Clinical predictors of foot orthoses efficacy in individuals with patellofemoral pain

Barton, Christian J., Menz, Hylton B. and Crossley, Kay M. (2011) Clinical predictors of foot orthoses efficacy in individuals with patellofemoral pain. Medicine and Science in Sports and Exercise, 43 9: 1603-1610. doi:10.1249/MSS.0b013e318211c45d


Author Barton, Christian J.
Menz, Hylton B.
Crossley, Kay M.
Title Clinical predictors of foot orthoses efficacy in individuals with patellofemoral pain
Journal name Medicine and Science in Sports and Exercise   Check publisher's open access policy
ISSN 0195-9131
1530-0315
Publication date 2011-09
Sub-type Article (original research)
DOI 10.1249/MSS.0b013e318211c45d
Volume 43
Issue 9
Start page 1603
End page 1610
Total pages 8
Place of publication Philadelphia, PA, United States
Publisher Lippincott Williams & Wilkins
Collection year 2012
Language eng
Formatted abstract
Purpose: There is emerging evidence that foot orthoses are effective in the management of patellofemoral pain syndrome (PFPS). However, the identification of those most likely to benefit from foot orthoses has not been adequately explored. The aim of this study was to develop a preliminary clinical prediction rule to help identify individuals with PFPS who are most likely to benefit from foot orthoses.
Methods: A total of 60 individuals with PFPS were issued with noncustomized prefabricated foot orthoses containing built-in arch supports and 4- rear foot varus wedging. Patient-reported level of improvement was documented at 12 wk. Potential baseline predictor variables of interest included patient demographics, pain characteristics, footwear motion control properties, foot and ankle characteristics, and functional performance measures. 
Results:
Fourteen (25%) participants reported marked improvement at 12 wk. The number of participants with marked improvement increased to 78% if three of the following four criteria were met: footwear motion control properties score of G5.0 (indicative of less supportive footwear), usual pain G22.0 mm, ankle dorsiflexion range of motion (knee flexed) G41-, and reduced single-leg squat pain when wearing the orthoses.
Conclusions: Individuals with PFPS who wear less supportive footwear, report lower levels of pain, exhibit less ankle dorsiflexion range of motion, and report an immediate reduction in pain with foot orthoses when performing a single-leg squat are more likely to benefit from foot orthoses.
Keyword Patellofemoral pain syndrome
Anterior knee pain
Insoles
Clinical prediction rule
Footwear
Functional performance
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Health and Rehabilitation Sciences Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 11 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Created: Wed, 28 Mar 2012, 14:19:50 EST by System User on behalf of School of Health & Rehabilitation Sciences