AUT University, Health & Rehabilitation Research Institute, Auckland, New Zealand.
Arthritis Care Res (Hoboken). 2011 Nov;63(11):1599-604. doi: 10.1002/acr.20582.
Gout is associated with foot pain, impairment, and disability. The aim of this study was to assess footwear characteristics and key factors influencing footwear choice in patients with gout. We also wanted to evaluate the relationship between footwear characteristics and foot disability.
Fifty patients with a history of acute gout were recruited from rheumatology clinics during the summer months. Clinical characteristics, global function, and foot impairment and disability measures were recorded. Footwear characteristics and the factors associated with choice of footwear were identified using validated assessment tools. Suitability of footwear was assessed using predetermined criteria for assessing adequacy of footwear, based on a previous study of foot pain.
The patients had moderate to severe foot pain, impairment, and disability. Poor footwear characteristics included poor cushioning, lack of support, lack of stability, and motion control. More than 50% of shoes were ≥12 months old and demonstrated excessive wear patterns. Patients reported comfort (98%), fit (90%), support (90%), and cost (60%) as important factors in choosing their own footwear. No correlation was found between footwear characteristics (length and width) and foot characteristics (foot pain, impairment, and disability). Patients with poor footwear reported higher foot-related impairment and disability.
Use of poor footwear is common in patients with chronic gout and is associated with foot disability and impairment.
痛风与足部疼痛、功能障碍和残疾有关。本研究旨在评估痛风患者的鞋类特征和影响鞋类选择的关键因素。我们还想评估鞋类特征与足部残疾之间的关系。
在夏季，从风湿病诊所招募了 50 名有急性痛风病史的患者。记录了临床特征、整体功能以及足部损伤和残疾的评估。使用经过验证的评估工具确定了鞋类特征和与鞋类选择相关的因素。根据先前对足部疼痛的研究，使用评估鞋类充足性的预定标准评估了鞋类的适宜性。
患者有中度至重度的足部疼痛、损伤和残疾。较差的鞋类特征包括较差的缓冲性、缺乏支撑、缺乏稳定性和运动控制。超过 50%的鞋子的使用时间超过 12 个月，并且出现了过度磨损的情况。舒适度（98%）、合适度（90%）、支撑力（90%）和价格（60%）是患者选择自己的鞋类时的重要因素。鞋类特征（长度和宽度）与足部特征（足部疼痛、损伤和残疾）之间没有相关性。使用较差鞋类的患者报告足部损伤和残疾的程度更高。
慢性痛风患者中普遍存在使用劣质鞋类的情况，这与足部残疾和损伤有关。
