Comparison between Total Contact Custom-Made Insole versus Over the Counter Insole in Rehabilitation of Rheumatoid Arthritis Patients

Abstract

Healthcare professionals are attentive to problems of hand functioning but tend to overlook or pay little attention to problems involving the feet in spite of the high prevalence of feet involvement in (RA) is recorded, as 9 out of 10 patients reporting foot pain during the course of the disease Foot orthoses play a crucial role in the rehabilitation management of patients with RA. They are used to decrease pain and inflammation, improve function, and correct biomechanical malalignment. Our study aimed to compare the effect of total contact custom-made versus over-the-counter insoles on pain and foot functionality. This study included RA 30 patients, were divided randomly into two groups:15 patients applied 15 pairs of custom-made soft total contact insoles (TCI) made by orthotist according to the planter pressure assessment and foot template design, 15 patients were using 15 pairs of a flat (OTC) insole made of silicone. All patients underwent history taking and relevant clinical and laboratory testing. All patients underwent static and dynamic planter