A randomised control trial of short term efficacy of in-shoe foot orthoses compared with a wait and see policy for anterior knee pain and the role of foot mobility. Issue 4 (18th September 2011)
- Record Type:
- Journal Article
- Title:
- A randomised control trial of short term efficacy of in-shoe foot orthoses compared with a wait and see policy for anterior knee pain and the role of foot mobility. Issue 4 (18th September 2011)
- Main Title:
- A randomised control trial of short term efficacy of in-shoe foot orthoses compared with a wait and see policy for anterior knee pain and the role of foot mobility
- Authors:
- Mills, Kathryn
Blanch, Peter
Dev, Priya
Martin, Michael
Vicenzino, Bill - Abstract:
- Abstract : Objectives: To investigate the short-term clinical efficacy of in-shoe foot orthoses over a wait-and-see policy in the treatment of anterior knee pain (AKP) and evaluate the ability of foot posture measures to predict outcome. Design: Single-blind, randomised control trial. Participants: Forty participants (18–40 years) with clinically diagnosed AKP of greater than 6-week duration, who had not been treated with orthoses in the previous 5 years. Intervention: Prefabricated orthoses perceived as most comfortable from a selection of 3 different hardness values compared with a wait-and-see control group. Outcome measures: Participant-perceived global improvement, Kujala Patellofemoral Score, usual and worst pain severity over the previous week and the Patient Specific Functional Scale measures at 6 weeks. Results: Foot orthoses produced a significant global improvement compared with the control group (p = 0.008, relative risk reduction = 8.47%, numbers needed to treat = 2). Significant differences also occurred in measures of function (standardised mean difference = 0.71). Within the intervention group, individuals who exhibited a change in midfoot width from weight bearing to non-weight bearing of >11.25 mm were more likely to report a successful outcome (correct classification 77.8%). Conclusion: This is the first study to show orthoses provide greater improvements in AKP than a wait-and-see approach. Individuals with greater midfoot mobility are more likely toAbstract : Objectives: To investigate the short-term clinical efficacy of in-shoe foot orthoses over a wait-and-see policy in the treatment of anterior knee pain (AKP) and evaluate the ability of foot posture measures to predict outcome. Design: Single-blind, randomised control trial. Participants: Forty participants (18–40 years) with clinically diagnosed AKP of greater than 6-week duration, who had not been treated with orthoses in the previous 5 years. Intervention: Prefabricated orthoses perceived as most comfortable from a selection of 3 different hardness values compared with a wait-and-see control group. Outcome measures: Participant-perceived global improvement, Kujala Patellofemoral Score, usual and worst pain severity over the previous week and the Patient Specific Functional Scale measures at 6 weeks. Results: Foot orthoses produced a significant global improvement compared with the control group (p = 0.008, relative risk reduction = 8.47%, numbers needed to treat = 2). Significant differences also occurred in measures of function (standardised mean difference = 0.71). Within the intervention group, individuals who exhibited a change in midfoot width from weight bearing to non-weight bearing of >11.25 mm were more likely to report a successful outcome (correct classification 77.8%). Conclusion: This is the first study to show orthoses provide greater improvements in AKP than a wait-and-see approach. Individuals with greater midfoot mobility are more likely to experience success from treatment. Trial Registration: ACTRN12611000492954 … (more)
- Is Part Of:
- British journal of sports medicine. Volume 46:Issue 4(2012)
- Journal:
- British journal of sports medicine
- Issue:
- Volume 46:Issue 4(2012)
- Issue Display:
- Volume 46, Issue 4 (2012)
- Year:
- 2012
- Volume:
- 46
- Issue:
- 4
- Issue Sort Value:
- 2012-0046-0004-0000
- Page Start:
- 247
- Page End:
- 252
- Publication Date:
- 2011-09-18
- Subjects:
- Sports medicine -- Periodicals
617.1027 - Journal URLs:
- http://www.bmj.com/archive ↗
http://bjsm.bmj.com/ ↗ - DOI:
- 10.1136/bjsports-2011-090204 ↗
- Languages:
- English
- ISSNs:
- 0306-3674
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 18007.xml