Effectiveness of insole use in rheumatoid feet: a randomized controlled trial

Effectiveness of insole use in rheumatoid feet: a randomized controlled trial

Author Moreira, E. Autor UNIFESP Google Scholar
Jones, A. Autor UNIFESP Google Scholar
Oliveira, H. A. Autor UNIFESP Google Scholar
Jennings, F. Autor UNIFESP Google Scholar
Fernandes, A. R. C. Autor UNIFESP Google Scholar
Natour, J. Autor UNIFESP Google Scholar
Abstract Objectives: To assess the effectiveness of foot orthoses with regard to pain, function, quality of life, and global perceived effect in patients with rheumatoid arthritis (RA). Method: A double-blind randomized controlled trial (RCT) was carried out. Eighty women with RA were randomly assigned to an experimental group (EG) or a control group (CG). The EG used an insole with metatarsal and medial arch supports and the CG used a flat insole for 6 months. Evaluations performed at baseline and after 45, 90, and 180 days by a blinded assessor were: foot pain while walking and at rest, function, quality of life, and global perceived effect with treatment. Results: The groups were homogeneous for all parameters at baseline. A statistically significant improvement (p < 0.001) was found in the EG regarding pain while walking (mean difference: 2.2 for the right foot and 2.1 for the left foot) and at rest (mean difference: -0.3 for the right foot and -0.5 for the left foot) in comparison to CG. There were no differences in any other observed measures. The time of insole use correlated with foot pain and function in the EG. Conclusions: Foot orthoses with metatarsal and medial arch supports decreases pain during walking and at rest in both feet in patients with RA. Time of insole use correlated with improvements in pain and function.
Language English
Sponsor Sao Paulo Research Foundation (FAPESP)
Coordination for the Improvement of Higher Education Personnel (CAPES)
Date 2016
Published in Scandinavian Journal Of Rheumatology. Abingdon, v. 45, n. 5, p. 363-370, 2016.
ISSN 0300-9742 (Sherpa/Romeo, impact factor)
Publisher Taylor & Francis Ltd
Extent 363-370
Origin http://dx.doi.org/10.3109/03009742.2015.1110198
Access rights Closed access
Type Article
Web of Science ID WOS:000383010700004
URI http://repositorio.unifesp.br/handle/11600/51111

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