Custom-Made Foot Orthoses Reduce Pain and Fatigue in Patients with Ehlers-Danlos Syndrome. A Pilot Study

Background: Pain and fatigue are major clinical manifestations in patients with Ehlers-Danlos Syndrome (EDS). The aim of this study is to measure change of the effects of custom-made foot orthotics on some manifestations related to EDS, such as foot pain, foot functionality, fatigue, and quality of life. Methods: Thirty-six patients with EDS wore foot orthoses for three months. Foot pain, foot-related disability, foot functionality, fatigue, and quality of life were measured using the 11-point Numeric Rating Scale, the Manchester Foot Pain and Disability Index, the Foot Function Index, the Fatigue Severity Score, and the 12-Item Short Form Health Survey questionnaires, respectively, at the beginning and after 3 months. Results: Participants demonstrated significantly improved foot pain (p = 0.002), disability related to foot pain (p < 0.001), foot functionality (p = 0.001), fatigue (p < 0.007), and mental health-related quality of life (p = 0.016). The physical health-related quality of life did not show significant changes. Conclusions: The use of custom-made foot orthoses help in the management of the symptoms by participants. This study could contribute to the foot specialists being considered as an additional member in multidisciplinary teams that are trying to develop an approach for patients with EDS.

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Musculoskeletal complaints, physical activity and health-related quality of life among patients with the Ehlers–Danlos syndrome hypermobility type

Disability and Rehabilitation ◽

10.3109/09638280903514739 ◽

2010 ◽

Vol 32 (16) ◽

pp. 1339-1345 ◽

Cited By ~ 119

Author(s):

Lies Rombaut ◽

Fransiska Malfait ◽

Ann Cools ◽

Anne De Paepe ◽

Patrick Calders

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Musculoskeletal Complaints ◽

Health Related Quality ◽

Ehlers Danlos Syndrome ◽

Related Quality ◽

Health Related ◽

Danlos Syndrome

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The aged foot

Reviews in Clinical Gerontology ◽

10.1017/s0959259802012297 ◽

2002 ◽

Vol 12 (2) ◽

pp. 175-180

Author(s):

Gareth Evans

Keyword(s):

Quality Of Life ◽

Aging Process ◽

Foot Pain ◽

Health Related Quality ◽

Common Cause ◽

Key Factor ◽

Related Quality ◽

Health Related ◽

Foot Problems

Foot problems are common in elderly people and healthy feet are recognized as a key factor in maintaining activity and independence. People aged over 75 years exhibit a greater degree of foot pathology than a younger population and foot pain is prevalent in a high percentage of elderly patients. Foot problems impair mobility in many older people and may also contribute to falls. The immobility that results from a local foot problem can have a significant impact on the patient’s ability to maintain life as a useful member of society and has been identified as a common cause of unreported disability, often accepted as an accompaniment of the aging process. With increasing age, many foot problems which may have been well compensated for earlier in life will begin to reduce an elderly person’s mobility and health-related quality of life.

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An Evaluation of Two Foot-Specific, Health-Related Quality-of-Life Measuring Instruments

Foot & Ankle International ◽

10.1177/107110070202300611 ◽

2002 ◽

Vol 23 (6) ◽

pp. 538-546 ◽

Cited By ~ 61

Author(s):

Karl B. Landorf ◽

Anne-Maree Keenan

Keyword(s):

Quality Of Life ◽

Plantar Fasciitis ◽

Activity Limitation ◽

Measuring Instruments ◽

Foot Orthoses ◽

Health Related Quality ◽

Foot Health ◽

Related Quality ◽

Health Related

In the past decade, health-related quality-of-life (HRQoL) assessment has become an important tool to measure change as a result of treatment in clinical trials. The aim of this project was to compare and contrast two foot-specific HRQoL questionnaires: the Foot Function Index (FFI) and the Foot Health Status Questionnaire (FHSQ). To assist in this process, a quasi-experimental trial was performed to evaluate the effectiveness of foot orthoses in improving HRQoL in people suffering from plantar fasciitis. The results from this study found that the FFI is generally less responsive to change, particularly in the domain of Activity Limitation. Nevertheless, significant improvements were found for two out of the three domains (Pain and Disability, but not Activity Limitation) for the FFI, as well as the overall score of FFI. In contrast, all four domains (Pain, Function, Footwear and General Foot Health) of the FHSQ showed significant improvement. Our experience with the questionnaires also revealed that certain questions in the Activity Limitation domain of the FFI can lead to inconsistent scoring, thus casting doubts over the suitability of this domain for use with patients with plantar fasciitis. Therefore, the FHSQ has several advantages when evaluating HRQoL in patients being treated with foot orthoses for plantar fasciitis, and should be viewed as the preferred questionnaire.

