Rearfoot Entities

Vicenzino, Bill

doi:10.1016/b978-0-7020-4769-5.00005-4

Cited by 2 publications

(5 citation statements)

References 186 publications

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“…We also measured foot posture at baseline and 12 weeks. There is some conjecture as to the relationship between posture and plantar heel pain [ 17 ] and some evidence that foot orthoses control the amount of foot pronation [ 18 ]. We used the Foot Posture Index as a means of describing the foot posture in our participants with a view to evaluating if there was any change in foot posture with wearing the devices.…”

Section: Methodsmentioning

confidence: 99%

Orthosis-Shaped Sandals Are as Efficacious as In-Shoe Orthoses and Better than Flat Sandals for Plantar Heel Pain: A Randomized Control Trial

et al. 2015

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ObjectiveTo investigate efficacy of a contoured sandal being marketed for plantar heel pain with comparison to a flat flip-flop and contoured in-shoe insert/orthosis.Method150 volunteers aged 50 (SD: 12) years with plantar heel pain (>4 weeks) were enrolled after responding to advertisements and eligibility determined by telephone and at first visit. Participants were randomly allocated to receive commercially available contoured sandals (n = 49), flat flip-flops (n = 50) or over the counter, pre-fabricated full-length foot orthotics (n = 51). Primary outcomes were a 15-point Global Rating of Change scale (GROC: 1 = a very great deal worse, 15 = a very great deal better), 13 to 15 representing an improvement and the 20-item Lower Extremity Function Scale (LEFS) on which participants rate 20 common weight bearing activities and activities of daily living on a 5-point scale (0 = extreme difficulty, 4 = no difficulty). Secondary outcomes were worst level of heel pain in the preceding week, and the foot and ankle ability measure. Outcomes were collected blind to allocation. Analyses were done on an intention to treat basis with 12 weeks being the primary outcome time of interest.ResultsThe contoured sandal was 68% more likely to report improvement in terms of GROC compared to flat flip-flop. On the LEFS the contoured sandal was 61% more likely than flat flip-flop to report improvement. The secondary outcomes in the main reflected the primary outcomes, and there were no differences between contoured sandal and shoe insert.Conclusions and RelevancePhysicians can have confidence in supporting a patient's decision to wear contoured sandals or in-shoe orthoses as one of the first and simple strategies to manage their heel pain.Trial RegistrationThe Australian New Zealand Clinical Trials Registry ACTRN12612000463875

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Section: Methodsmentioning

confidence: 99%

Orthosis-Shaped Sandals Are as Efficacious as In-Shoe Orthoses and Better than Flat Sandals for Plantar Heel Pain: A Randomized Control Trial

et al. 2015

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“…It acts to stabilise the medial longitudinal arch and to invert and plantarflex foot [ 1 ]. Posterior Tibial Tendon dysfunction (PTTD) typically presents as pain on the medial aspect of the ankle/foot with or without progressive flattening of the medial arch [ 2 ]. It is a progressive and disabling condition leading to impaired mobility and function [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…Posterior Tibial Tendon dysfunction (PTTD) typically presents as pain on the medial aspect of the ankle/foot with or without progressive flattening of the medial arch [ 2 ]. It is a progressive and disabling condition leading to impaired mobility and function [ 2 , 3 ]. The prevalence of this condition is poorly understood with current data suggesting a prevalence of PTTD being 3.3% of women over 40 in the UK.…”

Section: Introductionmentioning

confidence: 99%

“…However, this has previously been suggested as an underestimation [ 3 , 4 ]. Early intervention has been suggested to limit the progression of PTTD, with conservative (non‐surgical) treatments advised as the initial approach for managing these people [ 2 ]. However, there is little research to support which treatment is most effective [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…for managing these people [2]. However, there is little research to support which treatment is most effective [2,3].…”

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confidence: 99%

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Non‐surgical management of posterior tibial tendon dysfunction‐ a UK survey

Miller,

Smith,

Backhouse

2024

Journal of Foot and Ankle Research

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BackgroundPosterior Tibial Tendon Dysfunction (PTTD) is commonly seen within musculoskeletal care. The condition's prevalence and management is poorly understood. This study aims to demonstrate current practice by multi‐professional clinicians across the United Kingdom within the National Health Service.MethodsA national (UK) cross‐sectional online survey was conducted among multi‐professionals who treat PTTD within their NHS practice. The survey covered assessment, management and evaluation. This was shared via social media and professional groups.ResultsTwo hundred thirteen surveys were completed, with 153 matching the eligibility criteria. The main respondents were Physiotherapists (48%) and Podiatrists (38%). Ultrasound scanning was used most frequently when considering initial imaging (67%). Many different treatment modalities were used, but a core set of education/advice, foot orthoses, and foot specific as well as general exercise were most commonly chosen. Outcome measures routinely used were pain scale (96/269) and single leg heel raise (84/269), but patient reported outcome measures were not routinely used. The most frequent reason to escalate care was failure to manage symptoms with conservative management (106/123; 86.2%), followed by fixed deformity (10/123; 8.2%).ConclusionsThis survey provides evidence on current non‐surgical management for PTTD from UK NHS practice. It provides a valuable marker for clinicians to use to compare their own practice and can be used in further research as a comparator.

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Rearfoot Entities

Cited by 2 publications

References 186 publications

Orthosis-Shaped Sandals Are as Efficacious as In-Shoe Orthoses and Better than Flat Sandals for Plantar Heel Pain: A Randomized Control Trial

Orthosis-Shaped Sandals Are as Efficacious as In-Shoe Orthoses and Better than Flat Sandals for Plantar Heel Pain: A Randomized Control Trial

Non‐surgical management of posterior tibial tendon dysfunction‐ a UK survey

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