Foot orthoses and physiotherapy in the treatment of patellofemoral pain syndrome: A randomised clinical trial

Vicenzino, Bill, Collins, Natalie, Crossley, Kay, Beller, Elaine, Darnell, Ross and McPoil, Thomas (2008) Foot orthoses and physiotherapy in the treatment of patellofemoral pain syndrome: A randomised clinical trial. BMC Musculoskeletal Disorders, 9 27.1-27.12. doi:10.1186/1471-2474-9-27


Author Vicenzino, Bill
Collins, Natalie
Crossley, Kay
Beller, Elaine
Darnell, Ross
McPoil, Thomas
Title Foot orthoses and physiotherapy in the treatment of patellofemoral pain syndrome: A randomised clinical trial
Journal name BMC Musculoskeletal Disorders   Check publisher's open access policy
ISSN 1471-2474
Publication date 2008-02-28
Sub-type Article (original research)
DOI 10.1186/1471-2474-9-27
Open Access Status DOI
Volume 9
Start page 27.1
End page 27.12
Total pages 12
Place of publication London, England
Publisher BioMed Central
Collection year 2009
Language eng
Subject C1
920201 Allied Health Therapies (excl. Mental Health Services)
110317 Physiotherapy
Formatted abstract
Background
Patellofemoral pain syndrome is a highly prevalent musculoskeletal overuse condition that has a significant impact on participation in daily and physical activities. A recent systematic review highlighted the lack of high quality evidence from randomised controlled trials for the conservative management of patellofemoral pain syndrome. Although foot orthoses are a commonly used intervention for patellofemoral pain syndrome, only two pilot studies with short term follow up have been conducted into their clinical efficacy.
Methods/design
A randomised single-blinded clinical trial will be conducted to investigate the clinical efficacy and cost effectiveness of foot orthoses in the management of patellofemoral pain syndrome. One hundred and seventy-six participants aged 18–40 with anterior or retropatellar knee pain of non-traumatic origin and at least six weeks duration will be recruited from the greater Brisbane area in Queensland, Australia through print, radio and television advertising. Suitable participants will be randomly allocated to receive either foot orthoses, flat insoles, physiotherapy or a combined intervention of foot orthoses and physiotherapy, and will attend six visits with a physiotherapist over a 6 week period. Outcome will be measured at 6, 12 and 52 weeks using primary outcome measures of usual and worst pain visual analogue scale, patient perceived treatment effect, perceived global effect, the Functional Index Questionnaire, and the Anterior Knee Pain Scale. Secondary outcome measures will include the Lower Extremity Functional Scale, McGill Pain Questionnaire, 36-Item Short-Form Health Survey, Hospital Anxiety and Depression Scale, Patient-Specific Functional Scale, Physical Activity Level in the Previous Week, pressure pain threshold and physical measures of step and squat tests. Cost-effectiveness analysis will be based on treatment effectiveness against resource usage recorded in treatment logs and self-reported diaries.
Discussion
The randomised clinical trial will utilise high-quality methodologies in accordance with CONSORT guidelines, in order to contribute to the limited knowledge base regarding the clinical efficacy of foot orthoses in the management of patellofemoral pain syndrome, and provide practitioners with high-quality evidence upon which to base clinical decisions.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article number 27 ; "Study Protocol" ; © 2008 Vicenzino et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2009 Higher Education Research Data Collection
ERA 2012 Admin Only
School of Health and Rehabilitation Sciences Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 15 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 18 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Tue, 10 Mar 2009, 13:21:55 EST