Effects of foot orthoses and footwear interventions on impairments and quality of life in people with hip pain: A systematic review

Kinsella, Rita; Nasser, Anthony; Menz, Hylton B.; Pizzari, Tania; Collins, Natalie J.; Semciw, Adam I.

doi:10.1002/msc.1826

Cited by 3 publications

(1 citation statement)

References 56 publications

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“…lich der Wirksamkeit hierbei nicht eindeutig, wie verschiedene kürzlich erschienene systematische Reviews aufzeigen [8,9]. Zu einer ähnlichen Schlussfolgerung kam ein Cochrane Review, wobei hier ausschließlich Kinder betrachtet wurden [10].…”

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Erfahrungen mit der orthopädischen Einlagenversorgung – Eine Querschnittsstudie

Stamer,

Herchenröder,

Klee

et al. 2024

Orthopädie

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Zusammenfassung Hintergrund Orthopädische Einlagen (OE) werden zur Behandlung einer Vielzahl von Fußproblemen eingesetzt. Fragestellung Ziel dieser Querschnittsstudie war es, die Wahrnehmungen zur Versorgung mit OE unter den Herstellern der OE, den Orthopädietechniker*innen (OT), zu untersuchen. Methodik OT aus den Bundesländern Schleswig-Holstein und Niedersachsen in Deutschland wurden eingeladen, an einem Fragebogen teilzunehmen. Die Fragen umfassten, unter anderem, die Menge der Verordnungen zur Herstellung einer OE pro Monat sowie die verwendeten Materialien. Es wurden deskriptive Statistiken, Subgruppenanalysen sowie eine lineare Regressionsanalyse durchgeführt. Ergebnisse Von den 312 verteilten Fragebögen wurden 159 vollständig ausgefüllt (Rücklaufquote 51 %). Die meisten der Befragten waren männlich (80 %). Das Durchschnittsalter lag bei 50 Jahren. Im Durchschnitt stellten die OT 290 OE pro Monat her, wobei Kunststoff das am häufigsten verwendete Material war (73 %). OT mit einer Berufserfahrung von weniger als 20 Jahren kommen bei der Herstellung von OE eher den ärztlichen Vorgaben nach als OT mit mehr als 20 Jahren Berufserfahrung. Letztere stützen ihre Entscheidungen bei der Herstellung sowie Ausgabe von OE eher auf eigene Erfahrungen. Schlussfolgerungen Der Herstellungs- und Ausgabeprozess von OE gestaltet sich im Vergleich der OT unterschiedlich. Verschiedene berufliche Perspektiven der OT könnten hierbei eine Rolle spielen. Ebenso der Mangel eines standardisierten Vorgehens.

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Erfahrungen mit der orthopädischen Einlagenversorgung – Eine Querschnittsstudie

Stamer,

Herchenröder,

Klee

et al. 2024

Orthopädie

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Muscle Fat and Volume Differences in People With Hip‐Related Pain Compared With Controls: A Machine Learning Approach

