology is inconsistent [ 7 – 9 ]. While these publications do inform the clinical application of FO, each author contextualised their findings by acknowledging the variability that exists in FO construction and characteristics when comparing studies [ 7 – 9 ]. Much like FO prescription habits, the review processes that follow an initial FO fitting are shown to vary between practitioners [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

A cross-sectional analysis of podiatrist-initiated review processes after issuing prescribed foot orthoses

Donnan

Horn²,

Baker³

2022

PLoS ONE

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Background Foot orthoses are widely used in clinical practice to treat foot, lower limb and back pathology. As published information guiding the clinical use of foot orthoses is scarce, the aim of this study is to profile the review processes used by practicing podiatrists after issuing an orthotic device. Methods A cross-sectional observational study design formed the basis for a self-administered online questionnaire. The questionnaire was distributed through podiatry networks based in Australia. Results Two-hundred and thirty-eight practicing podiatrists participated in this study. Ninety-seven percent of respondents indicated that they would recommend a review appointment after the initial fitting of an orthotic device. Forty percent (n = 84) of respondents scheduled the first review appointment four weeks after the initial fitting, while 33% (n = 69) preferred a two-week review period. A second review consultation was standard practice for 32% (n = 68) or respondents, and were typically scheduled either two (23%, n = 12) or four (38%, n = 20) weeks after the initial review consultation. Annual review of orthotic devices was recommended by 64% (n = 123) of participants in the study, while 19% (n = 37) would suggest that yearly reviews were scheduled only if required. Conclusions Variation was identified in the orthotic review processes used by practicing podiatrists, although most respondents recommend a routine short-term review appointment for foot orthoses. It is not clear why practitioners adopt such varied approaches. In the absence of any clear evidence on this topic, it may be that the differing approaches to patient review reflect different philosophical perspectives regarding patient management.

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Systematic review on the comparative effectiveness of foot orthoses in patients with rheumatoid arthritis

Cited by 23 publications

References 67 publications

Basic Methods of Physical Rehabilitation of Patients with Rheumatoid Arthritis

Basic Methods of Physical Rehabilitation of Patients with Rheumatoid Arthritis

The Effect of Foot Orthosis on the Vertical Component of the Ground Reaction Force While Walking: A Review Study

A cross-sectional analysis of podiatrist-initiated review processes after issuing prescribed foot orthoses

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