Ottawa Panel Evidence-Based Clinical Practice Guidelines for Foot Care in the Management of Juvenile Idiopathic Arthritis
| Autor: | Jacinthe Bisaillon, Gordon J Hendry, Julie Gauvreau, Susan Tupper, Catherine Sherrington, Karine Toupin-April, Glen P. Kenny, Andrew M. Briggs, Sarah Bigford, Laurianne Loew, Jennifer Stinson, Lucie Brosseau, Gino De Angelis, George A. Wells, Ciarán M. Duffy, Wendy Gifford, Jade Taki, Christine Smith, Martin Hayles, Prinon Rahman, Brian M. Feldman, Sabrina Cavallo, Désirée B. Maltais, David Moher, Jing Xian Li, Andrea Coda, Debbie Ehrmann Feldman, Rose Martini, Judy King, Marg Bisch, Arlanna Pugh, Rachel Marcotte, Kay Hayles |
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| Rok vydání: | 2016 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty Evidence-based practice Delphi Technique MEDLINE Foot Orthoses Physical Therapy Sports Therapy and Rehabilitation Orthotics law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law medicine Humans Pain Management Physical Therapy Modalities Randomized Controlled Trials as Topic 030203 arthritis & rheumatology business.industry Minimal clinically important difference Rehabilitation Podiatry Arthritis Juvenile Orthotic device Shoes Evidence-Based Practice Physical therapy 0305 other medical science business Foot (unit) |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 97:1163-1181.e14 |
| ISSN: | 0003-9993 |
| Popis: | Objective To create evidence-based guidelines evaluating foot care interventions for the management of juvenile idiopathic arthritis (JIA). Data Sources An electronic literature search of the following databases from database inception to May 2015 was conducted: MEDLINE (Ovid), EMBASE (Ovid), Cochrane CENTRAL, and clinicaltrials.gov. Study Selection The Ottawa Panel selection criteria targeted studies that assessed foot care or foot orthotic interventions for the management of JIA in those aged 0 to ≤18 years. The Physiotherapy Evidence Database scale was used to evaluate study quality, of which only high-quality studies were included (score, ≥5). A total of 362 records were screened, resulting in 3 full-text articles and 1 additional citation containing supplementary information included for the analysis. Data Extraction Two reviewers independently extracted study data (intervention, comparator, outcome, time period, study design) from the included studies by using standardized data extraction forms. Directed by Cochrane Collaboration methodology, the statistical analysis produced figures and graphs representing the strength of intervention outcomes and their corresponding grades (A, B, C+, C, C−, D+, D, D−). Clinical significance was achieved when an improvement of ≥30% between the intervention and control groups was present, whereas P >.05 indicated statistical significance. An expert panel Delphi consensus (≥80%) was required for the endorsement of recommendations. Data Synthesis All included studies were of high quality and analyzed the effects of multidisciplinary foot care, customized foot orthotics, and shoe inserts for the management of JIA. Custom-made foot orthotics and prefabricated shoe inserts displayed the greatest improvement in pain intensity, activity limitation, foot pain, and disability reduction (grades A, C+). Conclusions The use of customized foot orthotics and prefabricated shoe inserts seems to be a good choice for managing foot pain and function in JIA. |
| Databáze: | OpenAIRE |
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