Stewart,

Wesselink,

Perraton

et al. 2024

J cachexia sarcopenia muscle

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BackgroundHip‐related pain (HRP) affects young to middle‐aged active adults and impacts physical activity, finances and quality of life. HRP includes conditions like femoroacetabular impingement syndrome and labral tears. Lateral hip muscle dysfunction and atrophy in HRP are more pronounced in advanced hip pathology, with limited evidence in younger populations. While MRI use for assessing hip muscle morphology is increasing, with automated deep‐learning techniques showing promise, studies assessing their accuracy are limited. Therefore, we aimed to compare hip intramuscular fat infiltrate (MFI) and muscle volume, in individuals with and without HRP as well as assess the reliability and accuracy of automated machine‐learning segmentations compared with human‐generated segmentation.MethodsThis cross‐sectional study included sub‐elite/amateur football players (Australian football and soccer) with a greater than 6‐month history of HRP [n = 180, average age 28.32, (standard deviation 5.88) years, 19% female] and a control group of sub‐elite/amateur football players without pain [n = 48, 28.89 (6.22) years, 29% female]. Muscle volume and MFI of gluteus maximus, medius, minimis and tensor fascia latae were assessed using MRI. Associations between muscle volume and group were explored using linear regression models, controlling for body mass index, age, sport and sex. A convolutional neural network (CNN) machine‐learning approach was compared with human‐performed muscle segmentations in a subset of participants (n = 52) using intraclass correlation coefficients and Sorensen–Dice index.ResultsWhen considering adjusted estimates of muscle volume, there were significant differences observed between groups for gluteus medius (adjusted mean difference 23 858 mm3 [95% confidence interval 7563, 40 137]; p = 0.004) and tensor fascia latae (6660 mm3 [2440, 13 075]; p = 0.042). No differences were observed between groups for gluteus maximus (18 265 mm3 [−21 209, 50 782]; p = 0.419) or minimus (3893 mm3 [−2209, 9996]; p = 0.21). The CNN was trained for 30 000 iterations and assessed its accuracy and reliability on an independent testing dataset, achieving high segmentation accuracy (mean Sorenson–Dice index >0.900) and excellent muscle volume and MFI reliability (ICC2,1 > 0.900). The CNN outperformed manual raters, who had slightly lower interrater accuracy (Sorensen–Dice index >0.800) and reliability (ICC2,1 > 0.800).ConclusionsThe increased muscle volumes in the symptomatic group compared with controls could be associated with increased myofibrillar size, sarcoplasmic hypertrophy or both. These changes may facilitate greater muscular efficiency for a given load, enabling the athlete to maintain their normal level of function. In addition, the CNNs for muscle segmentation was more efficient and demonstrated excellent reliability in comparison to manual segmentations.

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Prefabricated contoured foot orthoses to reduce pain and increase physical activity in people with hip osteoarthritis: A randomised feasibility trial

King,

Hon,

Roughead

et al. 2024

Physiotherapy Res Intl

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BackgroundHip osteoarthritis (OA) is a prevalent and burdensome condition that leads to impaired quality of life and a substantial economic burden. Encouraging physical activity, particularly walking, is crucial for OA management, but many individuals with hip OA fail to meet recommended activity levels. Prefabricated contoured foot orthoses have shown promise in improving hip muscle efficiency during walking in laboratory settings, but their real‐world feasibility and efficacy remain uncertain.ObjectiveThe aim of this study was to assess the feasibility of conducting a fully powered randomised controlled trial (RCT) to evaluate the effectiveness of prefabricated contoured foot orthoses, prescribed via telehealth, in people with hip OA.MethodsThis feasibility trial randomised 27 participants with hip OA into two groups: prefabricated contoured foot orthoses or flat shoe inserts. Feasibility outcomes were assessed, including recruitment rate, adherence, logbook completion, and dropout rate. Patient‐reported outcomes and accelerometer‐measured physical activity were collected as secondary outcomes.ResultsWhile the recruitment rate was low (0.88 people/week), adherence to the intervention (59%), logbook completion (93%), and dropout rates (7%) met or exceeded our predefined feasibility parameters. Participants found the intervention acceptable, and practicality was demonstrated with minor adverse events. Preliminary efficacy testing indicated that prefabricated contoured foot orthoses positively affected physical activity (adjusted mean difference = 2590 [260 to 4920] steps/day), with comparable outcomes for hip‐related quality of life and pain.ConclusionThis trial supports proceeding to a fully powered RCT to assess the effect of teleheath prescribed prefabricated contoured foot orthoses on physical activity in people with hip OA.Study Registration NumberNational Institutes of Health Trial Registry (NCT05138380).

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Effects of foot orthoses and footwear interventions on impairments and quality of life in people with hip pain: A systematic review

Cited by 3 publications

References 56 publications

Erfahrungen mit der orthopädischen Einlagenversorgung – Eine Querschnittsstudie

Erfahrungen mit der orthopädischen Einlagenversorgung – Eine Querschnittsstudie

Muscle Fat and Volume Differences in People With Hip‐Related Pain Compared With Controls: A Machine Learning Approach

Prefabricated contoured foot orthoses to reduce pain and increase physical activity in people with hip osteoarthritis: A randomised feasibility trial

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