Randomized controlled trial for clinical effects of varying types of insoles combined with specialized shoes in patients with rheumatoid arthritis of the foot

Cho, Nam Soon; Hwang, Ji Hye; Chang, Hyun Jung; Koh, Eunmi; Park, Hae Soo

doi:10.1177/0269215508101737

Cited by 49 publications

(27 citation statements)

References 20 publications

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“…Finally, the Cardio Zip shoe midsole/outsole has a 'rocker' type system to create a smoother heel to toe transition during the gait cycle while maintaining both stability and comfort. Previous studies have reported that the toe rocker-soled shoe is thought to reduce pain by decreasing forefoot loading and promoting a normal heel-toe motion during gait [20-22]. Cho [20] reported that rocker-soled shoes with comfortable insoles may be enough to reduce foot pain and increase foot function for people with RA.…”

Section: Discussionmentioning

confidence: 99%

The effects of commercially available footwear on foot pain and disability in people with gout: a pilot study

Rome

Stewart

Vandal

et al. 2013

BMC Musculoskelet Disord

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BackgroundThere is limited evidence on non-pharmacological interventions for gout. The aim of the study was to determine whether a footwear intervention can reduce foot pain and musculoskeletal disability in people with gout.MethodsThirty-six people with gout participated in a prospective intervention study over 8 weeks. Participants selected one of 4 pairs of shoes and thereafter wore the shoes for 8 weeks. The primary outcome was foot pain using a 100 mm visual analogue scale. Secondary outcomes related to function and disability were also analysed.ResultsThe Cardio Zip shoe was selected by 58% of participants. Compared with baseline, overall scores for all shoes at 8-weeks demonstrated a decrease in foot pain (p = 0.03), general pain (p = 0.012), Health Assessment Questionnaire (HAQ)-II (p = 0.016) and Leeds Foot Impact Scale (LFIS) impairment subscale (p = 0.03). No significant differences were observed in other patient reported outcomes including patient global assessment, LFIS activity subscale, and Lower Limb Task Questionnaire subscales (all p > 0.10). We observed significant improvements between baseline measurements using the participants’ own shoes and the Cardio Zip for foot pain (p = 0.002), general pain (p = 0.001), HAQ-II (p = 0.002) and LFIS impairment subscale (p = 0.004) after 8 weeks. The other three shoes did not improve pain or disability.ConclusionsFootwear with good cushioning, and motion control may reduce foot pain and disability in people with gout.

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Section: Discussionmentioning

confidence: 99%

The effects of commercially available footwear on foot pain and disability in people with gout: a pilot study

Rome

Stewart

Vandal

et al. 2013

BMC Musculoskelet Disord

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“…The toe rocker-soled shoe is thought to reduce pain by decreasing forefoot loading and promoting a normal heel-toe motion during gait[34–35]. With disease progression, patients with RA move from a heel-toe rolling gait to a more shuffled step with a delayed heel lift[10, 36], and the toe rocker-soled shoe may slow this progression[37]. A randomized controlled trial of patients with RA examined the effects of extra deep forefoot-rocker shoe with either a custom-made semi-rigid insole or a ready-made simple soft insole [37].…”

Section: The Foot In Rheumatoid Arthritismentioning

confidence: 99%

“…With disease progression, patients with RA move from a heel-toe rolling gait to a more shuffled step with a delayed heel lift[10, 36], and the toe rocker-soled shoe may slow this progression[37]. A randomized controlled trial of patients with RA examined the effects of extra deep forefoot-rocker shoe with either a custom-made semi-rigid insole or a ready-made simple soft insole [37]. Pain was found to decrease in both treated and untreated groups, and between groups there were no clinically identifiable differences.…”

Section: The Foot In Rheumatoid Arthritismentioning

confidence: 99%

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Arthritis, foot pain and shoe wear: current musculoskeletal research on feet

Riskowski

Dufour

Hannan

2011

Current Opinion in Rheumatology

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Purpose of review Both arthritis and foot pain are major public health problems. Approximately 24% of adults have foot ailments, and the prevalence increases with age. Foot pain, particularly related to shoes, footwear and rheumatic disorders, may be an important modifiable factor. Surprisingly, this topic has received little attention in the rheumatology community. Recent findings Despite the major focus of structure and alignment in arthritis, remarkably little work has focused on the foot and non-surgical foot interventions that might affect lower extremity joint alignment, structure and pain in rheumatic diseases. Emerging research suggests that there may be a significant role for foot orthotics and footwear in the treatment of rheumatoid arthritis and osteoarthritis of the hip, knee and foot. This review highlights the current understanding on the topic of foot orthotics and footwear in adults with rheumatic diseases. Summary Biomechanical evidence indicates that foot orthotics and specialized footwear may change muscle activation and gait patterns to reduce joint loading. Emerging evidence suggests that orthotics, specific shoe types and footwear interventions may provide an effective non-surgical intervention in rheumatic diseases. Yet good data are sparse, and it is premature to recommend guidelines. As there are a limited number of studies that underpin the foot’s role in arthritis etiology and progression, clinical trials and prospective studies are of utmost importance to unravel the links between foot pain, foot conditions and interventions that lessen the impact of rheumatic diseases.

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“…Foot motion might be absent due to disease (e.g. ankle arthritis) [10], or need to be reduced to limit risk of injury (e.g. toe flexion in diabetes) [11].…”

Section: Introductionmentioning

confidence: 99%

The effect of rollover footwear on the rollover function of walking

Forghany

Nester

Richards

2013

Journal of Foot and Ankle Research

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BackgroundRollover footwear is assumed to provide an enhanced surface over which the body can roll more easily. The aim of this study was to investigate the effects of rollover footwear on the rollover function of walking.MethodsTwenty subjects walked in three conditions: (i) a MBT shoe (Masai Barefoot Technology) characterized by a stiff sole rounded in the anterior–posterior direction; (ii) alternative rollover shoe (a prototype of Scholl STARLIT) characterized by a stiff sole rounded in the anterior–posterior direction; (iii) a flat control shoe. Data on the lower limb kinematics and ground reaction force were collected. The rollover function of walking was characterized using the radii of lower limb rollover shapes and duration of terminal double limb support. These data were compared between the three shoe conditions and the relationship between the radii of the curved shoe sole and the radii of the rollover shapes investigated.ResultsThe radii of the whole and middle part of foot–shoe, ankle-foot and knee–ankle–foot rollover shapes were significantly smaller (i.e. more curved) for MBT (ranging from 12% to 81% smaller) and the rollover shoe (ranging from 2% to 69% smaller) compared with flat shoe (p < 0.05). Double support time decreased significantly for MBT ~12% and rollover shoe ~7% compared to the flat shoe. For both MBT and rollover shoes, there were positive correlations (r = 0.42-0.60) between the sole radii and radius of foot-shoe rollover shape (p < 0.05).ConclusionWearing MBT and the rollover shoe resulted in more curved foot-shoe, ankle-foot and knee-ankle-foot rollover shapes and faster weight transfer. However, the results also indicate that static sole curve is not the only factor influencing the gait rocker function.

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Randomized controlled trial for clinical effects of varying types of insoles combined with specialized shoes in patients with rheumatoid arthritis of the foot

Cited by 49 publications

References 20 publications

The effects of commercially available footwear on foot pain and disability in people with gout: a pilot study

The effects of commercially available footwear on foot pain and disability in people with gout: a pilot study

Arthritis, foot pain and shoe wear: current musculoskeletal research on feet

The effect of rollover footwear on the rollover function of walking

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