Effect of different orthotic concepts as first line treatment of plantar fasciitis

Walther, Markus; Kratschmer, B.; Verschl, Joachim; Volkering, Christoph; Altenberger, Sebastian; Kriegelstein, S.; Hilgers, Marc P.

doi:10.1016/j.fas.2012.12.008

Cited by 30 publications

(28 citation statements)

References 25 publications

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“…A non-supportive orthosis, a soft foam orthosis and a foam covered rigid self-supporting orthosis were compared in one study with a low risk of bias 30. There was no difference in average pain score (VAS) at short term between the soft foam orthosis and the rigid self-supporting orthosis (online supplementary file 3).…”

Section: Resultsmentioning

confidence: 99%

Efficacy of foot orthoses for the treatment of plantar heel pain: a systematic review and meta-analysis

Rasenberg¹,

Riel

Rathleff

et al. 2018

Br J Sports Med

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BackgroundPlantar heel pain (PHP) is common. Foot orthoses are often applied as treatment for PHP, even though there is little evidence to support this.ObjectiveTo investigate the effects of different orthoses on pain, function and self-reported recovery in patients with PHP and compare them with other conservative interventions.DesignSystematic review and meta-analysis.Data sourcesA systematic literature search was conducted in MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Web of Science, CINAHL and Google Scholar up to January 2017.Eligibility criteria for selecting studiesRandomised controlled trials comparing foot orthoses with a control (defined as no intervention, sham or other type of conservative treatment) reporting on pain, function or self-reported recovery in patients with PHP.ResultsTwenty studies investigating eight different types of foot orthoses were included in the review. Most studies were of high quality. Pooled data from six studies showed no difference between prefabricated orthoses and sham orthoses for pain at short term (mean difference (MD) of 0.26 (95% CI −0.09 to 0.60)). No difference was found between sham orthoses and custom orthoses for pain at short term (MD 0.22 (95% CI −0.05 to 0.50)), nor was there a difference between prefabricated orthoses and custom orthoses for pain at short term (MD 0.03 (95% CI −0.15 to 0.22)). For the majority of other interventions, no significant differences were found.ConclusionsFoot orthoses are not superior for improving pain and function compared with sham or other conservative treatment in patients with PHP.PROSPERO registration numberCRD42015029659.

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Section: Resultsmentioning

confidence: 99%

Efficacy of foot orthoses for the treatment of plantar heel pain: a systematic review and meta-analysis

Rasenberg¹,

Riel

Rathleff

et al. 2018

Br J Sports Med

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“…For example, where trial arms have involved a combination of exercise therapy and a corticosteroid injection as an intervention, corticosteroid injection+exercise was classed as a distinct treatment node. Also, where RCTs included more than one arm with the same type of treatment, the data were pooled together (eg, for a three-armed trial22 involving a prefabricated orthoses arm, and two custom orthoses arms (differentiated by a rigid and soft material), an average of the mean outcomes and SD was taken from the custom orthoses arms and a sum taken from the arm sample sizes, in order to create a single pooled orthoses arm).…”

Section: Methodsmentioning

confidence: 99%

Comparative effectiveness of treatment options for plantar heel pain: a systematic review with network meta-analysis

et al. 2018

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ObjectiveTo evaluate the comparative effectiveness of current treatment options for plantar heel pain (PHP).DesignSystematic review and network meta-analysis (NMA).Data sourcesMedline, EMBASE, CINAHL, AMED, PEDro, Cochrane Database, Web of Science and WHO Clinical Trials Platform were searched from their inception until January 2018.Study selectionRandomised controlled trials (RCTs) of adults with PHP investigating common treatments (ie, corticosteroid injection, non-steroidal anti-inflammatory drugs, therapeutic exercise, orthoses and/or extracorporeal shockwave therapy (ESWT)) compared with each other or a no treatment, placebo/sham control.Data extraction and analysisData were extracted and checked for accuracy and completeness by pairs of reviewers. Primary outcomes were pain and function. Comparative treatment effects were analysed by random effects NMA in the short term, medium term and long term. Relative ranking of treatments was assessed by surface under the cumulative ranking probabilities (0–100 scale).ResultsThirty-one RCTs (total n=2450 patients) were included. There was no evidence of inconsistency detected between direct and indirect treatment comparisons in the networks, but sparse data led to frequently wide CIs. Available evidence does not suggest that any of the commonly used treatments for the management of PHP are better than any other, although corticosteroid injections, alone or in combination with exercise, and ESWT were ranked most likely to be effective for the management of short-term, medium-term and long-term pain or function; placebo/sham/control appeared least likely to be effective; and exercise appeared to only be beneficial for long-term pain or function.ConclusionsCurrent evidence is equivocal regarding which treatment is the most effective for the management of PHP. Given limited understanding of long-term effects, there is need for large, methodologically robust multicentre RCTs investigating and directly comparing commonly used treatments for the management of PHP.PROSPERO registration numberCRD42016046963.

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“…Our experience within a university/government setting is that the cost of Power Steps is substantially reduced for employees based on non-profit status and the amount of inserts ordered at any given time. Current reports [14, [16][17][18] suggest that these types of prefabricated over the counter inserts work as well or better than custom made orthotics. Without getting into a debate regarding the merits of having a custom devise made for patients, it seems prudent in this case to have workers who are in need of some type of orthotic devise start with a prefabricated insert first, and use it for work purposes.…”

Section: Discussionmentioning

confidence: 99%

The Use of the Power Step Shoe Insert to Manage Plantar Fasciitis Pain in Industrial Workers: A Seven-Year Pilot Report

Durak¹

2016

J Ergonomics

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We tested the effects of the Power Step shoe insert in a group of Facilities Management employees (n=23 staff, seventeen men, six woman, average 15 years of university service), 80% of whom have been clinically diagnosed with Plantar Fasciitis. Inserts were handed out to staff that qualified based on diagnosis beginning in 2008, and regular staff surveys were solicited every six months thereafter. New inserts were given to staff each year as they qualified. Over the course of seven years, eight staff personnel retired or left the program, and 10 were added to the program. Wear and tear of the insert, and pain levels based on McGill 1-10 rating scale were used each year. In the seven years of the program-the average length of use was 4.5 years, and pain levels were reduced from 4.83 (year one average) to 1.60, which includes new personnel who were added after 2010. Changes were also seen over time with individual workers who used the Power Steps for more than two years, seeing a decrease and levelling off of pain levels from the first year of use. The results of this program show that over time the chronic pain levels associated with work efforts in staff with Plantar Fasciitis are reduced by a statistically significant amount and clinically based on the addition of long-term Power Step inserts added to work boots and shoes in Facilities Management staff. This trend is continual even for newer users, and comparisons with non-power step usage shows significant variations in pain levels.

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Effect of different orthotic concepts as first line treatment of plantar fasciitis

Cited by 30 publications

References 25 publications

Efficacy of foot orthoses for the treatment of plantar heel pain: a systematic review and meta-analysis

Efficacy of foot orthoses for the treatment of plantar heel pain: a systematic review and meta-analysis

Comparative effectiveness of treatment options for plantar heel pain: a systematic review with network meta-analysis

The Use of the Power Step Shoe Insert to Manage Plantar Fasciitis Pain in Industrial Workers: A Seven-Year Pilot Report

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