Affiliations 

  • 1 Department of Prosthetics and Orthotics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran ma.bagherzadeh@uswr.ac.ir
  • 2 Faculty of Rehabilitation Sciences, Tehran University of Medical Sciences, Tehran, Iran
  • 3 Department of Physical Medicine & Rehabilitation, Brain and spinal cord injury repair research center, Iran University of Medical Sciences, Tehran, Iran
  • 4 Biomechanics Lab., Rehabilitation Research Center, School of Rehabilitation, Department of Rehabilitation Basic Sciences, Iran University of Medical Sciences, Tehran, Iran
  • 5 Department of Rheumatology, Firouzgar General Hospital, Iran University of Medical Sciences, Tehran, Iran
  • 6 Department of Biomedical Engineering, Faculty of Engineering, University of Malaya, Kuala Lumpur, Malaysia
Prosthet Orthot Int, 2014 Aug;38(4):310-5.
PMID: 23986467 DOI: 10.1177/0309364613498537

Abstract

BACKGROUND: Rheumatoid arthritis is a chronic inflammatory joint disease which affects the joints and soft tissues of the foot and ankle. Rocker shoes may be prescribed for the symptomatic foot in rheumatoid arthritis; however, there is a limited evidence base to support the use of rocker shoes in these patients.
OBJECTIVES: The aim of this study was to evaluate the effectiveness of heel-to-toe rocker shoes on pain, disability, and activity limitation in patients with rheumatoid arthritis.
STUDY DESIGN: Clinical trial.
METHODS: Seventeen female patients with rheumatoid arthritis of 1 year or more duration, disease activity score of less than 2.6, and foot and ankle pain were recruited. Heel-to-toe rocker shoe was made according to each patient's foot size. All the patients were evaluated immediately, 7 and 30 days after their first visit. Foot Function Index values were recorded at each appointment.
RESULTS: With the use of rocker shoes, Foot Function Index values decreased in all subscales. This reduction was noted in the first visit and was maintained throughout the trials.
CONCLUSION: Rocker shoe can improve pain, disability, and activity limitation in patients with rheumatoid foot pain. All the subjects reported improved comfort levels.
CLINICAL RELEVANCE: The results of this study showed that high-top, heel-to-toe rocker shoe with wide toe box was effective at reducing foot and ankle pain. It was also regarded as comfortable and acceptable footwear by the patients with rheumatoid foot problems.
KEYWORDS: Foot Function Index questionnaire; Rheumatoid arthritis; pain; rocker shoes
Study site: Biomechanics Lab, Iran University of Medical Sciences, Tehran, Iran

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.