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20-03-2018 | Rheumatoid arthritis | Article

The effectiveness of therapeutic shoes in patients with rheumatoid arthritis: a systematic review and meta-analysis

Journal: Rheumatology International

Authors: Marloes Tenten-Diepenmaat, Marike van der Leeden, Thea P. M. Vliet Vlieland, Leo D. Roorda, Joost Dekker

Publisher: Springer Berlin Heidelberg

Abstract

The study summarizes the evidence on the effectiveness of therapeutic shoes on foot function, foot pain, physical functioning, health-related quality of life, adherence, adverse events and patient satisfaction in patients with rheumatoid arthritis (RA). Studies investigating the effect of (ready- or custom-made) therapeutic shoes were included. For between-group designs, studies comparing therapeutic shoes versus non-therapeutic shoes were included. A literature search was conducted in The Cochrane Central Registry for Controlled Trials (CENTRAL), PubMed, EMBASE and PEDro up to January 19, 2017. Quantitative data analysis was conducted; when this was not possible qualitative data analysis was performed. Eleven studies were identified. For custom-made shoes, no studies reporting between-group differences were available. Qualitative data-syntheses of the within-group differences resulted in weak evidence for the reduction of foot pain and improvement of physical functioning. For ready-made shoes, one study reported between-group differences, resulting in inconclusive evidence for improvement of foot function. Quantitative data-analyses of within-group differences resulted in a medium to large effect for the reduction of foot pain (SMD 0.60, 95% CI 0.28–0.92; P ≤ 0.001; 184 participants) and a small to medium effect for the improvement of physical functioning (SMD 0.30, 95% CI 0.04–0.56; P = 0.02; 150 participants). Qualitative data-synthesis of within-group differences resulted in weak evidence for improvement of foot function. Within-group results indicate that therapeutic shoes are likely to be effective in patients with RA. Definitive high-quality RCTs are necessary to investigate the between-group effectiveness of therapeutic shoes in patients with RA.
Literature
1.
van der Leeden M, Steultjens MP, Ursum J, Dahmen R, Roorda LD, Schaardenburg DV, Dekker J (2008) Prevalence and course of forefoot impairments and walking disability in the first eight years of rheumatoid arthritis. Arthritis Rheum 59(11):1596–1602. https://​doi.​org/​10.​1002/​art.​24188 CrossRefPubMed
2.
Otter SJ, Lucas K, Springett K, Moore A, Davies K, Cheek L, Young A, Walker-Bone K (2010) Foot pain in rheumatoid arthritis prevalence, risk factors and management: an epidemiological study. Clinical Rheumatol 29(3):255–271. https://​doi.​org/​10.​1007/​s10067-009-1312-y CrossRef
3.
Grondal L, Tengstrand B, Nordmark B, Wretenberg P, Stark A (2008) The foot: still the most important reason for walking incapacity in rheumatoid arthritis: distribution of symptomatic joints in 1000 RA patients. Acta Orthopaedica 79(2):257–261. https://​doi.​org/​10.​1080/​1745367071001506​7 CrossRefPubMed
4.
Rome K, Gow PJ, Dalbeth N, Chapman JM (2009) Clinical audit of foot problems in patients with rheumatoid arthritis treated at Counties Manukau District Health Board, Auckland, New Zealand. J Foot Ankle Res 2:16. https://​doi.​org/​10.​1186/​1757-1146-2-16 CrossRefPubMedPubMedCentral
5.
van der Leeden M, Steultjens M, Dekker JH, Prins AP, Dekker J (2006) Forefoot joint damage, pain and disability in rheumatoid arthritis patients with foot complaints: the role of plantar pressure and gait characteristics. Rheumatology 45(4):465–469. https://​doi.​org/​10.​1093/​rheumatology/​kei186 CrossRefPubMed
6.
Goksel Karatepe A, Gunaydin R, Adibelli ZH, Kaya T, Duruoz E (2010) Foot deformities in patients with rheumatoid arthritis: the relationship with foot functions. Int J Rheum Dis 13(2):158–163. https://​doi.​org/​10.​1111/​j.​1756-185X.​2010.​01465.​x CrossRefPubMed
7.
