Archives of Disease in Childhood published randomized controlled trial research on the use of foot orthoses in children with juvenile idiopathic arthritis (JIA). Sixty children randomly received either ‘fitted’ foot orthotics with customized chair-side corrections or ‘control’ foot orthotics made without corrections. Changes in pain and quality of life for the children with JIA was assessed at baseline, 3 months and 6 months.
The following results were recorded:
1. a statistically significant greater difference in pain reduction (baseline—6 months) was seen for the group with fitted foot orthotics
2. the reduction in pain in the fitted foot orthotics group was clinically important (8 mm).
3. significant differences in quality of life was seen in the fitted foot orthotic group as measured by the children and independently by their parents/carers.
The researchers concluded that fitted foot orthotics may reduce pain and improve quality of life in selected children with JIA.
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Reference: Andrea Coda, Peter W Fowlie, Joyce E Davidson, Jo Walsh, Tom Carline, Derek Santos. Foot orthoses in children with juvenile idiopathic arthritis: a randomised controlled trial. Arch Dis Child archdischild-2013-305166Published Online First: 17 March 2014 doi:10.1136/archdischild-2013-305166
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