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Shoulder function, pain and health related quality of life in adults with joint hypermobility syndrome/Ehlers–Danlos syndrome-hypermobility type

Disability and Rehabilitation ◽

10.3109/09638288.2015.1102336 ◽

2016 ◽

Vol 38 (14) ◽

pp. 1382-1390 ◽

Cited By ~ 16

Author(s):

Elise Christine Johannessen ◽

Helle Sundnes Reiten ◽

Helene Løvaas ◽

Silje Maeland ◽

Birgit Juul-Kristensen

Keyword(s):

Shoulder Function ◽

Joint Hypermobility ◽

Health Related Quality ◽

Hypermobility Syndrome ◽

Joint Hypermobility Syndrome ◽

Ehlers Danlos Syndrome ◽

Related Quality ◽

Health Related ◽

Danlos Syndrome

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Physical and Mechanical Therapies for Lower-Limb Problems in Juvenile Idiopathic Arthritis

Journal of the American Podiatric Medical Association ◽

10.7547/15-213 ◽

2017 ◽

Vol 107 (5) ◽

pp. 399-412 ◽

Cited By ~ 3

Author(s):

Antoni Fellas ◽

Andrea Coda ◽

Fiona Hawke

Keyword(s):

Quality Of Life ◽

Lower Limb ◽

Mean Difference ◽

Foot Orthoses ◽

Health Related Quality ◽

Randomized Controlled ◽

Related Quality ◽

Health Related ◽

Meta Analyses

Background: Juvenile idiopathic arthritis (JIA), a chronic, autoimmune, inflammatory joint disease, is the most common arthritis affecting children younger than 16 years. Children with JIA commonly experience lower-limb dysfunction and disability. We systematically reviewed the effectiveness of physical and mechanical therapies for lower-limb problems in JIA. Methods: Randomized controlled trials of physical and mechanical interventions for lower-limb problems in children with JIA were included. Primary outcome was pain. Secondary outcomes included disability, functional ability, and health-related quality of life. Several databases were searched for eligible studies. Authors of included studies and researchers in the field were contacted to identify additional studies. Results: Two studies evaluating the effectiveness of customized/custom foot orthoses in treating foot and ankle pain in children with JIA (N = 100) were included. One study also evaluated simple cushioned inserts. Meta-analyses for comparisons between custom/customized foot orthoses and a control intervention after 3 months were not significant for the outcomes of pain (mean difference, –8.97; 95% confidence interval [CI], –18.01 to 0.07), child-rated health-related quality of life (mean difference, 4.38; 95% CI, –3.68 to 12.44), and parent-rated health-related quality of life (mean difference, 1.77; 95% CI, –6.35 to 9.90). Meta-analyses were supported by sensitivity analyses. Conclusions: There is a paucity of research evaluating physical and mechanical therapies for lower-limb problems in JIA. No physical therapy has been evaluated in randomized controlled trials, and mechanical therapy evaluation is limited to foot orthoses and shoe inserts for foot and ankle pain. The existing research is hampered by small sample sizes. Until further research is conducted, the effectiveness of mechanical and physical therapies for lower-limb problems in JIA remains unclear.

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PREDICtors for health-related quality of life after elective sigmoidectomy for DIVerticular disease: the PREDIC-DIV study protocol of a prospective multicentric transnational observational study

BMJ Open ◽

10.1136/bmjopen-2019-034385 ◽

2020 ◽

Vol 10 (3) ◽

pp. e034385

Author(s):

Maximilian Sohn ◽

Ayman Agha ◽

Igors Iesalnieks ◽

Susanne Bremer ◽

Stefanie Trum ◽

...

