The effects of a custom foot orthosis on dynamic plantar pressure in patients with chronic plantar fasciitis: A randomized controlled trial

足底筋膜炎 足底筋膜 医学 鞋跟 脚(韵律) 足底压力 随机对照试验 物理疗法 口腔正畸科 外科 压力传感器 解剖 语言学 哲学 物理 热力学
作者
Masoomeh Nakhaee,Mohammad Ali Mohseni‐Bandpei,Mohammad Ebrahim Mousavi,Ali Shakourirad,Reza Safari,Reza Vahab Kashani,Raghad Mimar,Houshang Amiri,Masoud Nakhaei
出处
期刊:Prosthetics and Orthotics International [Lippincott Williams & Wilkins]
卷期号:47 (3): 241-252 被引量:1
标识
DOI:10.1097/pxr.0000000000000179
摘要

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia supports the longitudinal arch and absorbs ground reaction forces during the static and dynamic phase(s) of weight-bearing. The purpose of this randomized controlled trial study was to determine the effects of CAD/CAM foot orthoses that were designed based on the dynamic plantar pressure in patients with plantar fasciitis.This study was performed on 34 patients with plantar fasciitis. Outcomes were compared based on plantar fascia thickness; peak pressure, mean pressure, and maximum force; and pain, activity of daily living, quality of life, and sports activity that were evaluated by ultrasound, plantar pressure platform, and the Foot and Ankle Outcome Score, respectively. The patients were randomly assigned into two groups: the experimental group (CAD/CAM orthoses and night splint) and the control group (night splint only). All data were recorded again after 4 weeks.Pain ( P = 0.002) and plantar fascia thickness ( P = 0.001) decreased significantly after 1 month of intervention. Activity of daily living ( P = 0.044) and quality of life ( P = 0.001) showed a significant increase. There was a trend in increasing peak pressure in all masking regions in both groups. The maximum force remarkably reduced in the experimental group in all regions.The results demonstrated that CAD/CAM foot orthoses designed based on dynamic plantar pressure with night splint can reduce the plantar fascia thickness and pain associated with plantar fasciitis and increase the activity of daily living, quality of life, and sports activity.
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