Marloes Tenten-Diepenmaat1, Joost Dekker2, Menno Steenbergen3, Elleke Huybrechts3, Leo D Roorda3, Dirkjan van Schaardenburg4, Sicco A Bus5, Marike van der Leeden6. 1. Amsterdam Rehabilitation Research Center, Reade, Dr.Jan van Breemenstraat 2, 1056 AB Amsterdam, The Netherlands. Electronic address: m.tenten@reade.nl. 2. VU University Medical Center, Department of Rehabilitation Medicine, EMGO Institute, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands. 3. Amsterdam Rehabilitation Research Center, Reade, Dr.Jan van Breemenstraat 2, 1056 AB Amsterdam, The Netherlands. 4. Amsterdam Rheumatology and Immunology Center, Reade, Amsterdam, 1056 AB Amsterdam, The Netherlands; Amsterdam Rheumatology and Immunology Center, Academic Medical Center, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. 5. Academic Medical Center, Department of Rehabilitation Medicine, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. 6. Amsterdam Rehabilitation Research Center, Reade, Dr.Jan van Breemenstraat 2, 1056 AB Amsterdam, The Netherlands; VU University Medical Center, Department of Rehabilitation Medicine, EMGO Institute, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.
Abstract
OBJECTIVES: Improving foot orthoses (FOs) in patients with rheumatoid arthritis (RA) by using in-shoe plantar pressure measurements seems promising. The objectives of this study were to evaluate (1) the outcome on plantar pressure distribution of FOs that were adapted using in-shoe plantar pressure measurements according to a protocol and (2) the protocol feasibility. METHODS: Forty-five RA patients with foot problems were included in this observational proof-of concept study. FOs were custom-made by a podiatrist according to usual care. Regions of Interest (ROIs) for plantar pressure reduction were selected. According to a protocol, usual care FOs were evaluated using in-shoe plantar pressure measurements and, if necessary, adapted. Plantar pressure-time integrals at the ROIs were compared between the following conditions: (1) no-FO versus usual care FO and (2) usual care FO versus adapted FO. Semi-structured interviews were held with patients and podiatrists to evaluate the feasibility of the protocol. RESULTS: Adapted FOs were developed in 70% of the patients. In these patients, usual care FOs showed a mean 9% reduction in pressure-time integral at forefoot ROIs compared to no-FOs (p=0.01). FO adaptation led to an additional mean 3% reduction in pressure-time integral (p=0.05). The protocol was considered feasible by patients. Podiatrists considered the protocol more useful to achieve individual rather than general treatment goals. A final protocol was proposed. CONCLUSIONS: Using in-shoe plantar pressure measurements for adapting foot orthoses for patients with RA leads to a small additional plantar pressure reduction in the forefoot. Further research on the clinical relevance of this outcome is required.
OBJECTIVES: Improving foot orthoses (FOs) in patients with rheumatoid arthritis (RA) by using in-shoe plantar pressure measurements seems promising. The objectives of this study were to evaluate (1) the outcome on plantar pressure distribution of FOs that were adapted using in-shoe plantar pressure measurements according to a protocol and (2) the protocol feasibility. METHODS: Forty-five RApatients with foot problems were included in this observational proof-of concept study. FOs were custom-made by a podiatrist according to usual care. Regions of Interest (ROIs) for plantar pressure reduction were selected. According to a protocol, usual care FOs were evaluated using in-shoe plantar pressure measurements and, if necessary, adapted. Plantar pressure-time integrals at the ROIs were compared between the following conditions: (1) no-FO versus usual care FO and (2) usual care FO versus adapted FO. Semi-structured interviews were held with patients and podiatrists to evaluate the feasibility of the protocol. RESULTS: Adapted FOs were developed in 70% of the patients. In these patients, usual care FOs showed a mean 9% reduction in pressure-time integral at forefoot ROIs compared to no-FOs (p=0.01). FO adaptation led to an additional mean 3% reduction in pressure-time integral (p=0.05). The protocol was considered feasible by patients. Podiatrists considered the protocol more useful to achieve individual rather than general treatment goals. A final protocol was proposed. CONCLUSIONS: Using in-shoe plantar pressure measurements for adapting foot orthoses for patients with RA leads to a small additional plantar pressure reduction in the forefoot. Further research on the clinical relevance of this outcome is required.
Authors: Marloes Tenten-Diepenmaat; Marike van der Leeden; Thea P M Vliet Vlieland; Leo D Roorda; Joost Dekker Journal: Rheumatol Int Date: 2018-03-20 Impact factor: 2.631
Authors: Marloes Tenten-Diepenmaat; Joost Dekker; Martijn W Heymans; Leo D Roorda; Thea P M Vliet Vlieland; Marike van der Leeden Journal: J Foot Ankle Res Date: 2019-06-13 Impact factor: 2.303
Authors: Marloes Tenten-Diepenmaat; Joost Dekker; Jos W R Twisk; Elleke Huijbrechts; Leo D Roorda; Marike van der Leeden Journal: BMC Musculoskelet Disord Date: 2020-06-04 Impact factor: 2.362
Authors: María Reina-Bueno; Pedro V Munuera-Martínez; Sergio Pérez-García; María Del Carmen Vázquez-Bautista; Gabriel Domínguez-Maldonado; Inmaculada C Palomo-Toucedo Journal: Int J Environ Res Public Health Date: 2021-05-10 Impact factor: 3.390