The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Deirdre R Dawson - One of the best experts on this subject based on the ideXlab platform.
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treating heel pain in adults a randomized clinical trial of hard versus modified soft custom orthotics and heel pads
Archives of Physical Medicine and Rehabilitation, 2020Co-Authors: Deborah A Seligman, Deirdre R Dawson, David L Streiner, David J Seligman, Aileen M DavisAbstract:OBJECTIVES This study compared the effectiveness of soft versus hard orthotics in treating heel pain and plantar fasciitis in adults. It also compared the level of function after orthotic use, cost and number of visits for orthotics and explored if age was a factor in orthotic effectiveness. DESIGN This is a randomized clinical trial. Prior to randomization, patients were stratified by age (younger versus older adults), in blocks of four to ensure that there are an equal number of participants in each group (soft versus hard orthotics). SETTING The settings that participants were recruited from were 1) an orthotic clinic in a community-based hospital and 2) a private orthotic clinic. PARTICIPANTS The participants were adults (18+) with heel pain and plantar fasciitis. INTERVENTION Participants received hard or soft customized orthotics. MAIN OUTCOME MEASURES Participants rated their pain intensity and pain interference pre and post orthotic use using subscales from the Brief Pain Inventory. Function was similarly measured using the Late Life Function and Disability Instrument: Function component. Analyses of age, cost and number of visits were also compared. RESULTS There was a reduction in pain intensity (P=0.010) and pain interference (P<0.001) but no change in function over time (P=0.333), and no difference between the groups who received hard versus soft orthotics. Age had no effect on orthotic effectiveness. Soft orthotics were less expensive (P<0.0001) and required fewer visits for fabrication (P<0.0001). CONCLUSION Both soft and hard orthotics provided effective pain relief, however, soft orthotics are less expensive.
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customized heel pads and soft orthotics to treat heel pain and plantar fasciitis
Archives of Physical Medicine and Rehabilitation, 2003Co-Authors: Deborah A Seligman, Deirdre R DawsonAbstract:Abstract Seligman DA, Dawson DR. Customized heel pads and soft orthotics to treat heel pain and plantar fasciitis. Arch Phys Med Rehabil 2003;84:1564–7. We describe the design of a new cost-effective, comfortable orthotic designed to treat heel pain associated with plantar fasciitis. The heel pad is fabricated from a 4° Sorbothane® medial wedge with a customized insertion of low-density Plastazote®. The orthotic is medium-density Plastazote reinforced with cork in the medial longitudinal arch. One pair of orthotics takes less than 1 hour to make. Pilot data were collected retrospectively to evaluate the efficacy of the orthotic for reducing pain. Ten clients at a hand and foot orthotic clinic with a mean age of 71±9.1 years and with unilateral or bilateral heel pain associated with plantar fasciitis were provided with customized heel pads and soft, molded orthotics at their initial visit. Pain levels were recorded with verbal and Likert-type scales. After 5 weeks of heel pad and orthotic use, all patients showed a reduction in pain, with the overall reduction being highly significant ( P ≤.0001). Customized heel pads and soft molded orthotics are an effective first-line treatment for the heel pain and loss of function associated with plantar fasciitis.
Kyung Rok Park - One of the best experts on this subject based on the ideXlab platform.
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changes in balancing ability of athletes with chronic ankle instability after foot orthotics application and rehabilitation exercises
Annals of Rehabilitation Medicine, 2013Co-Authors: Tae Ho Jung, Kyung Rok ParkAbstract:OBJECTIVE: To compare the effect of foot orthotics and rehabilitation exercises by assessing balancing ability and joint proprioception in athletes who have chronic ankle instability. METHODS: Forty-one athletes who visited hospitals due to chronic ankle instability were randomly assigned to two groups. One group had ankle rehabilitation exercises while the other group had the same rehabilitation exercises as well as foot orthotics. Joint position sense of the ankle joint was examined by using an isokinetic exercise machine. Balancing abilities categorized into static, dynamic and functional balance abilities were evaluated by using computerized posturography. We tested the subjects before and after the four-week rehabilitation program. RESULTS: After the four-week treatment, for joint reposition sense evaluation, external 75% angle evaluation was done, revealing that the group with the application of foot orthotics improved by -1.07±1.64 on average, showing no significant difference between the two groups (p>0.05). Static, dynamic and functional balancing abilities using balance masters were evaluated, revealing that the two groups improved in some items, but showing no significant difference between them (p>0.05). CONCLUSION: This study found that athletes with chronic ankle instability who had foot orthotics applied for four weeks improved their proprioceptive and balancing abilities, but did not show additional treatment effects compared with rehabilitation exercise treatment.
