bewegingsapparaat: voeten forefoot problems forefoot complaints
Conditions
Interventions
usual care podiatric treatment will be compared to the advice to wear fitting
good quality shoes . This advice is supported by a information leaflet.
Sponsors
Vrije Universiteit Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
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
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 outcomes
Secondary
| Measure | Time frame |
|---|---|
| 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. | — |
Primary
| Measure | Time frame |
|---|---|
| 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. | — |
Countries
Netherlands
Outcome results
None listed