RCT on different foot orthotics in plantar fasciitis

NewsBot · May 5, 2015

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A Randomized Controlled Trial of Custom Foot Orthoses for the Treatment of Plantar Heel Pain: A Return to Spontaneous Physical Activity.
James S. Wrobel, Adam Fleischer, Ryan T. Crews, Beth Jarrett, and Bijan Najafi
Journal of the American Podiatric Medical Association In-Press.

Background: Up to 10% of people will experience heel pain. The purpose of this prospective double-blind randomized clinical trial was to compare custom foot orthoses (CFO), prefabricated foot orthoses (PFO), and sham insole treatment for plantar fasciitis.

Methods: Seventy seven patients with plantar fasciitis for less than 1 year were included. Outcome measures included first step and end of day pain, Revised Foot Function Index short form (FFI-R), 36-Item Short Form Health Survey (SF-36), activity monitoring, balance, and gait analysis.

Results: The CFO group had significantly improved total FFI-R scores (77.4 versus 57.2; P = .03) without group differences for FFI-R pain, SF-36, and morning or evening pain. The PFO and CFO groups reported significantly lower morning and evening pain. For activity, the CFO group demonstrated significantly longer episodes of walking over the sham (P = .019) and PFO (P = .03) groups, with a 125% increase for CFOs, 22% PFOs, and 0.2% sham. Postural transition duration (P = .02) and balance (P = .05) improved for the CFO group. There were no gait differences. The CFO group reported significantly less stretching and ice use at 3 months.

Conclusions: The CFO group demonstrated 5.6-fold greater improvements in spontaneous physical activity versus the PFO and sham groups. All three groups improved in morning pain after treatment that included standardized athletic shoes, stretching, and ice. The CFO changes may have been moderated by decreased stretching and ice use after 3 months. These findings suggest that more objective measures, such as spontaneous physical activity improvement, may be more sensitive and specific for detecting improved weightbearing function than traditional clinical outcome measures, such as pain and disease-specific quality of life.
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Admin2 · May 5, 2015

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NewsBot · Nov 11, 2015

The effects of Foot Orthoses on Pain Management of People with Plantar Fasciitis.
Taheri A, Jafarian FS, Sadeghi-Demneh E, Bahmani F
Clin Res Foot Ankle 3:174. doi:10.4172/2329- 910X.1000174

Introduction: Plantar fasciitis is the most common cause of plantar heel pain, accounting for almost 15% of all foot-related complaints. Arch supports and heel pads are the main foot orthotics to manage the heel pain. Despite the high prevalence of plantar fasciitis, information about the effectiveness of different orthoses is still scarce. This study was aimed to compare the effectiveness of using an arch support and a silicone heel pad in the pain management of people with plantar fasciitis.

Methods: Forty subjects (mean ? SD age; 44.46 ? 9.7 years) with unilateral plantar fasciitis were recruited in this randomized clinical trial study. They randomly and equally allocated to the intervention groups (the soft arch support insole and silicone heel pad). The primary outcomes were pain and foot function. Outcomes were measured while participants were administrated prior to receiving the allocated intervention and after 6-week follow up period. In the admission and follow-up sessions, the heel pain was scored via visual analogue scale (VAS) and the foot function were measured by foot and ankle outcome score (FAOS) questionnaire. Data were analysed by Mann-Whitney test.

Results: Foot orthoses significantly improved the foot function, reduce the heel pain (p<0.001). There was no significant difference between two orthoses in pain relief (p=0.094). The results indicated that both silicone heel pad and soft insole had successful outcomes in the management of plantar fasciitis over a 6-week period.

Conclusion: The silicone heel pad and the soft insole with arch support are effective to reduce heel pain and improve the activity level in people with plantar fasciitis.
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Ben Lovett · Nov 11, 2015

NewsBot said: ↑

The effects of Foot Orthoses on Pain Management of People with Plantar Fasciitis.
Taheri A, Jafarian FS, Sadeghi-Demneh E, Bahmani F
Clin Res Foot Ankle 3:174. doi:10.4172/2329- 910X.1000174
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Following initial assessment, subjects were randomly and equally assigned to one of the two intervention groups.

Pain was significantly reduced after using orthoses; there was no significant difference between two types of orthoses in the reduction of the heel pain (p=0.23).

No control group, no significance difference between the two interventions tested.
So all we can tell from this study is that PF tends to get better with time which I think we know already.

Ben

Ben Lovett · Nov 11, 2015

The publisher of "Clinical Research on Foot & Ankle" is OMICS, for more on their contribution to science have a read of this.

http://scholarlyoa.com/2013/01/25/omics-predatory-meetings/

Ben

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