Total contact insoles for plantar fasciitis

NewsBot · Jun 12, 2013

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EFFECTIVENESS OF TOTAL CONTACT INSOLE ON PLANTAR FASCIITIS
H. V. Oliveira, A. Jones, E. Moreira, F. Jennings, J. Natour
Annual European Congress of Rheumatology; Madrid 12-15 June 2013

Background: Plantar fasciitis (PF) in an inflammation of the fascia o on the bottom of the foot, characterized by stiffness in the medial arch and ankle, especially during one’s first steps, and can have a significant effect on activities of daily living. An insole is one of the most often employed conservative methods for the treatment of PF. The total contact insole (TCI) is the most recommended, as it redistributes the load uniformly throughout the sole of the foot. However, few studies have demonstrated the effectiveness of this device and there is no consensus on which type of insole is the most adequate.

Objectives: The aim of the present study was to assess the effectiveness of a TCI regarding pain relief in patients with PF.

Methods: Seventy-four patients with plantar fasciitis (33 of whom had pain in both feet) were randomly allocated into a study group (total of 57 feet) using a total contact insole and control group (total of 50 feet) using a sham insole. Evaluations were performed of pain (VAS); quality of life (SF-36); foot function (FFI and FSHQ); walking distance in six-minute walk test and foot pressure analysis using the AM Cube FootWalk Pro program. The groups were evaluated at baseline and after 45, 90 and 180 days by a blinded assessor. Data were analyzed using the intention to treat approach.

Results: The groups were homogeneous regarding the majority of variables at baseline. In the comparisons over time, statistically significant differences between groups were found for pain when walking (p=0.003) and the 6MWT (p=0.006). Improvements occurred in both groups with regard to pain at rest, foot function and some quality of life parameters (functional capacity, bodily pain, vitality and social aspects) without statistically significant differences between groups. No changes in foot pressure were found with the use of the insole.

Conclusions: Total contact insole can be used to reduce pain when walking and increase walking distance among individuals with plantar fasciitis.

References: 1. Ciconelli RM, Ferraz MB, Santos W, Meinao I, Quaresma MR. Tradução para a língua portuguesa e validação do questionário de avaliação de qualidade de vida SF-36. Rev Bras Reumatol. 1999;39(3):143-50.

2. Ferraz MB, Quaresma MR, Aquino LR, Atra E, Tugwell P, Goldsmith CH.Realiability of pain scales in the assessment of literate and illiterate patients with rheumatoid arthritis. J Rheum. 1990b;17:1022-24.
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Admin2 · Jun 13, 2013

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NewsBot · Mar 18, 2015

Effectiveness of Total Contact Insoles in Patients with Plantar Fasciitis.
Oliveira HA, Jones A, Moreira E, Jennings F, Natour J.
J Rheumatol. 2015 Mar 15.

OBJECTIVE:
To assess the effectiveness of total contact insoles (TCI) in patients with plantar fasciitis (PF).
METHODS:
A double-blind randomized controlled trial was carried out with intention-to-treat analysis. Seventy-four patients were randomly allocated to use a TCI made of ethylene vinyl acetate (study group, n = 37) or a flat insole (control group, n = 37). The following assessment tools were used: visual analog scale for pain while walking and at rest, Medical Outcomes Study Short Form-36 (SF-36) for quality of life, Foot Function Index and Foot Health Status Questionnaire for foot function, 6-min walk test (6MWT), and baropodometer FootWalk Pro for plantar pressure analysis. The groups were evaluated by a blinded assessor at baseline and after 45, 90, and 180 days.
RESULTS:
The groups were homogeneous for the majority of variables at baseline. The over-time comparisons show a statistical difference between the groups for pain while walking (p = 0.008) and the 6MWT (p = 0.010). Both groups showed significant improvements in pain at rest, foot function, and some quality of life variables (physical functioning, bodily pain, vitality, and social functioning), with no significant statistical differences between them. The baropodometer recorded no changes from the use of the insoles.
CONCLUSION:
A TCI can be used to reduce pain while walking and to increase walking distance in individuals with PF.
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NewsBot · Jul 18, 2018

The use of total contact orthoses in patients with foot problems in foot clinic, Siriraj hospital
N.KanjanapanangN.Chadchavalpanichaya
Annals of Physical and Rehabilitation Medicine; Volume 61, Supplement, July 2018, Pages e531-e532

Introduction/Background
To study the use rate, result and concomitant factors of the use of total contact orthoses in Foot Clinic, Siriraj Hospital which has not been studied before.

Material and method
Studying from patient records and interviews with patients who had foot problems without impairment of foot sensation and received TCO from Foot Clinic between July, 2015 and April, 2016. First interview, patients were asked information before use and latter about the latest TCO after use in first 1 month.

Results
One hundred and fifteen participants were recruited but eight lost to follow up. The majority had chronic plantar fasciitis (26.2%), posterior tibial tendon dysfunction (25.2%), hallux valgus (21.5%) and metatarsalgia (21.5%). The use of TCO defined as the participants had to use for more than 3 days/week and for more or equal to 50% of daily walking and standing duration was 67.3%. Using TCO can provide walking stability (P-value = 0.008). For patients with metatarsalgia, using TCO can significantly reduce pain (P-value = 0.002). Many factors found associated with the use of TCO including receiving TCO for more than first pair (Odds ratio = 4.09, 95% CI 1.51–11.05), ability to find proper shoes that fit with TCO (Odds ratio = 0.36, 95% CI 0.15–0.89), level of convenience of putting on/taking off shoes with TCO ≥ 9 (Odds ratio = 2.66, 95% CI 1.16–6.12), level of comfort satisfaction during TCO use ≥ 9 (Odds ratio = 3.61, 95% CI 1.55–8.40). The latter two factors are found to be associated with the use of TCO from stepwise logistic regression analysis (adjusted Odds ratio = 3.39, 95% CI 1.18–9.71, 3.02, 95% CI 1.07–8.47 respectively).

Conclusion
The use of TCO in Foot Clinic was 67.3%. Using TCO could result in walking stability. Patients who received more than first pair of TCO and had comfort satisfaction level ≥ 9, were more likely to use TCO.
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