MTP-1 joint osteoarthritis
Conditions
Interventions
Patients randomized to the intervention group will, in addition to usual GP 
care, be referred to an orthopedic shoemaker. The intervention is defined as OVAC, which stands for footwear modification of ready-made footwear (confection shoes), including the following options, de
Sponsors
Erasmus MC, Universitair Medisch Centrum Rotterdam
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - aged 45 years or older - able to walk with or without assistance devices - proficient in Dutch language - confirmed diagnosis of MTP-1 joint OA by a health care professional. - pain in the foot needs to be present on most days of last month and - presence of morning stiffness or stiffness during the day int he MTP-1 joint
Exclusion criteria
Exclusion criteria: - Patients that have already received footwear modifications (OVAC) or custom-made orthopedic shoes in the past. - Patients that have undergone surgery as treatment for MTP-1 osteoarthritis in the affected foot. - Patients that are contraindicative to receive an OVAC, because they use a splint or brace, or because their feet will not fit in an OVAC because of other foot problems.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Walking pain (11-point NRS) at 6 months follow-up Quality-Adjusted Life-Years (EQ-5D) at 6 months follow-up Societal costs over 6 months, using iMCQ and iPCQ questionnaires | — |
Secondary
| Measure | Time frame |
|---|---|
| Self-reported recovery (GROC), foot function (FHSQ) and PASS at 6 and 12 months follow-up* Barriers and facilitators of patients and health care professionals for the implementation of the intervention in general practice | — |
Countries
Netherlands
Contacts
Public ContactM Middelkoop
Erasmus MC, Universitair Medisch Centrum Rotterdam
Outcome results
None listed