Shoe Orthotics for the Treatment of Chronic Low Back Pain: A Randomized Controlled Trial

Cambron, Jerrilyn A.; Dexheimer, Jennifer M.; Duarte, Manuel A.; Freels, Sally

doi:10.1016/j.apmr.2017.03.028

Cited by 20 publications

(23 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…14,16 Studies that reported low back pain relief in subjects prescribed foot orthoses to correct their low back biomechanics provide indirect evidence to support this hypothesis. 17,18 Among atypical foot mechanics, hyperpronation has received recent attention due to its high incidence. 19 A review of the literature indicates that induced bilateral hyperpronation can potentially lead to anterior pelvic tilt and internal rotation of the thigh 13 and that induced unilateral hyperpronation can generate anterior pelvic tilt along with lateral pelvic tilt toward the pronated side while standing.…”

Section: Introductionmentioning

confidence: 99%

The influence of foot hyperpronation on pelvic biomechanics during stance phase of the gait: A biomechanical simulation study

Yazdani

Razeghi

Karimi

et al. 2018

Proc Inst Mech Eng H

View full text Add to dashboard Cite

Despite the theoretical link between foot hyperpronation and biomechanical dysfunction of the pelvis, the literature lacks evidence that confirms this assumption in truly hyperpronated feet subjects during gait. Changes in the kinematic pattern of the pelvic segment were assessed in 15 persons with hyperpronated feet and compared to a control group of 15 persons with normally aligned feet during the stance phase of gait based on biomechanical musculoskeletal simulation. Kinematic and kinetic data were collected while participants walked at a comfortable self-selected speed. A generic OpenSim musculoskeletal model with 23 degrees of freedom and 92 muscles was scaled for each participant. OpenSim inverse kinematic analysis was applied to calculate segment angles in the sagittal, frontal and horizontal planes. Principal component analysis was employed as a data reduction technique, as well as a computational tool to obtain principal component scores. Independent-sample t-test was used to detect group differences. The difference between groups in scores for the first principal component in the sagittal plane was statistically significant (p = 0.01; effect size = 1.06), but differences between principal component scores in the frontal and horizontal planes were not significant. The hyperpronation group had greater anterior pelvic tilt during 20%-80% of the stance phase. In conclusion, in persons with hyperpronation we studied the role of the pelvic segment was mainly to maintain postural balance in the sagittal plane by increasing anterior pelvic inclination. Since anterior pelvic tilt may be associated with low back symptoms, the evaluation of foot posture should be considered in assessing the patients with low back and pelvic dysfunction.

show abstract

Section: Introductionmentioning

confidence: 99%

The influence of foot hyperpronation on pelvic biomechanics during stance phase of the gait: A biomechanical simulation study

Yazdani

Razeghi

Karimi

et al. 2018

Proc Inst Mech Eng H

View full text Add to dashboard Cite

show abstract

“…The plus group showed a significant improvement in function (p = 0.0278) compared to orthotics alone but pain scores remained similar. At 12 weeks and beyond, scores were similar among all three groups [67].…”

Section: Custom Orthoticsmentioning

confidence: 78%

Rehabilitation for Low Back Pain: A Narrative Review for Managing Pain and Improving Function in Acute and Chronic Conditions

Pergolizzi

LeQuang

2020

Pain Ther

View full text Add to dashboard Cite

Low back pain (LBP) is prevalent and may transition into chronic LBP (cLBP) with associated reduced quality of life, pain, and disability. Because cLBP affects a heterogenous population, rehabilitation efforts must be individualized to meet the needs of various patient populations as well as individuals. This narrative review evaluated the many approaches to LBP rehabilitation including treatment-based classifications and specific types of rehabilitation efforts from exercise and physical therapy to spinal manipulation and bracing. Clinicians caring for patients with LBP or cLBP must be aware of the various options to find the right treatment course for each patient. In many cases, with proper patient expectations and care, nonpharmacological options may suffice to manage cLBP. While there is a rightful role for analgesics in the management of LBP, nonpharmacological options should be seriously considered, as they can play an important and health-sustaining role in patient management.

show abstract

“…However, Chuter et al 26 have not shown sufficient evidence that insoles can impact on lumbar spine pain. Cambron et al 27 observed a significant reduction after six weeks of use. These results indicate that the treatment of back pain by means of insole requires further studies 28 .…”

Section: Resultsmentioning

confidence: 95%

Análise do equilíbrio postural estático e da intensidade das dores musculoesqueléticas após o uso de palmilhas proprioceptivas por militares do serviço ostensivo

Souza

Almeida

et al. 2020

Fisioter. Pesqui.

View full text Add to dashboard Cite

RESUMO Para a manutenção do equilíbrio, o organismo utiliza os sistemas visuais, vestibulares e proprioceptivos, que enviam informações para o sistema nervoso central acerca das condições do corpo com o objetivo de estabilizá-lo. Este estudo avaliou o efeito das palmilhas proprioceptivas sobre o equilíbrio postural estático e as dores musculoesqueléticas após dois meses de uso, por meio de uma pesquisa analítica longitudinal com 15 militares saudáveis do sexo masculino com média de idade de 34±7,5 anos. Eles foram submetidos à avaliação do equilíbrio por meio da plataforma Medicapteurs® e pelo protocolo CNT. Não houve diferença estatística para os desvios do corpo e velocidade do centro de pressão. A pressão plantar teve mudança estatisticamente significante para o pé esquerdo e o pé direito correspondendo a p=0,0001 e p=0,0007, respectivamente. Houve redução das médias de dores nos joelhos, pés e calcanhares e diminuição significativa da dor lombar, com p=0,0180. O equilíbrio estático não foi alterado significativamente com o uso das palmilhas proprioceptivas pelos militares, contudo elas proporcionaram melhor redistribuição das pressões plantares e parecem atenuar as dores musculoesqueléticas das extremidades inferiores. Por isso as palmilhas podem ser consideradas para esse grupo uma terapêutica de prevenção contra lesões relacionadas à sua atividade laboral.

show abstract

Shoe Orthotics for the Treatment of Chronic Low Back Pain: A Randomized Controlled Trial

Abstract: Six weeks of prescription shoe orthotics significantly improved back pain and dysfunction compared with no treatment. The addition of chiropractic care led to higher improvements in function.

Cited by 20 publications

References 49 publications

The influence of foot hyperpronation on pelvic biomechanics during stance phase of the gait: A biomechanical simulation study

The influence of foot hyperpronation on pelvic biomechanics during stance phase of the gait: A biomechanical simulation study

Rehabilitation for Low Back Pain: A Narrative Review for Managing Pain and Improving Function in Acute and Chronic Conditions

Análise do equilíbrio postural estático e da intensidade das dores musculoesqueléticas após o uso de palmilhas proprioceptivas por militares do serviço ostensivo

Contact Info

Product

Resources

About