Author/Editor		Novak, Primož
Title		Obravnava bolnika z revmatoidnim artritisom in bolečino v stopalih v ambulanti za obutveno ortotiko
Translated title		Foot pain treatment in rheumatoid arthritis patients
Type		članek
Source		Rehabilitacija
Vol. and No.		Letnik 5, št. 1-2
Publication year		2006
Volume		str. 163-4
Language		slo
Abstract		Severe deformities of the feet may develop of rheumatoid arthritis patients (1). Clawtoes, hallux valgus, hallux rigidus, splayfoot, forefoot supinatus and rearfoot valgus deformity are often seen. Forefoot, with metatarsophalangeal and interphalangeal joints are most commonly affected (2, 3). Due to bone deformity and soft tissue atrophy normal plantar pressure is changed. Excessive pressure on metatarsal head is probably the cause of forefoot pain (metatarsalgia) (4, 5). Providing patient adequate foot orthoses (insoles), in addition to drugs and physical methods is an important of foot pain treatment. Insoles can be useful in reducing excessive plantar pressures and decreasing forefoot pain. At the Institute for rehabilitation, Republic of Slovenia, the F-scan system (Tekscan Inc.) for plantar pressure assessment is used. The system provides simple and quick measurement of vertical ground reaction forces or pressures, acting on foot during walking. The insoles are extremely thin (0.18 mm), non-disturbing and do not have any ampact on patients gait. In contains 960 sensors. The size of the insole is adjusted to the size of patients foot. The insole is connected into the signal processing unit, attached at the ankle which is connected to personal computer with a 10 meter cable. Special software is needed for acquired data analysis. Calibration of the system uses total body mass applied directly over each sensor in a static manner. An approximately 10 m walk is required for the dynamic measurement of plantar pressures. Plantar pressure changes can be followed with computer during the test, the recording can be saved as a movie and data analysis performed later on. The system is useful for plantar changes assessment, adequate insoles prescription and the assessment the adequacy of the insoles 6-8). (Abstract truncated at 2000 characters)
Descriptors		ARTHRITIS, RHEUMATOID FOOT DEFORMITIES, ACQUIRED PAIN SHOES