The effects of commercially available footwear on foot pain and disability in people with gout: a pilot study

作者：Rome Keith^*; Stewart Sarah; Vandal Alain C; Gow Peter; McNair Peter; Dalbeth Nicola

来源：BMC Musculoskeletal Disorders, 2013, 14(1): 278.

DOI：10.1186/1471-2474-14-278

• Gout
• Pain
• Foot
• Disability
• Joint
• Footwear
• Comfort

Background: There is limited evidence on non-pharmacological interventions for gout. The aim of the study was to determine whether a footwear intervention can reduce foot pain and musculoskeletal disability in people with gout. %26lt;br%26gt;Methods: Thirty-six people with gout participated in a prospective intervention study over 8 weeks. Participants selected one of 4 pairs of shoes and thereafter wore the shoes for 8 weeks. The primary outcome was foot pain using a 100 mm visual analogue scale. Secondary outcomes related to function and disability were also analysed. %26lt;br%26gt;Results: The Cardio Zip shoe was selected by 58% of participants. Compared with baseline, overall scores for all shoes at 8-weeks demonstrated a decrease in foot pain (p = 0.03), general pain (p = 0.012), Health Assessment Questionnaire (HAQ)-II (p = 0.016) and Leeds Foot Impact Scale (LFIS) impairment subscale (p = 0.03). No significant differences were observed in other patient reported outcomes including patient global assessment, LFIS activity subscale, and Lower Limb Task Questionnaire subscales (all p %26gt; 0.10). We observed significant improvements between baseline measurements using the participants%26apos; own shoes and the Cardio Zip for foot pain (p = 0.002), general pain (p = 0.001), HAQ-II (p = 0.002) and LFIS impairment subscale (p = 0.004) after 8 weeks. The other three shoes did not improve pain or disability. %26lt;br%26gt;Conclusions: Footwear with good cushioning, and motion control may reduce foot pain and disability in people with gout.

• 出版日期2013-9-24