Use of orthotics with orthotic sandals versus the sole use of orthotics for plantar fasciitis:Randomised controlled trial  

作　　者：Portia Amoako-Tawiah Holly Love Jaida Chacko Madathilethu Jessica LaCourse Alice E Fortune Jonathan M G Sims George Ampat 

机构地区：[1]School of Medicine,University of Liverpool,Merseyside,Liverpool L693GE,United Kingdom [2]Urology,Royal Stoke University Hospital,Staffordshire,Stoke ST46QG,United Kingdom [3]Research Unit,Talita Cumi Ltd.,Merseyside,Southport PR83NS,United Kingdom

出　　处：《World Journal of Orthopedics》2023年第9期707-719,共13页世界骨科杂志（英文版）

基　　金：Supported by Aetrex,Inc.414 Alfred Avenue Teaneck,NJ 07666,United States.

摘　　要：BACKGROUND Plantar fasciitis(PF)affects around 10%of the population.Prefabricated orthotics with arch support has been shown to provide symptom relief in PF by decreasing the repetitive stress sustained by the plantar fascia.However,prefabricated orthotics are only effective when shoes are worn,meaning the foot may be left unsupported when it is impractical to wear shoes.Using orthotic sandals in conjunction with prefabricated orthotics may increase PF symptom relief,as they can be worn inside the home,extending the period in which the foot is supported.AIM To compare the combined use of prefabricated orthotics and orthotic sandals vs the sole use of prefabricated orthotics in the treatment of PF.METHODS 98 participants with PF were randomised into two groups.The intervention group received the Aetrex L420 Compete orthotics and the Aetrex L3000 Maui Flips(orthotic sandals),whilst the control group received the Aetrex L420 Compete orthotics only.Foot pain was assessed both by the numerical rating scale(NRS)and the pain sub-scale of the foot health status questionnaire(FHSQ).Foot functionality was measured using the function sub-scale of the FHSQ.Symptom change was measured using the global rating of change scale(GROC).RESULTS Foot pain scores measured both by NRS and FHSQ pain sub-scale showed statistically significant reductions in foot pain in both groups(P<0.05)at six months.Both groups also reported statistically significant improvements(P<0.05)in function as measured by the FHSQ function subscale and improvement of symptoms as measured by the GROC scale.Between-group analysis showed that the intervention group with the combined use of orthotics and orthotic sandals scored better on all four outcome measures as compared to the control group with the sole use of orthotics.However,the between-group analysis only reached statistical significance on the NRS pain score(P<0.05).CONCLUSION Combined use of prefabricated orthotics and orthotic sandals provides a greater decrease in foot pain and improvement in foot fun

关 键 词：Plantar fasciitis Foot diseases Musculoskeletal pain Foot orthoses 

分 类 号：G822[文化科学—体育训练]