Treatment of forefoot problems in the elderly: a randomised trial of a standardised shoe & foot care advice in general practice versus podiatric treatment

Completed

Conditions: bewegingsapparaat: voeten
forefoot problems forefoot complaints

Registration Number: NL-OMON32489

Lead Sponsor: Vrije Universiteit Medisch Centrum

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: Not specified

Target Recruitment: 200

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

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

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>For the primary aim of this study validated outcome measures will be assessed<br /><br>at 3, 6, 9 and 12 months<br /><br>using postal questionnaires. The primary outcome measures are: foot-related<br /><br>disability; severity of foot<br /><br>pain and limitations at work and other social activities. </p><br>

Secondary Outcome Measures

Name	Time	Method
<p>Secondary outcome measures include foot function, self perceived deformity and<br /><br>perceived benefit.<br /><br>A process evaluation will be performed in all patients by questionnaire after 3<br /><br>and 12 months in which<br /><br>the adherence to the given advice and treatment will be assessed. In addition<br /><br>an expert team will<br /><br>perform an evaluation of the treatment in the podiatric treatment group and the<br /><br>effect of orthosis<br /><br>treatment on in-shoe plantar pressure will be evaluated in a sample of 25 of<br /><br>these patients.</p><br>