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changes in balancing ability of athletes with chronic ankle instability after foot orthotics application and rehabilitation exercises
Annals of Rehabilitation Medicine, 2013Co-Authors: Hong Jae Lee, Tae Ho Jung, Kil Byung Lim, Dug Young Kim, Kyung Rok ParkAbstract:Objective To compare the effect of foot orthotics and rehabilitation exercises by assessing balancing ability and joint proprioception in athletes who have chronic ankle instability. Methods Forty-one athletes who visited hospitals due to chronic ankle instability were randomly assigned to two groups. One group had ankle rehabilitation exercises while the other group had the same rehabilitation exercises as well as foot orthotics. Joint position sense of the ankle joint was examined by using an isokinetic exercise machine. Balancing abilities categorized into static, dynamic and functional balance abilities were evaluated by using computerized posturography. We tested the subjects before and after the four-week rehabilitation program. Results After the four-week treatment, for joint reposition sense evaluation, external 75% angle evaluation was done, revealing that the group with the application of foot orthotics improved by -1.07±1.64 on average, showing no significant difference between the two groups (p>0.05). Static, dynamic and functional balancing abilities using balance masters were evaluated, revealing that the two groups improved in some items, but showing no significant difference between them (p>0.05). Conclusion This study found that athletes with chronic ankle instability who had foot orthotics applied for four weeks improved their proprioceptive and balancing abilities, but did not show additional treatment effects compared with rehabilitation exercise treatment.
Deborah A Seligman - One of the best experts on this subject based on the ideXlab platform.
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treating heel pain in adults a randomized clinical trial of hard versus modified soft custom orthotics and heel pads
Archives of Physical Medicine and Rehabilitation, 2020Co-Authors: Deborah A Seligman, Deirdre R Dawson, David L Streiner, David J Seligman, Aileen M DavisAbstract:OBJECTIVES This study compared the effectiveness of soft versus hard orthotics in treating heel pain and plantar fasciitis in adults. It also compared the level of function after orthotic use, cost and number of visits for orthotics and explored if age was a factor in orthotic effectiveness. DESIGN This is a randomized clinical trial. Prior to randomization, patients were stratified by age (younger versus older adults), in blocks of four to ensure that there are an equal number of participants in each group (soft versus hard orthotics). SETTING The settings that participants were recruited from were 1) an orthotic clinic in a community-based hospital and 2) a private orthotic clinic. PARTICIPANTS The participants were adults (18+) with heel pain and plantar fasciitis. INTERVENTION Participants received hard or soft customized orthotics. MAIN OUTCOME MEASURES Participants rated their pain intensity and pain interference pre and post orthotic use using subscales from the Brief Pain Inventory. Function was similarly measured using the Late Life Function and Disability Instrument: Function component. Analyses of age, cost and number of visits were also compared. RESULTS There was a reduction in pain intensity (P=0.010) and pain interference (P<0.001) but no change in function over time (P=0.333), and no difference between the groups who received hard versus soft orthotics. Age had no effect on orthotic effectiveness. Soft orthotics were less expensive (P<0.0001) and required fewer visits for fabrication (P<0.0001). CONCLUSION Both soft and hard orthotics provided effective pain relief, however, soft orthotics are less expensive.
