tailieunhanh - Báo cáo y học: " Factors predicting the outcome of customised foot orthoses in patients with rheumatoid arthritis: a prospective cohort stud"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Factors predicting the outcome of customised foot orthoses in patients with rheumatoid arthritis: a prospective cohort study. | van der Leeden et al. Journal of Foot and Ankle Research 2011 4 8 http content 4 1 8 JOURNAL OF FOOT AND ANKLE RESEARCH RESEARCH Open Access Factors predicting the outcome of customised foot orthoses in patients with rheumatoid arthritis a prospective cohort study 1 111 Marike van der Leeden Karin Fiedler Annelies Jonkman Rutger Dahmen Leo D Roorda Dirkjan van Schaardenburg3 4 Joost Dekker1 2 Abstract Background Conservative management of foot problems in patients with rheumatoid arthritis RA may consist of the prescription of customised foot orthoses. Indications for foot orthoses are not clear and the effectiveness of the intervention is highly variable among patients. Knowledge on which patients benefit the most from foot orthoses can help to select patients eligible for this type of intervention. The objective of the present study was to determine clinical and demographic factors that predict the outcome of customised foot orthoses on pain and disability in patients with RA. Methods A total of 135 RA patients who were supplied with customised foot orthoses were included in this prospective cohort study. Pain and disability were measured before and after the intervention period using a Numeric Rating Scale NRS for foot pain the Foot Function Index FFI the Western Ontario and McMasters Universities Osteoarthritis Index WOMAC and a 10-meter walking test. The intervention period consisted of one or more appointments with the podiatrist during which the foot orthoses were customised. Swollen foot joint count foot deformity scores forefoot peak pressure disease duration age gender body mass index and baseline values of the outcome measures were selected as potential factors predicting outcome. Multivariate linear regression analyses were performed to determine factors associated with change in pain and disability at P . Results Disease duration was negatively associated with the change scores in NRS foot pain P WOMAC pain P

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