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首页> 外文期刊>Clinical biomechanics >Reducing plantar pressure in rheumatoid arthritis: A comparison of running versus off-the-shelf orthopaedic footwear.
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Reducing plantar pressure in rheumatoid arthritis: A comparison of running versus off-the-shelf orthopaedic footwear.

机译：降低类风湿关节炎的足底压力：跑步和现成的矫形鞋的比较。

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BACKGROUND: Foot pain in patients with rheumatoid arthritis is common and can be associated with excessive forefoot plantar pressure loading. Running and off-the-shelf orthopaedic footwear are commonly recommended to manage foot pain and discomfort in these patients. The aim of this study was to evaluate the effect of running footwear as an alternative to off-the-shelf orthopaedic footwear on plantar pressure loading characteristics in people with forefoot pain associated with rheumatoid arthritis. METHODS: Twenty participants diagnosed with rheumatoid arthritis reporting chronic forefoot pain participated in this experimental, randomised, single-blind, cross-over trial of three footwear conditions: control, running and off-the-shelf orthopaedic. Outcome measures included measurement of peak pressure and pressure-time integral, with an in-shoe plantar pressure measurement system, beneath the total foot, forefoot, midfoot and rearfoot. Furthermore, perceived comfort and footwear acceptability were determined for each footwear condition. FINDINGS: Compared to the control footwear, forefoot peak pressures were reduced by 36% in the running footwear and by 20% in the orthopaedic footwear, compared to the control (P<0.001). Forefoot pressure-time integrals were reduced by 33% in the running footwear and by 23% in the orthopaedic footwear (P<0.001). The largest reductions were achieved with the running footwear across the whole plantar surface of the foot. Perceived comfort did not differ between running and orthopaedic footwear, although both were significantly more comfortable than the control footwear. Overall, more participants nominated the running footwear as the most acceptable footwear condition. INTERPRETATION: The results of this preliminary study show that running footwear was most effective at reducing plantar pressure loading and was regarded as a comfortable and acceptable footwear alternative by participants with forefoot pain associated with rheumatoid arthritis.
机译：背景：类风湿关节炎患者的足部疼痛很常见，并且可能与前足足底压力负荷过大有关。通常建议跑步和现成的矫形鞋来控制这些患者的脚痛和不适。这项研究的目的是评估在与类风湿性关节炎相关的前足痛患者中，跑步鞋替代现成的矫形鞋对足底压力负荷特征的影响。方法：二十名被诊断患有类风湿关节炎并报告了慢性前足痛的参与者参加了这项实验性，随机，单盲，交叉试验，涉及三种鞋类疾病：对照，跑步和现成的矫形。结果测量包括峰值压力和压力时间积分的测量，以及在总脚，前脚，中脚和后脚下的鞋内足底压力测量系统。此外，针对每种鞋类状况确定感觉舒适度和鞋类可接受性。结果：与对照鞋相比，跑步鞋的前脚峰值压力降低了36％，整形外科鞋的前脚峰值压力降低了20％（P <0.001）。在跑步鞋中，前脚压力时间积分减少了33％，在整形外科鞋中减少了23％（P <0.001）。跑步鞋跨足整个足底表面的降幅最大。跑步和矫形鞋之间的感觉舒适度没有差异，尽管两者都比对照鞋舒适得多。总体而言，更多的参与者将跑步鞋提名为最可接受的鞋类条件。解释：这项初步研究的结果表明，跑步鞋在降低足底压力负荷方面最有效，并且被风湿性关节炎相关的前脚痛参与者认为是一种舒适且可接受的鞋类替代品。

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