Custom insoles versus sham and GP-led usual care in patients with plantar heel pain: Results of the STAP-study - A randomised controlled trial
| Autor: | Marienke van Middelkoop, Patrick J E Bindels, Amy Dieker, Michael Skovdal Rathleff, Nadine Rasenberg, Peter L.J. van Veldhoven, Sita M A Bierma-Zeinstra, Lars Fuit |
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| Přispěvatelé: | General Practice |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Referral Foot Orthoses Physical Therapy Sports Therapy and Rehabilitation law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Rating scale medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Lead (electronics) intervention Pain Measurement Original Research general practice business.industry podiatry Podiatry 030229 sport sciences General Medicine Middle Aged Combined Modality Therapy Exercise Therapy Clinical trial Podiatrist Fasciitis Plantar foot Physical therapy Female business Plantar heel pain |
| Zdroj: | Rasenberg, N, Bierma-Zeinstra, S M A, Fuit, L, Rathleff, M S, Dieker, A, Van Veldhoven, P, Bindels, P J E & Van Middelkoop, M 2021, ' Custom insoles versus sham and GP-led usual care in patients with plantar heel pain : Results of the STAP-study-A randomised controlled trial ', British Journal of Sports Medicine, vol. 55, no. 5, pp. 272-278 . https://doi.org/10.1136/bjsports-2019-101409 British Journal of Sports Medicine British Journal of Sports Medicine, 55(5), 272-278. BMJ Publishing Group |
| ISSN: | 1473-0480 0306-3674 |
| Popis: | ObjectivesTo compare custom-made insoles to sham insoles and general practice (GP)-led usual care in terms of pain at rest and during activity at 12 weeks follow-up in individuals with plantar heel pain.MethodsIn this randomised clinical trial 185 patients aged 18 to 65 years, with a clinical diagnosis of plantar heel pain for at least 2 weeks, but no longer than 2 years were recruited. Patients were randomly allocated into three groups: (1) GP-led treatment, plus an information booklet with exercises (usual care; n=46), (2) referral to a podiatrist for treatment with a custom-made insole plus an information booklet with exercises (custom-made insole; n=70) and (3) referral to a podiatrist and treatment with a sham insole plus an information booklet with exercises (sham insole; n=69). As well as the primary outcome of pain severity (11-point Numerical Rating Scale) we used the Foot Function Index (0 to 100) as a secondary outcome.ResultsOf 185 randomised participants, 176 completed the 12-week follow-up. There was no difference in pain or function between the insole and the sham groups at 12 weeks. Participants in the GP-led usual care group reported less pain during activity at 12 weeks, (mean difference (MD) 0.94, 95% CI 0.23 to 1.65), less first step pain (MD 1.48, 95% CI 0.65 to 2.31), better function (MD 7.37, 95% CI 1.27 to 13.46) and higher recovery rates (RR 0.48, 95% CI 0.24 to 0.96) compared with participants in the custom insole group.ConclusionsReferral to a podiatrist for a custom-made insole does not lead to a better outcome compared to sham insoles or compared to GP-led usual care.Trial registration numberNTR5346. |
| Databáze: | OpenAIRE |
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