Background The prevalence of foot lesions in rheumatoid arthritis (RA) patients is extremely high . The defeat of the joints of the foot is often observed at the stage of diagnosis. In many patients, joint damage symptoms persist even at the stage of remission .
Objectives To evaluate the effectiveness of the customized foot insoles in patients with early RA.
Methods 17 patients with early RA of the study group used customized foot insoles. The recommended mode of insole using was a constant wearing. The control group consisted of 12 patients. Patients of the both groups underwent drug therapy, physical exercises, occupational therapy. Foot pain on 100-mm VAS, DAS4, HAQ, RAPID3 scores and march test were evaluated at baseline and at 3,0±0,5 months.
Results In the study group RAPID3 decreased by 30,1% (3,2±0,2, p<0,01), pain on VAS – by 52,1% (p<0,01), DAS4 – by 0,89±0,42 points (p<0,01). Also, the time of overcoming patient distance of 20 m (walking test) reduced from 13,5±1,2 sec to 11,2±0,9 sec (p<0,05). At the end of the observation, the statistically significant differences between the study group and the control group were observed by the RAPID3 score (7,5±5,8 and 9,9±6,1, respectively) (p<0,05), foot pain on VAS (15,2±9,1 and 24,5±10,2, respectively) (p<0,05) and walking test (11,2±0,9 sec and 12,9±2,4 sec, respectively) (p<0,05). Most patients of the study group (94%) reported that they preferred to wear the customized foot insoles in daily living and physical activities. 90% of patients complied recommendations about the regime of insole wearing.
Conclusions The wearing of the customized foot insoles reduces foot pain, improves functional status and quality of life in patients with early RA. There is a high adherence to using the foot insoles.
Mjaavatten MD, et al. J Rheumatol 2009;36:1401–6.
Landewé R, et al. Ann Rheum Dis 2006;65:637–41.
Disclosure of Interest None Declared
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