Immediate comfort perception of 3D-printed foot orthoses in individuals with unilateral heel pain

BackgroundPlantar heel pain (PHP) is common. Foot orthoses are often applied as treatment for PHP, even though there is little evidence to support this.ObjectiveTo investigate the effects of different orthoses on pain, function and self-reported recovery in patients with PHP and compare them with other conservative interventions.DesignSystematic review and meta-analysis.Data sourcesA systematic literature search was conducted in MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Web of Science, CINAHL and Google Scholar up to January 2017.Eligibility criteria for selecting studiesRandomised controlled trials comparing foot orthoses with a control (defined as no intervention, sham or other type of conservative treatment) reporting on pain, function or self-reported recovery in patients with PHP.ResultsTwenty studies investigating eight different types of foot orthoses were included in the review. Most studies were of high quality. Pooled data from six studies showed no difference between prefabricated orthoses and sham orthoses for pain at short term (mean difference (MD) of 0.26 (95% CI −0.09 to 0.60)). No difference was found between sham orthoses and custom orthoses for pain at short term (MD 0.22 (95% CI −0.05 to 0.50)), nor was there a difference between prefabricated orthoses and custom orthoses for pain at short term (MD 0.03 (95% CI −0.15 to 0.22)). For the majority of other interventions, no significant differences were found.ConclusionsFoot orthoses are not superior for improving pain and function compared with sham or other conservative treatment in patients with PHP.PROSPERO registration numberCRD42015029659.

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Effect of Foot Orthoses as Treatment for Plantar Fasciitis or Heel Pain

Journal of Sport Rehabilitation ◽

10.1123/jsr.22.2.130 ◽

2013 ◽

Vol 22 (2) ◽

pp. 130-136 ◽

Cited By ~ 7

Author(s):

Jordan Anderson ◽

Justin Stanek

Keyword(s):

Plantar Fasciitis ◽

Severe Pain ◽

Plantar Fascia ◽

The United States ◽

Heel Pain ◽

Foot Orthoses ◽

Clinical Scenario ◽

Clinical Question ◽

Common Cause ◽

Viable Treatment

Clinical Scenario:Plantar fasciitis is a debilitating and painful problem present in the general population. It most often presents with moderate to severe pain in the proximal inferior heel region and is most commonly associated with repeated trauma to the plantar fascia. Plantar fasciitis, itself, is an injury at the site of attachment at the medial tubercle of the calcaneus, often due to excessive and repetitive traction. Plantar fasciitis is the most common cause of heel pain and is estimated to affect 2 million people in the United States alone.Focused Clinical Question:For adults suffering from plantar fasciitis, are foot orthoses a viable treatment option to reduce pain?

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Evaluating the Clinical Effectiveness and Cost-effectiveness of Foot Orthoses in the Treatment of Plantar Heel Pain

Journal of the American Podiatric Medical Association ◽

10.7547/0940229 ◽

2004 ◽

Vol 94 (3) ◽

pp. 229-238 ◽

Cited By ~ 37

Author(s):

Keith Rome ◽

Joanne Gray ◽

Fiona Stewart ◽

Stephen Charles Hannant ◽

Des Callaghan ◽

...

Keyword(s):

Cost Effectiveness ◽

Health Status ◽

Health Service ◽

Clinical Effectiveness ◽

Heel Pain ◽

Foot Orthoses ◽

Foot Pain ◽

Foot Health ◽

Plantar Heel Pain ◽

Health Service Costs

This study evaluated the clinical effectiveness and cost-effectiveness of two different types of foot orthoses used to treat plantar heel pain. Forty-eight patients were randomly assigned to receive either a functional or an accommodative orthosis. General (EuroQol) and specific (Foot Health Status Questionnaire) health-status measures were used. Data were also collected using economic questionnaires relating to National Health Service costs for podia-try, other health-service costs, and patient costs. Data were measured at baseline and at 4- and 8-week intervals. Thirty-five patients completed the study. The results demonstrated a significant decrease in foot pain and a significant increase in foot function with the functional foot orthoses over the 8-week trial. The accommodative foot orthoses demonstrated a significant reduction in foot pain only at 4 weeks. The cost-effectiveness analysis demonstrated that functional orthoses, although initially more expensive, result in a better quality of life. Use of functional orthoses resulted in an increased cost of £17.99 ($32.74) per patient, leading to an incremental cost per quality-adjusted life year of £1,650 ($3,003) for functional orthoses. (J Am Podiatr Med Assoc 94(3): 229–238, 2004)

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Effect of 3D printed foot orthoses stiffness and design on foot kinematics and plantar pressures in healthy people

Gait & Posture ◽

10.1016/j.gaitpost.2020.07.146 ◽

2020 ◽

Vol 81 ◽

pp. 247-253

Author(s):

Gauthier Desmyttere ◽

Sébastien Leteneur ◽

Maryam Hajizadeh ◽

Jacinte Bleau ◽

Mickael Begon

Keyword(s):

Healthy People ◽

Foot Orthoses ◽

Foot Kinematics ◽

Plantar Pressures ◽

3D Printed

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A Randomized Controlled Trial of Custom Foot Orthoses for the Treatment of Plantar Heel Pain

Journal of the American Podiatric Medical Association ◽

10.7547/13-122.1 ◽

2015 ◽

Vol 105 (4) ◽

pp. 281-294 ◽

Cited By ~ 17

Author(s):

James S. Wrobel ◽

Adam E. Fleischer ◽

Ryan T. Crews ◽

Beth Jarrett ◽

Bijan Najafi

Keyword(s):

Physical Activity ◽

Outcome Measures ◽

Plantar Fasciitis ◽

Short Form ◽

Controlled Trial ◽

Heel Pain ◽

Foot Orthoses ◽

Double Blind ◽

Sf 36 ◽

Spontaneous Physical Activity

Background Up to 10% of people will experience heel pain. The purpose of this prospective, double-blind, randomized clinical trial was to compare custom foot orthoses (CFO), prefabricated foot orthoses (PFO), and sham insole treatment for plantar fasciitis. Methods Seventy-seven patients with plantar fasciitis for less than 1 year were included. Outcome measures included first step and end of day pain, Revised Foot Function Index short form (FFI-R), 36-Item Short Form Health Survey (SF-36), activity monitoring, balance, and gait analysis. Results The CFO group had significantly improved total FFI-R scores (77.4 versus 57.2; P = .03) without group differences for FFI-R pain, SF-36, and morning or evening pain. The PFO and CFO groups reported significantly lower morning and evening pain. For activity, the CFO group demonstrated significantly longer episodes of walking over the sham (P = .019) and PFO (P = .03) groups, with a 125% increase for CFOs, 22% PFOs, and 0.2% sham. Postural transition duration (P = .02) and balance (P = .05) improved for the CFO group. There were no gait differences. The CFO group reported significantly less stretching and ice use at 3 months. Conclusions The CFO group demonstrated 5.6-fold greater improvements in spontaneous physical activity versus the PFO and sham groups. All three groups improved in morning pain after treatment that included standardized athletic shoes, stretching, and ice. The CFO changes may have been moderated by decreased stretching and ice use after 3 months. These findings suggest that more objective measures, such as spontaneous physical activity improvement, may be more sensitive and specific for detecting improved weightbearing function than traditional clinical outcome measures, such as pain and disease-specific quality of life.

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