timberland sales A critical review of the evidence to support the use of foot orthosis to improve foot pain in patients with rheumatoid arthritis
This was a poorly reported review.
The included orthosis interventions were custom made or available over the counter. Specific interventions included: orthosis made of carbon graphite with a deep heel cup and a contoured medial arch; insoles combined with specialised shoes; orthosis made from a semi flexible 10mm thick podofoam; and other types of pre fabricated or customised device. Control interventions (where reported) were: shoe only; different types of orthotic device; or no initial intervention. Although sparsely reported,
mean ages of participants ranged from 51.8 to 54 years. Just over half of the participants were female. Outcome measures included: the Foot Function Index pain scale, activity limitation scale and disability scale; electromagnetic tracking system to record 3D joint motion; visual analogue scale for foot pain; and digital analysis to assess plantar pressure.
Methods of synthesis
A narrative synthesis was presented.
Results of the review
Three randomised controlled trials, one crossover study and one randomised crossover study were included. Sample size (sparsely reported) ranged from 42 to 98 participants. Follow up ranged from 12 to 30 months.
Study results were not reported. There is some evidence to suggest that custom made devices may help in reducing rear foot pain in patients diagnosed with rheumatoid arthritis. Custom prescriptions and over the counter devices appear to be equally effective. Relevant sources were searched to locate the included studies. The review process was not reported so it was not possible to assess potential for reviewer error and bias. Reference was made to the overall quality of the included studies,
but criteria were not specified and results were not reported.