Egan M, Brosseau L, Farmer M, Ouimet MA, Rees S, Wells G, Tugwell P (2003) Splints/orthoses in the treatment of rheumatoid arthritis. The Cochrane database of systematic reviews. https://​doi.​org/​10.​1002/​14651858.​cd004018
8.
Farrow SJ, Kingsley GH, Scott DL (2005) Interventions for foot disease in rheumatoid arthritis: a systematic review. Arthritis Rheum 53(4):593–602. https://​doi.​org/​10.​1002/​art.​21327 CrossRefPubMed
9.
Dahmen R, Buijsmann S, Siemonsma PC, Boers M, Lankhorst GJ, Roorda LD (2014) Use and effects of custom-made therapeutic footwear on lower-extremity-related pain and activity limitations in patients with rheumatoid arthritis: A prospective observational study of a cohort. J Rehabil Med 46(6):561–567. https://​doi.​org/​10.​2340/​16501977-1807 CrossRefPubMed
10.
Stichting Erkenning Leveranciers Medische Hulpmiddelen (2015) SEMH Erkenningsschema branchespecifieke eisen orthopedische schoentechnische bedrijven, versie 22 december 2015. https://​www.​semh.​info/​CMSDATA/​Afbeeldingen/​files/​OSB%20​schema%20​4.​pdf. Accessed 7 May 2017
11.
Williams AE, Davies S, Graham A, Dagg A, Longrigg K, Lyons C, Bowen C (2011) Guidelines for the management of the foot health problems associated with rheumatoid arthritis. Musculoskelet Care 9(2):86–92. https://​doi.​org/​10.​1002/​msc.​200 CrossRef
12.
Forestier R, André-Vert J, Guillez P, Coudeyre E, Lefevre-Colau M-M, Combe B, Mayoux-Benhamou M-A (2009) Non-drug treatment (excluding surgery) in rheumatoid arthritis: clinical practice guidelines. Joint Bone Spine 76(6):691–698. https://​doi.​org/​10.​1016/​j.​jbspin.​2009.​01.​017 CrossRefPubMed
13.
Deighton C, O’Mahony R, Tosh J, Turner C, Rudolf M (2009) Management of rheumatoid arthritis: summary of NICE guidance. BMJ 338 (mar16. 1):b702–b702. https://​doi.​org/​10.​1136/​bmj.​b702
14.
Marsman AF, Dahmen R, Roorda LD, van Schaardenburg D, Dekker J, Britsemmer K, Knol DL, van der Leeden M (2013) Foot-related health care use in patients with rheumatoid arthritis in an outpatient secondary care center for rheumatology and rehabilitation in The Netherlands: a cohort study with a maximum of fifteen years of followup. Arthritis Care Res 65(2):220–226. https://​doi.​org/​10.​1002/​acr.​21787 CrossRef
15.
Bergstra SA, Markusse IM, Akdemir G, Ronday HK, Han KH, Lems WF, Kerstens PJ, van den Berg R, Landewe RB, Allaart CF (2016) Erosions in the foot at baseline are predictive of orthopaedic shoe use after 10 years of treat to target therapy in patients with recent onset rheumatoid arthritis. Clin Rheumatol 35(8):2101–2107. https://​doi.​org/​10.​1007/​s10067-015-3145-1 CrossRefPubMed
16.
Hennessy K, Woodburn J, Steultjens MP (2012) Custom foot orthoses for rheumatoid arthritis: a systematic review. Arthritis care research 64(3):311–320. https://​doi.​org/​10.​1002/​acr.​21559 CrossRefPubMed
17.
Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JP, Clarke M, Devereaux PJ, Kleijnen J, Moher D (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ 339:b2700. https://​doi.​org/​10.​1136/​bmj.​b2700 CrossRefPubMedPubMedCentral
18.
van der Leeden M, Steultjens MPM, Terwee CB, Rosenbaum D, Turner D, Woodburn J, Dekker J (2008) A systematic review of instruments measuring foot function, foot pain, and foot-related disability in patients with rheumatoid arthritis. Arthritis Rheum 59(9):1257–1269. https://​doi.​org/​10.​1002/​art.​24016 CrossRefPubMed
19.
