Navigating Conservative Strategies for Ankle Osteoarthritis Treatment: Understanding Footwear Preference-Rocker Bottom Shoes and Ankle Foot Orthotics

作者：Muir BC, Carranza C, Li JS, Sangeorzan B, Aubin PM · 发表于：Journal of prosthetics and orthotics : JPO · 年份：2026 · DOI：10.1097/jpo.0000000000000608 · 被引用次数：15

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 ...