Shoe Orthotics for the Treatment of Chronic Low Back Pain: A Randomized Controlled Pilot Study

Cambron, Jerrilyn A.; Duarte, Manuel A.; Dexheimer, Jennifer M.; Solecki, Thomas J.

doi:10.1016/j.jmpt.2011.04.004

Cited by 33 publications

(30 citation statements)

References 11 publications

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“…Sample size was based on the aforementioned studies [2,8], wherein a significant change in a disability score was noted in a cohort of 30 subjects or less. As the time period of the study was limited to a 4-month period in early 2009, a convenience sample of at least 60 subjects, at least 30 in each group, was sought.…”

Section: Sample Size and Statistical Methodsmentioning

confidence: 99%

“…Measures of function in fibromyalgia patients typically include assessment of difficulty in activities related to low back combined with lower limb pain, such as walking, climbing stairs, and sitting for prolonged periods [1]. Although a recent study has suggested that customized foot orthotics may be beneficial in chronic, non-specific low back pain with lower limb [2], there remains a paucity of trials confirming their effectiveness. There are reasons, from a biomechanical perspective [3][4][5][6][7], to prescribe orthotics, but trials in primary care practice settings, and in a wide variety of clinical populations are required before their routine use can be recommended.…”

Section: Introductionmentioning

confidence: 99%

“…There are reasons, from a biomechanical perspective [3][4][5][6][7], to prescribe orthotics, but trials in primary care practice settings, and in a wide variety of clinical populations are required before their routine use can be recommended. Cambron et al [2] measured the change in perceived Oswestry Disability Index scores in subjects with chronic low back pain at the end of 6 weeks of orthotic treatment, compared with no orthotics. They found that improvements in Oswestry Disability Index scores were greater at 6 weeks in the group treated with customized foot orthotics compared with a wait-list control group.…”

Section: Introductionmentioning

confidence: 99%

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A cohort-controlled trial of the addition of customized foot orthotics to standard care in fibromyalgia

Ferrari

2012

Clin Rheumatol

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Customized foot orthotics are widely prescribed for patients with chronic, non-specific low back pain and lower limb pain, but there are few trials demonstrating effectiveness, and none for fibromyalgia. A total of 67 consecutive patients presenting with chronic, widespread pain, who met the 1990 American College of Rheumatology criteria for fibromyalgia, were included in the study. A total of 32 subjects were prescribed a spinal exercise therapy program along with analgesics. These subjects formed the Control group. A second group, comprised of 35 subjects, received the same therapy, along with customized foot orthotics (Orthotics group). All subjects completed the Revised Fibromyalgia Impact Questionnaire (FIQR) at the initiation of the study and at 8 weeks follow-up. The number of subjects using any type of prescription analgesic or other medication for chronic pain at baseline and at 8 weeks was also recorded. A total of 30 subjects in the Control group and 33 in the Orthotics group completed the study. All subjects completed the baseline and 8-week FIQR. The two groups were well matched in terms of age (45.3 ± 11.5 years in the Orthotics group vs. 47.2 ± 8.7 years in the cohort Control), medication use, duration of pain (6.5 ± 4.3 years in the Orthotics group vs. 6.2 ± 3.4 years in the cohort Control group), as well as baseline FIQR scores (55.2 ± 11.0 in the Orthotics group vs. 56.3 ± 12.2 in the cohort Control group). At 8 weeks, the Orthotics group had a greater reduction in the FIQR score than the cohort Control group (reduction of 9.9 ± 5.9 vs. 4.3 ± 4.4, respectively), and this was mainly due to changes in the 'function' domain of the FIQR (reduction of 19.6 ± 9.4 in the Orthotics group vs. 8.1 ± 4.3 in the cohort Control group). As part of a complex intervention, in a cohort-controlled trial of primary care patients with fibromyalgia, the addition of custom-made foot orthotics to usual care appears to improve functioning in the short term.

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Section: Sample Size and Statistical Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A cohort-controlled trial of the addition of customized foot orthotics to standard care in fibromyalgia

Ferrari

2012

Clin Rheumatol

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“…Physical therapists often deliver manual therapy and/ or orthotic interventions to the tarso-metatarsal, subtalar, or talocrural joints in order to manage patients with low back pain; [195][196][197][198][199] likewise, the insertion of needles without injectate into bodily areas that are asymptomatic but distal or proximal to the site of pain is supported by the myofascial pain syndrome literature. 149 As Melzack et al 27 points out: …”

Section: Multiple Needles Should Be Left In Situ For 10-30 Minutesmentioning

confidence: 99%

Dry needling: a literature review with implications for clinical practice guidelines

2013

Phys. Ther. Rev.

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“…Although a recent study has suggested that customized foot orthotics may be beneficial in chronic low back pain, 1 there remains a paucity of trials confirming their effectiveness. 2 There are reasons, from a biomechanical perspective, [3][4][5][6][7] to prescribe orthotics; but trials in primary care practice settings and in a wide variety of clinical populations are required before their routine use can be recommended.…”

Section: Introductionmentioning

confidence: 99%

Effects of customized foot orthotics on reported disability and analgesic use in patients with chronic low back pain associated with motor vehicle collisions

Ferrari

2013

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to compare reported disability due to chronic low back pain following a motor vehicle collision between groups of those using customized foot orthotics and those not using orthotics. Methods: Sixty-six consecutive patients referred from primary care medical physicians for the complaint of chronic (N 3 months) low back pain following a motor vehicle collision were included. Thirty patients received "usual care" that included prescription of an exercise therapy program in addition to analgesics. Thirty-four patients received the same therapy along with customized foot orthotics. All patients completed the Oswestry Disability Index at the initiation of the study and at 8-week follow-up. The number of participants using any type of prescription analgesic for their back pain at baseline and at 8 weeks was also recorded. Results: All patients completed treatment, and the baseline and 8-week questionnaires. Both treatment groups were well matched in terms of age, sex distribution, and duration of low back pain, as well as baseline Oswestry Disability Index score. At 8 weeks, although both groups had improved, the group that used orthotics had a lower Oswestry Disability Index than the usual care group (P b .05), with a smaller proportion of the orthotics group using any form of prescribed analgesics for back pain (P b .05). Conclusions: In this study, patients with chronic low back pain following a motor vehicle collision who used orthotics in addition to usual care had improved short-term outcomes compared with usual care alone.

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Shoe Orthotics for the Treatment of Chronic Low Back Pain: A Randomized Controlled Pilot Study

Cited by 33 publications

References 11 publications

A cohort-controlled trial of the addition of customized foot orthotics to standard care in fibromyalgia

A cohort-controlled trial of the addition of customized foot orthotics to standard care in fibromyalgia

Dry needling: a literature review with implications for clinical practice guidelines

Effects of customized foot orthotics on reported disability and analgesic use in patients with chronic low back pain associated with motor vehicle collisions

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