Herbert RD (2000) How to estimate treatment effects from reports of clinical trials. I: continuous outcomes. Aust J Physiother 46(3):229–235CrossRefPubMed
20.
Foley NC, Bhogal SK, Teasell RW, Bureau Y, Speechley MR (2006) Estimates of quality and reliability with the physiotherapy evidence-based database scale to assess the methodology of randomized controlled trials of pharmacological and nonpharmacological interventions. Phys Therapy 86(6):817–824
21.
Maher CG, Sherrington C, Herbert RD, Moseley AM, Elkins M (2003) Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Therapy 83(8):713–721
22.
de Morton NA (2009) The PEDro scale is a valid measure of the methodological quality of clinical trials: a demographic study. Aust J Physiother 55(2):129–133CrossRefPubMed
23.
Elkins MR, Moseley AM, Sherrington C, Herbert RD, Maher CG (2013) Growth in the Physiotherapy Evidence Database (PEDro) and use of the PEDro scale. Br J Sports Med 47(4):188–189. https://​doi.​org/​10.​1136/​bjsports-2012-091804 CrossRefPubMed
24.
Physiotherapy Evidence Database: PEDro scale. http://​www.​pedro.​org.​au/​english/​downloads/​pedro-scale. Accessed 7 May 2017
25.
Teasell R, Foley N, Salter K, Bhogal S, Jutai J, Speechley M (2009) Evidence-based review of stroke rehabilitation: executive summary, 12th edition. Top Stroke Rehabilit 16 (6):463–488. https://​doi.​org/​10.​1310/​tsr1606-463 CrossRef
26.
Downs SH, Black N (1998) The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. J Epidemiol Community Health 52(6):377–384CrossRefPubMedPubMedCentral
27.
Higgins JPTGS. (2011) Cochrane Handbook for Systematic Reviews of Interventions. Version 5.1.0. The Cochrane Collaboration
28.
Deeks JJ, Dinnes J, D’Amico R, Sowden AJ, Sakarovitch C, Song F, Petticrew M, Altman DG (2003) Evaluating non-randomised intervention studies. Health Technol Assess (Winchester England) 7(27):iii-x, 1–173
29.
Newell SA, Bowman JA, Cockburn JD (2000) Can compliance with nonpharmacologic treatments for cardiovascular disease be improved? Am J Prev Med 18(3):253–261CrossRefPubMed
30.
DerSimonian R, Laird N (1986) Meta-analysis in clinical trials. Controll Clin Trials 7(3):177–188CrossRef
31.
Sullivan GM, Feinn R (2012) using effect size-or why the p value is not enough. J Grad Med Educ 4(3):279–282. https://​doi.​org/​10.​4300/​jgme-d-12-00156.​1 CrossRefPubMedPubMedCentral
32.
Higgins JP, Thompson SG, Deeks JJ, Altman DG (2003) Measuring inconsistency in meta-analyses. BMJ 327(7414):557–560. https://​doi.​org/​10.​1136/​bmj.​327.​7414.​557 CrossRefPubMedPubMedCentral
33.
Ariens GA, van Mechelen W, Bongers PM, Bouter LM, van der Wal G (2000) Physical risk factors for neck pain. Scand J Work Environ Health 26(1):7–19CrossRefPubMed
34.
Cho NS, Hwang JH, Chang HJ, Koh EM, Park HS (2009) Randomized controlled trial for clinical effects of varying types of insoles combined with specialized shoes in patients with rheumatoid arthritis of the foot. Clin Rehabilit 23(6):512–521CrossRef
35.
Fransen M, Edmonds J (1997) Off-the-shelf orthopedic footwear for people with rheumatoid arthritis. Arthritis Care Res 10(4):250–256CrossRefPubMed
36.
Williams AE, Rome K, Nester CJ (2006) A clinical trial of specialist footwear for patients with rheumatoid arthritis. Rheumatology 46(2):302–307. https://​doi.​org/​10.​1093/​rheumatology/​kel234 CrossRefPubMed
37.
