Introduction: Osteoarthritis of the foot is a common yet least studied form of osteoarthritis, which negatively affects walking, foot functionality, and quality of life. The midfoot plays a key role in load transfer during gait. The goal of orthotic treatment is to reduce pain in the affected joints and restore the biomechanical balance of the foot through the use of various insoles. To assess the patient's condition before and after therapy, scoring questionnaires are often used as established clinical instruments. The Pre-treatment patient evaluation questionnaire for midfoot osteoarthritis allows evaluation of the condition before the start of orthotic care and contributes to individualized treatment planning based on the patient’s needs and preferences. Purpose: The purpose of diploma work is the translation and cultural adaptation the midfoot osteoarthritis Pre-treatment patient evaluation questionnaire from English into Slovene, as well as the evaluation of its clinical suitability in the Slovenian setting. Methods: The translation followed the established guidelines for the translation and cultural adaptation of the questionnaire, which proceeded in several phases. The process involved translators and experts in orthopaedic surgery. Results: The questionnaire was evaluated by four orthopaedic surgeons. They proposed the exclusion of ¾ foot length insoles and the inclusion of both prefabricated and custom-made orthopaedic insoles. The questionnaire was also assessed by patients with osteoarthritis of the midfoot. The highest ratings were given to the time efficiency of the questionnaire, followed by conciseness, clarity, and simplicity. Discussion and conclusion: The midfoot plays a central role in load transfer, stabilization and maintenance of biomechanical balance during walking. Orthotic devices are crucial in the treatment of midfoot osteoarthritis. Such devices are commonly used to reduce pain, improve functionality and stabilize the joints. The translation process revealed certain terminological and content-related discrepancies, which were successfully resolved through collaboration between translators and experts. The Slovenian version of the questionnaire demonstrates strong clinical potential and enables further development and improvements in orthotic care.
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