Can foot orthoses prevent hallux valgus deformity in rheumatoid arthritis? A randomized clinical trial

Elly Budiman-Mak, Kendon J. Conrad, Kathryn E. Roach, James W. Moore, Yongsuk Lertratanakul, Alisa E. Koch, John L. Skosey, Christopher Froelich, Nicholas Joyce-Clark

Research output: Contribution to journalArticle

36 Scopus citations

Abstract

Hallux valgus deformity is the most commonly observed forefoot deformity in patients with rheumatoid arthritis. This 5-year, double-blind, randomized clinical trial compared treatment orthoses with placebo orthoses for the prevention of hallux valgus deformity in the rheumatoid arthritic foot., One hundred and two subjects with active rheumatoid arthritis and with foot pain and minimal radiographic changes of the feet participated in the study. They were recruited from five arthritis clinics in the Chicago metropolitan area that are affiliated with or are teaching clinics of area medical schools. Patients were followed for 3 years., Eighty-one subjects completed the study. In a logistic regression analysis, the treatment group was 73% less likely to develop hallux valgus deformity compared with the control group (adjusted odds ratio 0.27, 95% confidence interval 0.078, 0.916 p =.04). These findings suggest that foot orthoses can prevent or slow the progression of hallux valgus deformity.

Original languageEnglish (US)
Pages (from-to)313-321
Number of pages9
JournalJournal of Clinical Rheumatology
Volume1
Issue number6
DOIs
StatePublished - Dec 1995

Keywords

  • Hallux valgus
  • Orthoses
  • Rheumatoid foot

ASJC Scopus subject areas

  • Rheumatology

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    Budiman-Mak, E., Conrad, K. J., Roach, K. E., Moore, J. W., Lertratanakul, Y., Koch, A. E., Skosey, J. L., Froelich, C., & Joyce-Clark, N. (1995). Can foot orthoses prevent hallux valgus deformity in rheumatoid arthritis? A randomized clinical trial. Journal of Clinical Rheumatology, 1(6), 313-321. https://doi.org/10.1097/00124743-199512000-00001