A randomised control trial of short term efficacy of in-shoe foot orthoses compared with a wait and see policy for anterior knee pain and the role of foot mobility

Abstract

ACTRN12611000492954.

Outcome Predictors for Conservative Patellofemoral Pain Management: A Systematic Review and Meta-Analysis

“…In contrast, greater usual pain was identified within one LQ study to be predictive of patellar taping success (mean 0.43, 95 % CI 0.01-0.85) [40]. The most significant limitation of these findings is that only immediate effects were assessed.…”

“…Vicenzino et al [19] reported a mid-foot width difference from non-weight-bearing to weight-bearing [10.96 mm significantly predicted success when a significance level of p \ 0.20 was used and in subsequent regression analysis. Similarly, Mills et al [40] reported a difference in mid-foot width of [11.25 mm correctly predicted orthoses success in 7 of 10 individuals using a classification tree model. Variability in clinical measures prevents direct comparison between prognostic and predictor studies; however, considering dynamic rearfoot eversion has been identified as a potential predictor of foot orthoses success [32], there is clear merit for further exploration of dynamic foot posture measures in predicting orthoses intervention outcomes.…”

“…Two studies included data from the same PFP population [26,31], however they reported findings from different follow-up durations and were both therefore included in the review. Two further studies, one that presented short-and long-term predictors of outcome without differentiating predictors for specific interventions [39], and the other that reported post hoc baseline foot mobility measures [40], could not be used within this review.…”

“…Limited evidence indicated an increased Q-angle was a significant predictor of a successful outcome following patellar taping intervention (two LQ studies [22,40], mean 0.38, 95 % CI 0.05-0.72, p = 0.03) [Fig. 4].…”

Reliability and validity of the Sit-To-Stand Test to assess Global Foot Mobility

“…In that study, foot mobility, as measured by the change in arch height between weight-bearing and non-weight-bearing, was four times more likely to be seen in individuals with patellofemoral pain compared to a control group [5]. Furthermore, Milles and associates reported that individuals with anterior knee pain who had increased midfoot mobility were more likely to experience a reduction in their symptoms when treated with pre-fabricated orthoses [6]. Foot hypermobility has also been associated with an increased risk of other injuries in sports, particularly the lower extremity [7].…”