Foot Orthotics for COPD

NewsBot · Apr 22, 2020

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Pulmonary Rehabilitation is Improved by In-Shoe
Foot Orthosis Intervention
Yves Jammes et al
EMJ. 2020;5[1]:41-47.

Some studies have found that patients with asthma have bilateral foot dorsal flexion limitations,
contributing to impaired quality of life. The authors hypothesised that foot misalignments could also
occur in patients with chronic obstructive pulmonary disease (COPD), and that foot orthoses could
increase the motor benefits of their pulmonary rehabilitation (PR).
Presented herein are the results from a nonrandomised controlled study in 40 patients with COPD.
Twenty patients had foot misalignment (Group 1) and wore foot orthoses for a 1-month PR period. Their
data were compared to those obtained in 20 other patients with COPD who had no foot misalignment
and did not wear foot orthoses (Group 2). Bodily fatigue, 6-minute walk test (6MWT) distance,
peak plantar flexion force (PFF), and oscillations of the centre of pressure (CoP) were measured.
Measurements were performed prior to and following completion of PR (Groups 1 and 2), immediately
after wearing the foot orthosis (Group 1), and after completion of PR plus foot orthoses (Group 1).
In Group 2, PR increased the 6MWT distance, but did not increase PFF nor reduce CoP oscillations and
fatigue scale. Wearing the foot orthosis for the first time significantly increased the 6MWT distance
(+98+12 m). Following PR with foot orthoses (Group 1), a further increase in 6MWT distance occurred
(+120+13 m), bodily fatigue was reduced, PFF increased, and CoP oscillations decreased.
In patients with COPD and foot misalignment, foot orthoses enhanced the functional capacity and
improved the postural control.
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NewsBot · Apr 22, 2020

Related Thread:
Gait patterns in COPD

NewsBot · Nov 14, 2020

The clinical trial was just registered:
The Effect of Foot Deformities on Physical Activity, Fatigue Level and Quality of Life in Elderly COPD Patients

The aim of this study is to investigate the effects of changes in foot structure on physical activity level, fatigue and quality of life in COPD patients
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