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customized heel pads and soft orthotics to treat heel pain and plantar fasciitis
Archives of Physical Medicine and Rehabilitation, 2003Co-Authors: Deborah A Seligman, Deirdre R DawsonAbstract:Abstract Seligman DA, Dawson DR. Customized heel pads and soft orthotics to treat heel pain and plantar fasciitis. Arch Phys Med Rehabil 2003;84:1564–7. We describe the design of a new cost-effective, comfortable orthotic designed to treat heel pain associated with plantar fasciitis. The heel pad is fabricated from a 4° Sorbothane® medial wedge with a customized insertion of low-density Plastazote®. The orthotic is medium-density Plastazote reinforced with cork in the medial longitudinal arch. One pair of orthotics takes less than 1 hour to make. Pilot data were collected retrospectively to evaluate the efficacy of the orthotic for reducing pain. Ten clients at a hand and foot orthotic clinic with a mean age of 71±9.1 years and with unilateral or bilateral heel pain associated with plantar fasciitis were provided with customized heel pads and soft, molded orthotics at their initial visit. Pain levels were recorded with verbal and Likert-type scales. After 5 weeks of heel pad and orthotic use, all patients showed a reduction in pain, with the overall reduction being highly significant ( P ≤.0001). Customized heel pads and soft molded orthotics are an effective first-line treatment for the heel pain and loss of function associated with plantar fasciitis.
Michael R Pierrynowski - One of the best experts on this subject based on the ideXlab platform.
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the effect of soft foot orthotics on three dimensional lower limb kinematics during walking and running
Physical Therapy, 1994Co-Authors: Janice J Eng, Michael R PierrynowskiAbstract:Background and Purpose. Although foot orthotics are often prescribed to alter the lower-extremity mechanics during the stance period of gait, there is little documentation of the actual effect of foot orthotics on the movement of the lower-extremity joints during walking and running. This study examined the effect of foot orthotics on the range of motion of the talocrural/subtalar joint and the knee joint in three dimensions during walking and running. Subjects. Ten female adolescent subjects, aged 13 to 17 years (X=14.4, SD=1.1) who were diagnosed with palellofemoral pain syndrome and exhibited forefoot varus greater than 6 degrees and/or calcaneal valgus greater than 6 degrees participated in the study. Methods. Thirty strides of walking and running on a treadmill were recorded for each of the orthotic and nonorthotic conditions for each subject using an optoelectronic recording technique. Analyses of variance for repeated measures were performed on the range of motion of the talocrural/subtalar joint and knee joint for each plane of motion (ie, six separate analyses). The main factors of each analysis were the effect of the orthotic (orthotic condition versus nonorthotic condition), mode of ambulation (walking and running), and phase of the stance period (contact, mid-stance, and propulsion). Results. No differences were found in sagittal-plane movements. Reductions of 1 to 3 degrees occurred with orthotic use for the talocrural/subtalar joint during walking and running in the frontal and transverse planes. The orthotics reduced knee motion in the frontal plane during the contact and mid-stance phases of walking, but increased the motion during the contact and mid-stance phases of running. Conclusions and Discussion. This study shows that corrections to the static position of forefoot varus and calcaneal valgus can result in changes in transverse- and frontal-plane motion of the foot and knee during walking and running.
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evaluation of soft foot orthotics in the treatment of patellofemoral pain syndrome
Physical Therapy, 1993Co-Authors: Michael R PierrynowskiAbstract:Background and Purpose. The effectiveness of soft foot orthotics in the treatment of patients who have patellofemoral pain syndrome was investigated. Subjects. Subjects were 20 adolescent female patients, aged 13 to 17 years (X=14.8, SD=1.2), who were diagnosed with patellofemoral pain syndrome and who exhibited excessive forefoot varus or calcaneal valgus. Methods. Subjects were randomly assigned to one of two groups: a control group (n=10), which took part in an exercise program, or a treatment group (n=10), which used soft foot orthotics in addition to participating in the exercise program. The exercise program consisted of quadriceps femoris and hamstring muscle strengthening and stretching exercises. A visual analogue scale was used to assess the level of pain of the subjects over an 8-week period. Results. Both the treatment and control groups demonstrated a significant decrease in the level of pain, but the improvement of the treatment group was significantly greater than that of the control group. Conclusion and Discussion. The results suggest that in addition to an exercise program, the use of soft foot orthotics is an effective means of treatment for the patient with patellofemoral pain syndrome.
Jerrilyn A Cambron - One of the best experts on this subject based on the ideXlab platform.