Keyword(s):

Quality Of Life ◽

Observational Study ◽

Diverticular Disease ◽

Resected Specimen ◽

Medical Council ◽

Health Related Quality ◽

Custom Made ◽

Related Quality ◽

Health Related

IntroductionDiverticulitis is among the most common abdominal disorders. The best treatment strategy for this complicated disease as well as for recurrent stages is still under debate. Moreover, little knowledge exists regarding the effect of different therapeutic strategies on the health-related quality of life (HrQoL). Therefore, the PREDIC-DIV (PREDICtors for health-related quality of life after elective sigmoidectomy for DIVerticular disease) study aims to assess predictors of a change in HrQoL in patients after elective sigmoidectomy for diverticular disease.Methods and analysisA prospective multicentre transnational observational study was started in November 2017. Patients undergoing elective sigmoid resection for diverticular disease were included. Primary outcome includes HrQoL 6 months postoperatively, staged by the Gastrointestinal Quality of Life Index (GIQLI). Secondary outcomes include HrQoL 6 months after sigmoidectomy, assessed using the Short Form 36 Questionnaire and a custom-made Visual Analogue Scale-based inventory; HrQoL after 12 and 24 months; postoperative morbidity; mortality; influence of surgical technique (conventional laparoscopic multiport operation vs robotic approach); histological grading of inflammation and morphological characteristics of the bowel wall in the resected specimen; postoperative functional changes (faecal incontinence, faecal urge, completeness of emptying, urinary incontinence, sexual function); disease-specific healthcare costs; and changes in economic productivity, measured by the iMTA Productivity Cost Questionnaire. The total follow-up will be 2 years.Ethics and disseminationThe protocol was approved by the medical ethical committee of the Bavarian Medical Council (report identification number: 2017-177). The study was conducted in accordance with the Declaration of Helsinki. The findings of this study will be submitted to a peer-reviewed journal (BMJ Open,Annals of Surgery,British Journal of Surgery,Diseases of the Colon and the Rectum). Abstracts will be submitted to relevant national and international conferences.Trial registration numberThe study is registered with the ClinicalTrials.gov register asNCT03527706; Pre-results.

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Women’s Foot Health–Related Quality of Life in Ballet Dancers and Nondancers

Sports Health A Multidisciplinary Approach ◽

10.1177/1941738120922962 ◽

2020 ◽

Vol 12 (4) ◽

pp. 347-351

Author(s):

Daniel López-López ◽

Cristina Fernández-Espiño ◽

Marta Elena Losa-Iglesias ◽

César Calvo-Lobo ◽

Carlos Romero-Morales ◽

...

Keyword(s):

Quality Of Life ◽

General Health ◽

Foot Pain ◽

Health Related Quality ◽

Foot Health ◽

Ballet Dancers ◽

Related Quality ◽

Health Related ◽

Foot Function

Background: Prevalence and severity of symptoms related to muscle and joint pain seem to be high in most dancers. Hypothesis: There will be a worse quality of life related to foot health for ballet dancers compared with nondancers. Study Design: Case-control study. Level of Evidence: Level 4. Methods: A sample of 156 women was recruited from a clinic of podiatric medicine and surgery. Self-reported data were measured by the Foot Health Status Questionnaire (FHSQ), which has 33 questions that assess 8 health domains of the feet and general health, namely, foot pain, foot function, general foot health, footwear, general health, physical activity, social capacity, and vigor. Results: Statistically significant differences ( P < 0.05) were shown for foot pain, foot function, foot health, and general health, which together revealed a worse foot health–related quality of life (lower FHSQ scores) but a better general health (higher FHSQ scores) for ballet dancers compared with nondancers. The remaining domains did not show statistically significant differences ( P > 0.05). According to multivariate linear regression models ( P < 0.05), the practice of ballet dance (group) was the only independent variable that predicted the dependent variables, such as foot pain ( R2 = 0.052;β = +8.349), foot function ( R2 = 0.108; β = +11.699), foot health ( R2 = 0.039; β = +10.769), and general health ( R2 = 0.019; β = −6.795). Conclusion: Ballet dancers showed a negative impact on quality of life related to foot health but better overall quality of life (general health) compared with nondancers. Clinical Relevance: Paying attention to a dancer’s foot health could provide important benefits for the dancer’s foot health and physical practice of dance.

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