The primary aim of this study is to study the effectiveness of podiatric treatment in elderly patients whoreport disabling forefoot problems for a period of at least one month compared to a standardised shoeadvice given in general practice. Secondly…
ID
Source
Brief title
Condition
- Other condition
Synonym
Health condition
bewegingsapparaat: voeten
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
For the primary aim of this study validated outcome measures will be assessed
at 3, 6, 9 and 12 months
using postal questionnaires. The primary outcome measures are: foot-related
disability; severity of foot
pain and limitations at work and other social activities.
Secondary outcome
Secondary outcome measures include foot function, self perceived deformity and
perceived benefit.
A process evaluation will be performed in all patients by questionnaire after 3
and 12 months in which
the adherence to the given advice and treatment will be assessed. In addition
an expert team will
perform an evaluation of the treatment in the podiatric treatment group and the
effect of orthosis
treatment on in-shoe plantar pressure will be evaluated in a sample of 25 of
these patients.
Background summary
Foot problems are common, increase with age and are associated with functional
disability and reduced
well being. Forefoot problems are the most common of these problems. About one
third to a half of all
people with foot problems consult their GP. Usual care often consists of advice
by the GP or a referral
for podiatric treatment. However, the content of podiatric treatment is
variable and there is little evidence
on the effectiveness of these commonly used interventions.
Study objective
The primary aim of this study is to study the effectiveness of podiatric
treatment in elderly patients who
report disabling forefoot problems for a period of at least one month compared
to a standardised shoe
advice given in general practice. Secondly, this study will carry out a process
evaluation to explore the
potential influence on outcome of adherence to the treatment of patients and
podiatrists. Additionally we
shall also study the changes in-shoe plantar foot pressure in a sample of 25
patients in the podiatric
treatment group
Study design
Patient selection will be performed in GP practices by a combination of
retrospective recruitment based
on the medical records of the participating practices and advertisements in the
practice and invitation by
GP*s. Patients will be selected by a screening survey followed by a baseline
examination by a research
assistant. Eligible patients who are willing to participate will be randomised
to receive either
standardised shoe & foot care advice in the general practice or to be referred
for podiatric treatment.
Intervention
usual care podiatric treatment will be compared to the advice to wear fitting
good quality shoes . This advice is supported by a information leaflet.
Study burden and risks
patients will be asked to perform a non invasive examination of foot function
and foot posture (n=25 patients will be asked to undergo an additional
examination of the same nature after completion of the podiatric treatment)
fill in questionnaires of about 10 minutes duration.
Van der Boechorststraat 7
1081 BT Amsterdam
NL
Van der Boechorststraat 7
1081 BT Amsterdam
NL
Listed location countries
Age
Inclusion criteria
Forefoot problems are caused by musculoskeletal conditions or deformities; Patients who indicate actual pain in the forefoot for a period of at least 1 months; Patients report disability as a result of the foot problem; Patients are able to fill in the questionnaires (if needed with help of others); Informed consent.
Exclusion criteria
The problem is caused by a recent trauma of the foot; previous foot operation; Treatment of the foot problem by a podiatrists, pedorthist or a physiotherapist in the previous year;Rheumatoid arthritis;Terminally ill or too frail to participate; Known to have dementia;Diabetes mellitus with reduced foot sensation secondary to peripheral neuropathy
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL29927.029.09 |