[Insoles for the Rheumatic Foot. A Clinical and Pedobarographic Analysis]

Overview

Journal Orthopade

Specialty Orthopedics

Date 2006 Oct 14

PMID 17039336

Citations 7

Authors

H-D Carl

C Putz

G Weseloh

R Forst

B Swoboda

Affiliations

Soon will be listed here.

Abstract

Background: Insoles are regarded as an appropriate tool for the management of rheumatic foot disorders. However, a quality control for this purpose has not been established. In our study, the clinical effectiveness of insoles used in patients with rheumatic foot disorders was addressed. In addition, we sought to establish pedobarography as a means of quality control for orthotic management of the rheumatic foot.

Material And Methods: Our study included 20 rheumatoid arthritis patients with painful rheumatic foot deformities who were provided with insoles. Clinical data were obtained by physical examination and a 100-mm pain scale. Pedobarography was performed using the novel pedar cable system with new and individually designed insoles and after a 6-month follow-up. A shoe-only trial served as control. The parameters maximum force, peak pressure, force-time integral, and average pressure were analyzed in anatomical regions and an individually defined overloaded forefoot region.

Results: Clinical improvement was significant after a 6-month follow-up in spite of a heterogeneous group of patients. However, our results could not confirm consistent changes in plantar pressure distribution.

Conclusion: As a conclusion, further efforts are necessary to establish a quality control for orthotic management of the rheumatic foot.

Citing Articles

[Orthopedic shoe treatment: Inserts].

Schuh R, Windhager R Orthopade. 2016; 45(3):269-76.

PMID: 26861757 DOI: 10.1007/s00132-016-3224-2.

Association between arthritis score at the onset of the disease and long-term locomotor outcome in adjuvant-induced arthritis in rats.

Mossiat C, Laroche D, Prati C, Pozzo T, Demougeot C, Marie C Arthritis Res Ther. 2015; 17:184.

PMID: 26183428 PMC: 4506462. DOI: 10.1186/s13075-015-0700-8.

[Rheumatic forefoot deformities].

Fuhrmann R Z Rheumatol. 2014; 73(9):814-21.

PMID: 25269874 DOI: 10.1007/s00393-014-1406-z.

[Technological orthopedic treatment of feet destroyed by rheumatism. Update].

Kemmerling M Z Rheumatol. 2014; 73(5):404-7.

PMID: 24924725 DOI: 10.1007/s00393-013-1345-0.

[Presurgical and postsurgical orthotic management of the rheumatoid foot].

Carl H, Swoboda B Z Rheumatol. 2012; 71(8):680-4.

PMID: 23052558 DOI: 10.1007/s00393-012-0970-3.

References

Hodge M, Bach T, Carter G . novel Award First Prize Paper. Orthotic management of plantar pressure and pain in rheumatoid arthritis. Clin Biomech (Bristol). 1999; 14(8):567-75. DOI: 10.1016/s0268-0033(99)00034-0. View

Jackson L, Binning J, Potter J . Plantar pressures in rheumatoid arthritis using prefabricated metatarsal padding. J Am Podiatr Med Assoc. 2004; 94(3):239-45. DOI: 10.7547/0940239. View

Kinner B, Best R, Falk K, Thon K . Is there a reliable outcome measurement for displaced intra-articular calcaneal fractures?. J Trauma. 2002; 53(6):1094-101; discussion 1102. DOI: 10.1097/00005373-200212000-00011. View

Ritchie D, Boyle J, McInnes J, Jasani M, Dalakos T, Grieveson P . Evaluation of a simple articular index for joint tenderness in rheumatoid arthritis. Ann Rheum Dis. 1969; 28(2):196. PMC: 1031136. DOI: 10.1136/ard.28.2.196-a. View

Akagi S, Sugano H, Ogawa R . The long-term results of ankle joint synovectomy for rheumatoid arthritis. Clin Rheumatol. 1997; 16(3):284-90. DOI: 10.1007/BF02238965. View

