Navigating Conservative Strategies for Ankle Osteoarthritis Treatment: Understanding Footwear Preference—Rocker Bottom Shoes and Ankle Foot Orthotics.
Background: Ankle osteoarthritis (AOA) is a progressive condition that impairs mobility and reduces quality of life. Conservative treatments like rocker bottom (RB) shoes and ankle-foot orthoses (AFOs) are commonly prescribed, but their effectiveness in managing AOA is not well understood, and patie...
| Publicado en: | Journal of Prosthetics & Orthotics (JPO) Vol. 38; no. 3; pp. 178 - 185 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
7/1/2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194516747&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194516747 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10408800 GFL jtl: Journal of Prosthetics & Orthotics (JPO) issn: 10408800 maglogo: N pubinfo: dt: 7/1/2026 vid: 38 iid: 3 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 194516747 194516747 194516747 10.1097/JPO.0000000000000608 194516747 ppf: 178 ppct: 7 formats: tig: atl: Navigating Conservative Strategies for Ankle Osteoarthritis Treatment: Understanding Footwear Preference—Rocker Bottom Shoes and Ankle Foot Orthotics. aug: au: Muir, Brittney C. Carranza, Christina Li, Jing-Sheng Sangeorzan, Bruce Aubin, Patrick M. affil: BRITTNEY C. MUIR, PhD sug: subj: Conservative Treatment Osteoarthritis, Ankle Therapy Foot Orthoses Utilization Patient Preference Evaluation Shoes Human Male Female Middle Age Aged Pilot Studies Crossover Design Telehealth Pain Measurement Functional Assessment Questionnaires Patient-Reported Outcomes Feedback Age Factors Physical Mobility Pain Management Body Height Comfort Physical Activity Decision Making, Clinical Massachusetts Activities of Daily Living Task Performance and Analysis Analysis of Variance Qualitative Studies Correlation Coefficient T-Tests Descriptive Statistics Data Analysis Software Quality of Life Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Ankle osteoarthritis (AOA) is a progressive condition that impairs mobility and reduces quality of life. Conservative treatments like rocker bottom (RB) shoes and ankle-foot orthoses (AFOs) are commonly prescribed, but their effectiveness in managing AOA is not well understood, and patient preferences are underexplored. Objectives: This is a pilot study aimed to evaluate the effect of RB shoes and AFOs in managing AOA and to identify factors influencing patient preferences for these conservative treatments. Study Design: This was a cross-over telehealth study involving 10 participants with doctor-diagnosed AOA. Each participant wore three footwear conditions: control shoes, RB shoes, and AFOs, each for 3 weeks. Methods: Participants completed baseline pain ratings and functional assessments using PROMIS and FAAM questionnaires. After each 3-week footwear session, participants reported pain levels and provided feedback on their preferred footwear. Results: Younger participants (aged 56–63) preferred AFOs for pain relief and improved mobility, while older (aged 66–75) and taller participants preferred RB shoes for their comfort. No significant differences were found in pain or function across footwear conditions, but AFO-preferred participants experienced significant reductions in maximum pain compared to the RB group. Conclusions: Footwear preferences were influenced by age and activity level. Younger participants preferred AFOs for functional benefits, while older participants prioritized comfort and selected RB shoes. These findings emphasize the need for personalized conservative treatment strategies in managing AOA. Clinical relevance statement: This pilot study highlights the importance of tailoring conservative treatments for AOA based on age and activity level. Understanding patient preferences can help guide clinical decisions and improve patient outcomes. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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