[Orthopedic shoes: Still in touch with the times?]

Z Rheumatol. 2015 Nov;74(9):786-92. doi: 10.1007/s00393-015-1628-8.
[Article in German]

Abstract

Background: Deformities of the foot due to rheumatic disease, particularly rheumatoid arthritis, occur in 85-95% of patients during the course of their disease.

Objective: This study investigates whether treatment with orthopedic shoes still has a place in modern therapies.

Results: Foot orthotics and technical orthopedic shoes can play an important role in purely conservative treatment as well as postoperative therapy.

Conclusion: Due to a lack of knowledge concerning modern orthopedic shoe techniques, this treatment option has slipped out of focus--in part because of its association with the old-fashioned unshapely black orthopedic shoes. Nevertheless, these shoes can contribute significantly to maintenance of patient mobility; a factor of extreme importance to the individuals who already suffer considerably from the disease per se.

Keywords: Arthrosis; Insoles; Orthopedic shoes; Rheumatic foot; Rheumatoid arthritis.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Evidence-Based Medicine
  • Foot Deformities, Acquired / diagnosis
  • Foot Deformities, Acquired / etiology*
  • Foot Deformities, Acquired / rehabilitation*
  • Foot Orthoses / standards*
  • Germany
  • Humans
  • Practice Guidelines as Topic
  • Rheumatic Diseases / complications*
  • Rheumatic Diseases / diagnosis
  • Rheumatic Diseases / rehabilitation*
  • Rheumatology / standards
  • Shoes / standards*
  • Treatment Outcome