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'Choosing shoes': a preliminary study into the challenges facing clinicians in assessing footwear for rheumatoid patients

Silvester, R, Williams, AE, Dalbeth, N and Rome, K 2010, ''Choosing shoes': a preliminary study into the challenges facing clinicians in assessing footwear for rheumatoid patients' , Journal of Foot and Ankle Research, 3 (24) .

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Background: Footwear has been accepted as a therapeutic intervention for the foot affected by rheumatoid arthritis (RA). Evidence relating to the objective assessment of footwear in patients with RA is limited. The aims of this study were to identify current footwear styles, footwear characteristics, and factors that influence footwear choice experienced by patients with RA. Methods: Eighty patients with RA were recruited from rheumatology clinics during the summer months. Clinical characteristics, global function, and foot impairment and disability measures were recorded. Current footwear, footwear characteristics and the factors associated with choice of footwear were identified. Suitability of footwear was recorded using pre-determined criteria for assessing footwear type, based on a previous study of foot pain. Results: The patients had longstanding RA with moderate-to severe disability and impairment. The foot and ankle assessment demonstrated a low-arch profile with both forefoot and rearfoot structural deformities. Over 50% of shoes worn by patients were opentype footwear. More than 70% of patients’ footwear was defined as being poor. Poor footwear characteristics such as heel rigidity and sole hardness were observed. Patients reported comfort (17%) and fit (14%) as important factors in choosing their own footwear. Only five percent (5%) of patients wore therapeutic footwear. Conclusions: The majority of patients with RA wear footwear that has been previously described as poor. Future work needs to aim to define and justify the specific features of footwear that may be of benefit to foot health for people with RA.

Item Type: Article
Themes: Subjects / Themes > R Medicine > RZ Other systems of medicine
Health and Wellbeing
Schools: Schools > School of Health Sciences > Centre for Health Sciences Research
Schools > School of Health Sciences
Journal or Publication Title: Journal of Foot and Ankle Research
Publisher: BioMed Central
Refereed: Yes
ISSN: 1757-1146
Depositing User: Dr Anita E Williams
Date Deposited: 22 Oct 2010 10:50
Last Modified: 30 Nov 2015 23:46

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