Effect of Custom Foot Orthoses in Patients With Psoriatic Arthritis

NCT ID: NCT05075343

Last Updated: 2021-10-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-01

Study Completion Date

2021-08-20

Brief Summary

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Foot involvement is a major concern in psoriatic arthritis (PsA). The patients could experience severe levels of foot pain and disability and reduced mobility and quality of life. Previous studies showed that the use of Custom foot orthoses (CFO) was effective to improve foot pain and perceived disability in patients with foot disease associated with rheumatoid arthritis. However, there are no records in the literature on the effectiveness of CFO in PsA patients. Therefore, our objective was o explore the effects of CFO on foot pain, foot function, gait spatiotemporal parameters (STP), and ambulatory physical activity (APA) in PsA patients with foot involvement.

In this pre-experimental exploratory study, 22 PsA patients having stable medication in the last 3 months preceding the recruitment were recruited. All the patients wore functional CFO designed by an experimented podiatrist during a 7-week period. Foot and lower limb pain and foot function were measured at baseline (T0) and after the 7-week period using the numerical rating scale (NRS) and the foot function index (FFI), respectively. Gait function was assessed by recording spatiotemporal parameters (STPs) during a 10-meter walk test using an instrumented gait analysis system (Mobility Lab) at T0 and T7. Freeliving walking activities (step count, freeliving cadence, time spent in different ambulatory physical activity (APA) intensities) at T0 and T7 were recorded over 7 days using accelerometer data collected from an instrumented sock worn by the participants during waking hours.

Detailed Description

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Conditions

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Psoriatic Arthritis Foot Arthritis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Custom foot orthoses (CFO)

Participants with a confirmed diagnosis of PsA and foot pain received and wore custom foot orthoses (CFO).

Group Type EXPERIMENTAL

Custom foot orthoses

Intervention Type DEVICE

3D printed custom foot orthoses (CFO) were designed by the same experimented podiatrist based on a detailed clinical and biomechanical examination and a 3D foot scan obtained for each participant. The degrees and types were adjusted at the CFO delivery according to each patient's comfort and tolerance.

The intervention period was 7weeks. The participants were taught to wear the CFO progressively during the first two weeks to allow for the lower limbs' muscles and structures to adjust to the CFO, and to wear the orthoses for the next 5 weeks, 7 days a week as often as they could.

Interventions

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Custom foot orthoses

3D printed custom foot orthoses (CFO) were designed by the same experimented podiatrist based on a detailed clinical and biomechanical examination and a 3D foot scan obtained for each participant. The degrees and types were adjusted at the CFO delivery according to each patient's comfort and tolerance.

The intervention period was 7weeks. The participants were taught to wear the CFO progressively during the first two weeks to allow for the lower limbs' muscles and structures to adjust to the CFO, and to wear the orthoses for the next 5 weeks, 7 days a week as often as they could.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Aged between 20 and 70 years
* Diagnosed with psoriatic arthritis by a rheumatologist
* Having moderate to severe foot pain scored at least 3 on the numeric rating scale
* Having stable medication for the three months preceding the study

Exclusion Criteria

* Having diabetes or neurological disease that may affect the feet
* Having recent traumatic foot injury
* Having received specific interventions for the feet (ex: foot orthoses, orthopedic shoes, intraarticular steroid injection) for the three months preceding the study.
* Having a recent history of foot surgery.
Minimum Eligible Age

20 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Patrick Boissy

OTHER

Sponsor Role lead

Responsible Party

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Patrick Boissy

Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Patrick Boissy, PhD

Role: STUDY_DIRECTOR

Université de Sherbrooke

Nathaly Gaudreault, Phd

Role: STUDY_DIRECTOR

Université de Sherbrooke

Pierre Dagenais, PhD

Role: STUDY_DIRECTOR

Université de Sherbrooke

Locations

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Centre de recherche sur le vieillissement

Sherbrooke, Quebec, Canada

Site Status

Université de Sherbrooke

Sherbrooke, Quebec, Canada

Site Status

Countries

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Canada

References

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Walha R, Dagenais P, Gaudreault N, Beaudoin-Cote G, Boissy P. The effects of custom-made foot orthoses on foot pain, foot function, gait function, and free-living walking activities in people with psoriatic arthritis (PsA): a pre-experimental trial. Arthritis Res Ther. 2022 May 25;24(1):124. doi: 10.1186/s13075-022-02808-8.

Reference Type DERIVED
PMID: 35614481 (View on PubMed)

Walha R, Gaudreault N, Dagenais P, Boissy P. Spatiotemporal parameters and gait variability in people with psoriatic arthritis (PsA): a cross-sectional study. J Foot Ankle Res. 2022 Mar 4;15(1):19. doi: 10.1186/s13047-022-00521-y.

Reference Type DERIVED
PMID: 35246222 (View on PubMed)

Other Identifiers

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2020-3182

Identifier Type: -

Identifier Source: org_study_id