The effect of different foot orthoses on pain and health related quality of life in painful flexible flat foot: a randomized controlled trial

Yurt, Yasin; Şener, Gül; Yakut, Yavuz

doi:10.23736/s1973-9087.18.05108-0

Cited by 35 publications

(61 citation statements)

References 36 publications

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“…Three of the four studies compared the effect of orthoses to the effect of the orthotic treatment plus exercise programmes. In the Yurt et al’s study, 31 three different types of orthoses were compared and every group did stretching and strenghening exercises. The group with CAD-CAM orthoses and conventional orthoses significantly improved the pain level compared to the group of flat insole orthosis, but there were not significant differences between the CAD-CAM orthosis group and the conventional orthosis group.…”

Section: Resultsmentioning

confidence: 99%

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Orthotic treatment for stage I and II posterior tibial tendon dysfunction (flat foot): A systematic review

2020

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Objective: To investigate whether orthotic treatment is effective for the treatment of posterior tibial tendon dysfunction stages I and II (flat foot). Data Sources: Five databases (PubMed, Scopus, PEDro, SPORTDiscus and The Cochrane Library) were searched for potential RCTs from their inception until August 2020. Review Methods: Only randomised controlled trials (RCT) that included subjects diagnosed with posterior tibial dysfunction in the initial stage and treated with orthotic treatments were selected. The outcomes assessed were whatever symptom related to posterior tibial tendon dysfunction stage I and II. Included RCTs were appraised using the Cochrane collaboration risk of bias tool. Results: Four RCT articles and 186 subjects were included. 75% were at high risk of bias for blinding of participants and personnel. Three different types of conservative treatment were used in the studies: foot/ankle-foot orthoses, footwear and stretching /strengthening exercises. Foot orthoses, together with exercise programmes, seemed to improve the effect of orthotic treatment. Foot orthoses with personalised internal longitudinal arch support were more effective than flat insoles or standard treatments in reducing pain. Conclusions: The use of orthotic treatment may be effective in reducing pain in the early stages of posterior tibial tendon dysfunction. Further research is needed into individualised orthotic treatment and high-intensity monitored exercise programmes.

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Section: Resultsmentioning

confidence: 99%

“…The remaining RTCs combined foot orthoses and home-based exercises programmes to treat all participants, from only calf stretching, to calf stretching and concentric or eccentric exercices, 16 stretching or strengthening tibialis posterior muscle, 32 or these together with intrinsic muscles strengthening. 31…”

Section: Discussionmentioning

confidence: 99%

Orthotic treatment for stage I and II posterior tibial tendon dysfunction (flat foot): A systematic review

2020

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“…Orthoses must be used with well fitting laced shoes for effective function. Literature supports that orthosis improves posterior tibial tendon activation,17 reduces patients’ foot pain, and improves their quality of life 1819…”

Section: What You Should Domentioning

confidence: 99%

Adult flatfoot

Tang

Lai

2020

BMJ

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“…This quasi-experimental study was performed in 2018 in the medical centers of Tehran University of Social Welfare and Rehabilitation Sciences on 14 patients with plantar fasciitis (five women and nine men) with an average age of 40 years. The inclusion criteria of the research were being aged 25-45 years, diagnosis of plantar fasciitis by an orthopedist, existence of flexible flatfoot complication, no neurological disorders or any pathology in the foot such as diabetes and osteoarthritis and lack of surgery on the lower limb joints in the past month and the ability to walk independently without an aid [11,[15][16][17][18]. Exclusion criteria were people with a history of surgery on the plantar fasciitis and patients were also excluded from the study if insoles were not used during the study and if they were professional athletes [18].…”

Section: Methodsmentioning

confidence: 99%

Comparison of the Effect of Custom Insole With CAD-CAM and Conventional Insole on FAOS Questionnaire Subscales in Patients With Plantar Fasciitis

Shojaie

Bahramizade

Bani

et al. 2020

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Objective: One of the significant causes of foot pain is plantar fasciitis. The use of medical insoles is a conventional treatment for this condition. The purpose of this study was to compare the effect of the customized insole with the CAD-CAM and conventional insole on pain, symptoms, daily activity, exercise and recreational activity, and quality of life in patients with PF. Materials & Methods: This quasi-experimental study was performed on 14 patients with plantar fasciitis (five women and nine men) with the mean age of 40 years. Fourteen patients have been diagnosed with orthopedic pain after being diagnosed with plantar fasciitis according to inclusion criteria. Diagnosis of the complication of plantar fasciitis by orthopedic physician, Patients with flexible flat foot. No neurological disorders or any foot pathology such as diabetes and osteoarthritis. Patients were randomly assigned into two groups of 7 using customized insole with CAD-CAM and conventional (prefabricated) insole. From the outset it was found to be one of two types of insole to be studied: first the patient was given a CNC insole, and the other 13 patients received the same insole and divided into two groups. The instrument of this study was the FAOS questionnaire (foot and ankle outcomes) which measures the five variables of pain, symptoms, daily activities, sports and recreational activities, and quality of life. Both groups completed the questionnaire before using the insole and again after six weeks. Compressive scan of both groups was accomplished using EMED foot pressure system. The custom-made insole was designed using Rhino Cross software and then shaved using EVA foam blocks with 50% shore using a CNC machine. In the conventional insoles group, patients received conventional polyurethane insoles based on the length measurements of the single leg. Patients completed the questionnaire again after six weeks. Data were analyzed by SPSS software v. 22. After checking the normality of the data by Shapiro-Wilk test, non-parametric Mann-Whitney and Wilcoxon tests were used to analyze the data. Results: In the pre-intervention phase, there was no significant difference in pain, symptoms, daily activities, recreational-sports activities, and quality of life in the two groups, and the two groups were homogeneous. After six weeks, there was a significant difference between the two groups in the FAOS questionnaire (P<0.05). There was no significant difference between the two groups in pain score, symptoms, daily activities, recreational-sport activities, and quality of life (P <0.05). Conclusion: According to the results of this study, both customized insoles with CAD-CAM and conventional insoles are effective in improving FAOS questionnaire subscales. There was no significant difference in the impact between the two types of insoles in foot and ankle.

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The effect of different foot orthoses on pain and health related quality of life in painful flexible flat foot: a randomized controlled trial

Cited by 35 publications

References 36 publications

Orthotic treatment for stage I and II posterior tibial tendon dysfunction (flat foot): A systematic review

Orthotic treatment for stage I and II posterior tibial tendon dysfunction (flat foot): A systematic review

Adult flatfoot

Comparison of the Effect of Custom Insole With CAD-CAM and Conventional Insole on FAOS Questionnaire Subscales in Patients With Plantar Fasciitis

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