Chalmers AC, Busby C, Goyert J, Porter B, Schulzer M (2000) Metatarsalgia and rheumatoid arthritis—a randomized, single blind, sequential trial comparing 2 types of foot orthoses and supportive shoes. J Rheumatol 27(7):1643–1647PubMed
38.
Hennessy K, Burns J, Penkala S (2007) Reducing plantar pressure in rheumatoid arthritis: a comparison of running versus off-the-shelf orthopaedic footwear. Clin Biomech (Bristol Avon) 22(8):917–923. https://​doi.​org/​10.​1016/​j.​clinbiomech.​2007.​04.​011 CrossRef
39.
Bagherzadeh Cham M, Ghasemi MS, Forogh B, Sanjari MA, Zabihi Yeganeh M, Eshraghi A (2014) Effect of rocker shoes on pain, disability and activity limitation in patients with rheumatoid arthritis. Prosthet Orthot Int 38(4):310–315. https://​doi.​org/​10.​1177/​0309364613498537​ CrossRefPubMed
40.
Moncur J, Ward JR (1990) Heat-Moldable Shoes for Management of Forefoot Problems in Rheumatoid. Arthritis Arthitis Care Res 3(4):222–226
41.
Barrett JP Jr (1976) Plantar pressure measurements. Rational shoe-wear in patients with rheumatoid arthritis. JAMA 235(11):1138–1139CrossRefPubMed
42.
Pullar T, Anderson M, Capell HA, Millar A (1983) Comfort shoes–a cheaper alternative to surgical shoes in rheumatoid arthritis. Health Bull 41(5):258–262
43.
Park C, Craxford AD (1981) Surgical footwear in rheumatoid arthritis—a patient acceptability study. Prosthet Orthot Int 5(1):33–36PubMed
44.
Waaijman R, Keukenkamp R, de Haart M, Polomski WP, Nollet F, Bus SA (2013) Adherence to wearing prescription custom-made footwear in patients with diabetes at high risk for plantar foot ulceration. Diabetes care 36(6):1613–1618. https://​doi.​org/​10.​2337/​dc12-1330 CrossRefPubMedPubMedCentral
45.
van Netten JJ, Hijmans JM, Jannink MJ, Geertzen JH, Postema K (2009) Development and reproducibility of a short questionnaire to measure use and usability of custom-made orthopaedic shoes. J Rehabil Med 41(11):913–918. https://​doi.​org/​10.​2340/​16501977-0447 CrossRefPubMed
46.
Bus SA, Waaijman R, Nollet F (2012) New monitoring technology to objectively assess adherence to prescribed footwear and assistive devices during ambulatory activity. Arch Phys Med Rehabil 93(11):2075–2079. https://​doi.​org/​10.​1016/​j.​apmr.​2012.​06.​019 CrossRefPubMed
47.
Williams A, Meacher K (2001) Shoes in the cupboard: the fate of prescribed footwear? Prosthet Orthot Int 25(1):53–59CrossRefPubMed
48.
van Netten JJ, Dijkstra PU, Geertzen JH, Postema K (2012) What influences a patient’s decision to use custom-made orthopaedic shoes? BMC Musculoskelet Disord 13:92. https://​doi.​org/​10.​1186/​1471-2474-13-92 CrossRefPubMedPubMedCentral
49.
van Netten JJ, Francis A, Morphet A, Fortington LV, Postema K, Williams A (2016) Communication techniques for improved acceptance and adherence with therapeutic footwear. Prosthet Orthot Int. https://​doi.​org/​10.​1177/​0309364616650080​ PubMed
50.
Tenten-Diepenmaat M, Dekker J, Steenbergen M, Huybrechts E, Roorda LD, van Schaardenburg D, Bus SA, van der Leeden M (2016) In-shoe plantar pressure measurements for the evaluation and adaptation of foot orthoses in patients with rheumatoid arthritis: a proof of concept study. Gait Posture 45:45–50. https://​doi.​org/​10.​1016/​j.​gaitpost.​2015.​12.​039 CrossRefPubMed