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shoe orthotics for the treatment of chronic low back pain a randomized controlled trial
Archives of Physical Medicine and Rehabilitation, 2017Co-Authors: Jerrilyn A Cambron, Jennifer M Dexheimer, Manuel A Duarte, Sally FreelsAbstract:Abstract Objectives To investigate the efficacy of shoe orthotics with and without chiropractic treatment for chronic low back pain compared with no treatment. Design Randomized controlled trial. Setting Integrative medicine teaching clinic at a university. Participants Adult subjects (N=225) with symptomatic low back pain of ≥3 months were recruited from a volunteer sample. Interventions Subjects were randomized into 1 of 3 treatment groups (shoe orthotic, plus, and waitlist groups). The shoe orthotic group received custom-made shoe orthotics. The plus group received custom-made orthotics plus chiropractic manipulation, hot or cold packs, and manual soft tissue massage. The waitlist group received no care. Main Outcome Measures The primary outcome measures were change in perceived back pain (numerical pain rating scale) and functional health status (Oswestry Disability Index) after 6 weeks of study participation. Outcomes were also assessed after 12 weeks and then after an additional 3, 6, and 12 months. Results After 6 weeks, all 3 groups demonstrated significant within-group improvement in average back pain, but only the shoe orthotic and plus groups had significant within-group improvement in function. When compared with the waitlist group, the shoe orthotic group demonstrated significantly greater improvements in pain ( P P =.0068). The addition of chiropractic to orthotics treatment demonstrated significantly greater improvements in function ( P =.0278) when compared with orthotics alone, but no significant difference in pain ( P =.3431). Group differences at 12 weeks and later were not significant. Conclusions Six weeks of prescription shoe orthotics significantly improved back pain and dysfunction compared with no treatment. The addition of chiropractic care led to higher improvements in function.
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foot orthotics for low back pain the state of our understanding and recommendations for future research
The Foot, 2016Co-Authors: Owen M Papuga, Jerrilyn A CambronAbstract:Abstract Purpose The purpose of the article is to evaluate the literature on the use of foot orthotics for low back pain and to make specific recommendations for future research. Methods Database searches were conducted using PubMed, EBSCO, GALE, Google Scholar, and clinicaltrials.gov. The biomedical literature was reviewed to determine the current state of knowledge on the benefits of foot orthotics for low back pain related to biomechanical mechanisms and clinical outcomes. Results It may be argued that foot orthotics are experimental, investigational, or unproven for low back pain due to lack of sufficient evidence for their clinical effectiveness. This conclusion is based upon lack of high quality randomized controlled trials (RCTs). However, there is extensive research on biomechanical mechanisms underlying the benefits of orthotics that may be used to address this gap. Additionally, promising pilot studies are beginning to emerge in the literature and ongoing large-scale RCTs are addressing effects of foot orthotics on chronic low back pain. Conclusions Based upon the critical evaluation of the current research on foot orthotics related to biomechanical mechanisms and clinical outcomes, recommendations for future research to address the evidence-practice gaps on the use of foot orthotics for low back pain are presented.
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shoe orthotics for the treatment of chronic low back pain a randomized controlled pilot study
Journal of Manipulative and Physiological Therapeutics, 2011Co-Authors: Jerrilyn A Cambron, Jennifer M Dexheimer, Manuel A Duarte, Thomas J SoleckiAbstract:Abstract Objectives The purpose of this pilot study was to investigate the feasibility of a randomized clinical trial of shoe orthotics for chronic low back pain. Methods The study recruited 50 patients with chronic low back pain through media advertising in a midwestern suburban area. Medical history and a low back examination were completed at a chiropractic clinic. Subjects were randomized to either a treatment group receiving custom-made shoe orthotics or a wait-list control group. After 6 weeks, the wait-list control group also received custom-made orthotics. This study measured change in perceived pain levels (Visual Analog Scale) and functional health status (Oswestry Disability Index) in patients with chronic low back pain at the end of 6 weeks of orthotic treatment compared with no treatment and at the end of 12 weeks of orthotic treatment. Results This study showed changes in back pain and disability with the use of shoe orthotics for 6 weeks compared with a wait-list control group. It appears that improvement was maintained through the 12-week visit, but the subjects did not continue to improve during this time. Conclusions This pilot study showed that the measurement of shoe orthotics to reduce low back pain and discomfort after 6 weeks of use is feasible. A larger clinical trial is needed to verify these results.
