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    Ottawa Panel Evidence-Based Clinical Practice Guidelines for Foot Care in the Management of Juvenile Idiopathic Arthritis

    236032_236032a.pdf (1.320Mb)
    Access Status
    Open access
    Authors
    Brosseau, L.
    Toupin-April, K.
    Wells, G.
    Smith, C.
    Pugh, A.
    Stinson, J.
    Duffy, C.
    Gifford, W.
    Moher, D.
    Sherrington, C.
    Cavallo, S.
    De Angelis, G.
    Loew, L.
    Rahman, P.
    Marcotte, R.
    Taki, J.
    Bisaillon, J.
    King, J.
    Coda, A.
    Hendry, G.
    Gauvreau, J.
    Hayles, M.
    Hayles, K.
    Feldman, B.
    Kenny, G.
    Li, J.
    Briggs, Andrew
    Martini, R.
    Feldman, D.
    Maltais, D.
    Tupper, S.
    Bigford, S.
    Bisch, M.
    Date
    2015
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Brosseau, L. and Toupin-April, K. and Wells, G. and Smith, C. and Pugh, A. and Stinson, J. and Duffy, C. et al. 2015. Ottawa Panel Evidence-Based Clinical Practice Guidelines for Foot Care in the Management of Juvenile Idiopathic Arthritis. Archives of Physical Medicine and Rehabilitation. 97 (7): pp. 1163-1184.e14.
    Source Title
    Archives of Physical Medicine and Rehabilitation
    DOI
    10.1016/j.apmr.2015.11.011
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/22232
    Collection
    • Curtin Research Publications
    Abstract

    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.

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