Foot orthoses and physiotherapy in the treatment of patellofemoral pain syndrome: randomised clinical trial

Abstract

Objective To compare the clinical efficacy of foot orthoses in the management of patellofemoral pain syndrome with flat inserts or physiotherapy, and to investigate the effectiveness of foot orthoses plus physiotherapy.Design Prospective, single blind, randomised clinical trial.Setting Single centre trial within a community setting in Brisbane, Australia.

The Effects of Isolated Hip Abductor and External Rotator Muscle Strengthening on Pain, Health Status, and Hip Strength in Females With Patellofemoral Pain: A Randomized Controlled Trial

“…11,18,30 Randomized controlled trials (RCTs) evaluating interventions for persons with PFP primarily have focused on quadriceps strengthening, 29 generalized lower extremity strengthening, 3,31 patella taping, 32 and foot orthotics. 7,12 To date, 3 RCTs have assessed the influence of hip muscle strengthening on PFP symptoms. 10,14,20 In studies by Fukuda et al 14 and Nakagawa et al 20 quadriceps strengthening was compared to a program consisting of both hip and quadriceps strengthening.…”

Effects of medially posted insoles on foot and lower limb mechanics across walking and running in overpronating men

“…In particular, many orthotics, like medially posted insoles (MPI), are designed to reduce excessive foot pronation motion and this reduction has been thought to be a central mechanism behind beneficial management of various lower extremity injuries (Donatelli et al 1988;Collins et al 2008;Eng & Pierrynowski 1993;Shih et al 2011). …”

Physical tests for shoulder impingements and local lesions of bursa, tendon or labrum that may accompany impingement

“…[20][21][22] Despite these recommendations, this premise has not yet been investigated. The main aims of this feasibility study are therefore to assess the relative frequency with which patients fall into each of the subgroup and whether or not the subgroups are mutually exclusive.…”

“…36 Second, as already discussed, there is a limited number of high-quality, large scale clinical trials. Set against this context, where currently the largest RCT sample size is 176 patients, 20 our target sample size of 150 patients for this feasibility study indicates the scale and ambition of our programme of work. In terms of the scope of this study, we have also included a comprehensive set of psychosocial and physiological measures as these may also help us to understand differences between potential subgroups.…”