dc.contributor.author |
Frecklington, Mike |
en |
dc.contributor.author |
Dalbeth, Nicola |
en |
dc.contributor.author |
McNair, Peter |
en |
dc.contributor.author |
Morpeth, Trish |
en |
dc.contributor.author |
Vandal, Alain |
en |
dc.contributor.author |
Gow, Peter |
en |
dc.contributor.author |
Rome, Keith |
en |
dc.date.accessioned |
2019-05-27T02:37:14Z |
en |
dc.date.issued |
2019-04-24 |
en |
dc.identifier.citation |
Arthritis research & therapy 21(1):104 24 Apr 2019 |
en |
dc.identifier.issn |
1478-6354 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/46549 |
en |
dc.description.abstract |
BACKGROUND:There is limited evidence supporting the long-term effect of a foot care package that includes footwear for people with gout. The aim of this study was to investigate the effectiveness of a footwear intervention on foot pain and disability in people with gout over 6 months. METHODS:Participants with gout (n = 94) were randomly allocated to either a control group (podiatric care and gout education) or footwear intervention group (podiatric care and gout education plus a commercially available athletic shoe). Measurements were undertaken at baseline and 2, 4, and 6 months. Primary outcome was foot pain severity. Secondary outcomes were overall pain, foot impairment/disability, footwear comfort, fit, ease and weight. Data were analysed using repeated measures models. RESULTS:Baseline foot pain scores were low, and no differences in foot pain scores were observed between groups over 6 months (adjusted effect estimate: - 6.7, 95% CI - 16.4 to 2.9, P = 0.17). Improvements between groups in overall pain scores (adjusted effect estimate: - 13.2, 95% CI - 22.2 to - 4.3, P < 0.01) and foot impairment/disability scores (- 4.7, 95% CI - 9.1 to - 0.3, P = 0.04) favouring the footwear intervention were observed at 2 months, but not at 4 or 6 months. Improvements between groups in footwear fit (adjusted effect estimate: - 11.1, 95% CI - 21.1 to - 1.0, P = 0.03), ease (- 13.2, 95% CI - 23.8 to - 2.7, P = 0.01) and weight (- 10.3, 95% CI - 19.8 to - 0.8, P = 0.03) favouring the footwear intervention were also observed over 6 months. Similar improvements were observed for footwear comfort at 2 and 4 months. No other differences in secondary outcomes measured were observed at 6 months (P > 0.05). CONCLUSIONS:Addition of footwear to a foot care package did not improve foot pain in people with gout. Short-term improvements in overall pain and foot impairment/disability and more durable improvements in footwear comfort and fit were observed with the footwear intervention. TRIAL REGISTRATION:ACTRN12614000209695. Registered 27 February 2014, http://www.anzctr.org.au/TrialSearch.aspx?searchTxt=ACTRN12614000209695&isBasic=True. |
en |
dc.format.medium |
Electronic |
en |
dc.language |
eng |
en |
dc.relation.ispartofseries |
Arthritis research & therapy |
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dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.rights.uri |
https://creativecommons.org/licenses/by/4.0/ |
en |
dc.subject |
Foot |
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dc.subject |
Humans |
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dc.subject |
Gout |
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dc.subject |
Pain |
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dc.subject |
Pain Measurement |
en |
dc.subject |
Treatment Outcome |
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dc.subject |
Shoes |
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dc.subject |
Aged |
en |
dc.subject |
Aged, 80 and over |
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dc.subject |
Middle Aged |
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dc.subject |
Female |
en |
dc.subject |
Male |
en |
dc.subject |
Patient Education as Topic |
en |
dc.subject |
Pain Management |
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dc.title |
Effects of a footwear intervention on foot pain and disability in people with gout: a randomised controlled trial. |
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dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1186/s13075-019-1886-y |
en |
pubs.issue |
1 |
en |
pubs.begin-page |
104 |
en |
pubs.volume |
21 |
en |
dc.rights.holder |
Copyright: The authors |
en |
pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Comparative Study |
en |
pubs.subtype |
research-article |
en |
pubs.subtype |
Randomized Controlled Trial |
en |
pubs.subtype |
Journal Article |
en |
pubs.elements-id |
770214 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
Medicine Department |
en |
pubs.org-id |
Science |
en |
pubs.org-id |
Statistics |
en |
dc.identifier.eissn |
1478-6362 |
en |
pubs.record-created-at-source-date |
2019-04-26 |
en |
pubs.dimensions-id |
31018869 |
en |