足底筋膜炎治疗方式效果分析

作者:管理员 本网 2016-05-06

Effectiveness of Prefabricated and Customized Foot Orthoses
Made From Low-Cost Foam for Noncomplicated Plantar
Fasciitis: A Randomized Controlled Trial

Valéria Baldassin, PT, Cícero R. Gomes, MD, Paulo S. Beraldo, PhD

ABSTRACT. Baldassin V, Gomes CR, Beraldo PS. Effectiveness
of prefabricated and customized foot orthoses made
from low-cost foam for noncomplicated plantar fasciitis: a
randomized controlled trial. Arch Phys Med Rehabil 2009;90:
701-6.

Objectives: To evaluate the effectiveness of prefabricated
and customized foot orthoses made from low-cost foam (ethylene
vinyl acetate [EVA]) in plantar fasciitis.
    Design: Double-blinded randomized controlled trial.
    Setting: Public rehabilitation referral medical center.
    Participants: One hundred forty-two adults (75% women)
with plantar fasciitis, without anatomical alterations in the feet.
Seventeen subjects (12%) were lost during the follow-up.
    Interventions: Prefabricated and customized foot orthoses,
both made from EVA, used for 8 weeks.
    Main Outcome Measures: The primary outcome was pain
(modified subscale of the Foot Function Index, [FFI] pain). The
secondary outcomes were pain elicited by palpation in the
medial calcaneal tuberosity and modified FFI total. Each participant
was reviewed in the 4th and 8th weeks of follow-up.
    Results: One hundred twenty-five participants returned to at
least 1 of the follow-up evaluations (63 in the prefabricated and
62 in the customized groups). There was a significant improvement
in both groups (P.05), but there was no difference of
modified FFI pain between intragroup differences at 4 (4.03
points; 95% confidence interval [CI], 4.2 to 12.3) and 8
weeks (3.93 points; 95% CI, 4.6 to 12.5).
    Conclusions: The low-cost prefabricated and customized
foot orthoses, as used in this trial, had similar effectiveness in
the treatment of noncomplicated plantar fasciitis after 8 weeks
of use. Our results were similar to other trials, although those
trials did not use orthoses made from EVA. Thus, EVA prefabricated
inserts may be the best choice for the treatment of
plantar fasciitis without complication.