Swoboda B, Martus P, Kladny B, Beyer W, Schuh A, Weseloh G . [The significance of inflammatory changes in the tarsometatarsal joints for development of rheumatic splayed foot: a radiologic follow-up]. Z Rheumatol. 1994; 53(5):299-306. View

Becker H, Rosenbaum D, Claes L, Gerngross H . [Dynamic pedography for assessing functional ankle joint instability]. Unfallchirurg. 1997; 100(2):133-9. DOI: 10.1007/s001130050104. View

Kernozek T, Sterriker S . Chevron (Austin) distal metatarsal osteotomy for hallux valgus: comparison of pre- and post-surgical characteristics. Foot Ankle Int. 2002; 23(6):503-8. DOI: 10.1177/107110070202300606. View

Keenan M, Peabody T, GRONLEY J, Perry J . Valgus deformities of the feet and characteristics of gait in patients who have rheumatoid arthritis. J Bone Joint Surg Am. 1991; 73(2):237-47. View

10.

Metaxiotis D, Accles W, Pappas A, Doederlein L . Dynamic pedobarography (DPB) in operative management of cavovarus foot deformity. Foot Ankle Int. 2000; 21(11):935-47. DOI: 10.1177/107110070002101108. View

11.

Craxford A, Stevens J, Park C . Management of the deformed rheumatoid forefoot. A comparison of conservative and surgical methods. Clin Orthop Relat Res. 1982; (166):121-6. View

12.

Pitei D, Lord M, Foster A, Wilson S, Watkins P, Edmonds M . Plantar pressures are elevated in the neuroischemic and the neuropathic diabetic foot. Diabetes Care. 1999; 22(12):1966-70. DOI: 10.2337/diacare.22.12.1966. View

13.

Woodburn J, Stableford Z, Helliwell P . Preliminary investigation of debridement of plantar callosities in rheumatoid arthritis. Rheumatology (Oxford). 2000; 39(6):652-4. DOI: 10.1093/rheumatology/39.6.652. View

14.

Vandeputte G, Dereymaeker G, Steenwerckx A, Peeraer L . The Weil osteotomy of the lesser metatarsals: a clinical and pedobarographic follow-up study. Foot Ankle Int. 2000; 21(5):370-4. DOI: 10.1177/107110070002100502. View

15.

Phillipson A, Dhar S, Linge K, McCabe C, Klenerman L . Forefoot arthroplasty and changes in plantar foot pressures. Foot Ankle Int. 1994; 15(11):595-8. DOI: 10.1177/107110079401501104. View

16.

Charles Y, Axt M, Doderlein L . [Surgical treatment of cavovarus foot deformity considering dynamic pedobarography]. Z Orthop Ihre Grenzgeb. 2003; 141(4):433-9. DOI: 10.1055/s-2003-41559. View

17.

Mann R, Horton G . Management of the foot and ankle in rheumatoid arthritis. Rheum Dis Clin North Am. 1996; 22(3):457-76. DOI: 10.1016/s0889-857x(05)70282-9. View

18.

Ashry H, Lavery L, Murdoch D, Frolich M, Lavery D . Effectiveness of diabetic insoles to reduce foot pressures. J Foot Ankle Surg. 1997; 36(4):268-71; discussion 328-9. DOI: 10.1016/s1067-2516(97)80071-3. View

19.

Arnett F, Edworthy S, Bloch D, McShane D, Fries J, Cooper N . The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum. 1988; 31(3):315-24. DOI: 10.1002/art.1780310302. View

20.

Mittlmeier T, Weiler A, Sohn T, Kleinhans L, Mollbach S, Duda G . novel Award Second Prize Paper. Functional monitoring during rehabilitation following anterior cruciate ligament reconstruction. Clin Biomech (Bristol). 1999; 14(8):576-84. DOI: 10.1016/s0268-0033(99)00035-2. View