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

Effectiveness of Prefabricated and Customized Foot Orthoses Made From Low-Cost Foam for Noncomplicated Plantar Fasciitis: A Randomized Controlled Trial
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DOI:
10.1016/j.apmr.2008.11.002
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发表时间:
2009-04-01
影响因子:
4.3
通讯作者:
Beraldo, Paulo S.
Beraldo, Paulo S.
中科院分区:
医学1区
文献类型:
--
作者:
Baldassin, Valeria;Gomes, Cicero R.;Beraldo, Paulo S.

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巴尔达辛五世,戈麦斯CR,贝拉尔多PS。低成本泡沫预制和定制足底矫形器对非复杂性足底筋膜炎的疗效:一项随机对照试验。Arch Phys Med Rehabil 2009;90:701-6.目的:评价低成本泡沫(乙烯-乙酸乙烯酯[EVA])预制和定制足底矫形器治疗足底筋膜炎的疗效。设计:双盲随机对照试验。地点:公立康复转诊医疗中心。参与者:142例成人(75%女性)足底筋膜炎。足部没有解剖学上的改变。干预:预制和定制的足部矫形器,均由EVA制成,使用8周。主要观察指标:主要结果是疼痛(改良的足部功能指数子量表,[FFI]疼痛)。次要结果是触诊引起的内侧跟骨结节疼痛和改良的FFI总分。结果:125名受试者至少返回1次随访评估(预制组63人,定制组62人)。两组均有明显改善(P
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