Featured Research

from universities, journals, and other organizations

Poor footwear linked to foot impairment and disability in gout patients

Date:
October 3, 2011
Source:
Wiley-Blackwell
Summary:
New research shows that use of poor footwear is common among patients with gout. According to the study, gout patients who make poor footwear choices experienced higher foot-related pain, impairment and disability. Gout patients also reported that comfort, fit, support and cost were the most important factors for selecting footwear.

New research shows that use of poor footwear is common among patients with gout. According to the study published October 3 in Arthritis Care & Research, a peer-reviewed journal of the American College of Rheumatology (ACR), gout patients who make poor footwear choices experienced higher foot-related pain, impairment and disability. Gout patients also reported that comfort, fit, support and cost were the most important factors for selecting footwear.

Gout is a type of inflammatory arthritis caused by the crystallization of uric acid within the joints and other tissues. Those with gout experience severe pain and swelling, with the majority of cases affecting the feet. A study published last month in the ACR journal, Arthritis & Rheumatism, shows that doctor-diagnosed gout has risen over the past twenty years and now affects 8.3 million individuals in the U.S. Previous studies have shown that chronic gout contributes to changes in patients' gait parameters, which is consistent with pain avoidance strategy, and likely leads to impaired foot function.

A research team led by Professor Keith Rome from AUT University in Auckland, New Zealand, recruited 50 patients with a history of gout from local rheumatology clinics. Researchers assessed clinical disease characteristics, overall function, foot impairment and disability. The type of footwear worn by patients and factors associated with patient choice of footwear were also evaluated. To determine the suitability of footwear, the team used criteria gauging the adequacy of the footwear from a previous rheumatoid arthritis foot pain study.

"We found that gout patients in our study often wore improper footwear and experienced moderate to severe foot pain, impairment and disability," explains Professor Rome. Roughly 56% of patients made good footwear choices by wearing walking shoes, athletic sneakers, or oxfords. Of the remaining patients, 42% wore footwear that are considered poor and included sandals, flip-flops, slippers, or moccasins; 2% wore boots which are considered average; and none wore high-heeled shoes.

Characteristics of poor footwear included improper cushioning, lack of support, as well as inadequate stability and motion control. Those gout patients who wore poor shoes or sandals reported higher foot-related impairment and disability. More than half of all participants wore shoes that were 12 months or older and showed excessive wear patterns. Factors study participants identified as important for selecting footwear included comfort (98%), fit (90%), support (79%), and cost (60%).

"We found gout patients in our study wore footwear that lacked cushioning, control and stability," concluded Professor Rome. "Many patients' shoes also showed excessive wear and we suggest that proper footwear selection be discussed with gout patients to reduce foot pain and impairment." The authors suggest that further research assessing economically-priced footwear with ample cushioning, adequate motion control and sufficient forefoot width is needed.


Story Source:

The above story is based on materials provided by Wiley-Blackwell. Note: Materials may be edited for content and length.


Journal Reference:

  1. Keith Rome, Mike Frecklington, Peter McNair, Peter Gow, Nicola Dalbeth. Footwear Characteristics and Factors Influencing Footwear Choice in Patients with Gout. Arthritis Care and Research, 2011 DOI: 10.1002/acr.20582

Cite This Page:

Wiley-Blackwell. "Poor footwear linked to foot impairment and disability in gout patients." ScienceDaily. ScienceDaily, 3 October 2011. <www.sciencedaily.com/releases/2011/10/111003080415.htm>.
Wiley-Blackwell. (2011, October 3). Poor footwear linked to foot impairment and disability in gout patients. ScienceDaily. Retrieved October 22, 2014 from www.sciencedaily.com/releases/2011/10/111003080415.htm
Wiley-Blackwell. "Poor footwear linked to foot impairment and disability in gout patients." ScienceDaily. www.sciencedaily.com/releases/2011/10/111003080415.htm (accessed October 22, 2014).

Share This



More Health & Medicine News

Wednesday, October 22, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Orthodontist Mom Jennifer Salzer on the Best Time for Braces

Orthodontist Mom Jennifer Salzer on the Best Time for Braces

Working Mother (Oct. 22, 2014) Is your child ready? Video provided by Working Mother
Powered by NewsLook.com
U.S. Issues Ebola Travel Restrictions, Are Visa Bans Next?

U.S. Issues Ebola Travel Restrictions, Are Visa Bans Next?

Newsy (Oct. 22, 2014) Now that the U.S. is restricting travel from West Africa, some are dropping questions about a travel ban and instead asking about visa bans. Video provided by Newsy
Powered by NewsLook.com
US to Track Everyone Coming from Ebola Nations

US to Track Everyone Coming from Ebola Nations

AP (Oct. 22, 2014) Stepping up their vigilance against Ebola, federal authorities said Wednesday that everyone traveling into the US from Ebola-stricken nations will be monitored for symptoms for 21 days. (Oct. 22) Video provided by AP
Powered by NewsLook.com
Doctors Help Paralysed Man Walk Again, Patient in Disbelief

Doctors Help Paralysed Man Walk Again, Patient in Disbelief

AFP (Oct. 22, 2014) Polish doctors describe how they helped a paralysed man walk again, with the patient in disbelief at the return of sensation to his legs. Duration: 1:04 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins