The use of in-shoe foot orthoses in the short-term treatment of anterior knee pain

In patients with anterior knee pain, are prefabricated in-shoe foot orthoses as good or better than a wait-and-see control group for physiological adaptation and relief of symptoms in the short-term?

Status

Completed

Phases

Unknown

Study type

Interventional

Source

ANZCTR

Registry ID

ACTRN12611000492954

Acronym

nil

Enrollment

Registered

2011-05-11

Start date

2009-09-16

Completion date

Unknown

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The first purpose of this study is to examine if comfortable in shoe foot orthoses improve the symptoms of anterior knee pain over a short-term period more than a control group who does not receive orthoses. The second purpose is to determine what physiological effect is causing any improvement. We hypothesise orthoses will improve symptoms more than a control and that these improvements are occuring via adaptations in the activity of the lower limb muscles.

Interventions

Prefabricated, commercially available, full length in-shoe orthoses fabricated from ethylene-vinyl acetate. Participants are given the choice of 3 different hardnesses (hard, medium and soft) are fitted with the most comfortable. Orthoses are worn as much as possible, in all pairs of shoes for 6 weeks

Study design

Allocation

Randomised controlled trial

Intervention model

Parallel

Primary purpose

Treatment

Masking

Blinded (masking used)

Eligibility

Sex/Gender

All

Age

18 Years to 40 Years

Healthy volunteers

Inclusion criteria

Patients complain of anterior or retropatella pain of greater than 6-weeks duration aggravated by 2 of the following activities: running, stair or hill climbing, hopping, jumping, squatting, kneeling or sitting for long periods of time. Pain on palpation of the patella facet or on deep squat.

Exclusion criteria

(1) concomitant pain or injury in the hip, pelvis or lumbar spine; (2) damage to any knee structures or indications of patella tendinosis; (3) chronic patella instability (4) knee effusion; (5) any foot conditions that would preclude the use of orthoses; (6) the use of physiotherapy treatment for knee pain or foot orthoses in the previous 3 years; or (7) previous lower limb surgery.

Outcome results