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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

Mills, Kathryn; Blanch, Peter; Dev, Priya; Martin, Michael; Vicenzino, Bill

Description

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...[Show more]

dc.contributor.authorMills, Kathryn
dc.contributor.authorBlanch, Peter
dc.contributor.authorDev, Priya
dc.contributor.authorMartin, Michael
dc.contributor.authorVicenzino, Bill
dc.date.accessioned2015-12-07T22:23:02Z
dc.identifier.issn0306-3674
dc.identifier.urihttp://hdl.handle.net/1885/20488
dc.description.abstractObjectives 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.
dc.publisherBMJ Publishing Group
dc.sourceBritish Journal of Sports Medicine
dc.subjectKeywords: adolescent; adult; arthralgia; article; body posture; clinical trial; comparative study; controlled clinical trial; controlled study; foot; human; knee; movement (physiology); orthotics; patient satisfaction; physiology; randomized controlled trial; shoe;
dc.titleA 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
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume46
dc.date.issued2012
local.identifier.absfor010401 - Applied Statistics
local.identifier.ariespublicationu8517524xPUB12
local.type.statusPublished Version
local.contributor.affiliationMills, Kathryn, University of Queensland
local.contributor.affiliationBlanch, Peter, Australian Institute of Sport
local.contributor.affiliationDev, Priya, College of Business and Economics, ANU
local.contributor.affiliationMartin, Michael, College of Business and Economics, ANU
local.contributor.affiliationVicenzino, Bill, University of Queensland
local.description.embargo2037-12-31
local.bibliographicCitation.startpage247
local.bibliographicCitation.lastpage252
local.identifier.doi10.1136/bjsports-2011-090204
local.identifier.absseo970111 - Expanding Knowledge in the Medical and Health Sciences
dc.date.updated2016-02-24T11:40:39Z
local.identifier.scopusID2-s2.0-84858156760
local.identifier.thomsonID000300828500009
CollectionsANU Research Publications

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