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The Effects of a Custom Foot Orthosis on Dynamic Plantar Pressure in Patients With Chronic Plantar Fasciitis: A Randomized Controlled Trial Publisher Pubmed



Nakhaee M1 ; Mohsenibandpei M2, 3 ; Mousavi ME4 ; Shakourirad A5 ; Safari R6 ; Kashani RV4 ; Mimar R7 ; Amiri H8, 9 ; Nakhaei M10
Authors
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Authors Affiliations
  1. 1. Department of Rehabilitation, Faculty of Allied Medicine, Kerman University of Medical Sciences, Kerman, Iran
  2. 2. Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Evin, Tehran, Iran
  3. 3. University Institute of Physical Therapy, Faculty of Allied Health Sciences, University of Lahore, Lahore, Pakistan
  4. 4. Department of Orthotics & Prosthetics, University of Social Welfare and Rehabilitation Sciences, Kodakyar St, Daneshjo Blvd, Evin, Tehran, 1985713834, Iran
  5. 5. Department of Radiology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Health and Social Care Research Center, College of Health, Psychology and Social Care, University of Derby, United Kingdom
  7. 7. Biomechanics and Injury Department, Kharazmi University Tehran, Iran
  8. 8. Neuroscience Research Centre, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran
  9. 9. Department of Radiologic Technology, Faculty of Allied Medicine, Kerman University of Medical Sciences, Kerman, Iran
  10. 10. Department of Radiology, Tulane University School of Medicine, New Orleans, LA, United States

Source: Prosthetics and Orthotics International Published:2023


Abstract

Background:Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia supports the longitudinal arch and absorbs ground reaction forces during the static and dynamic phase(s) of weight-bearing. The purpose of this randomized controlled trial study was to determine the effects of CAD/CAM foot orthoses that were designed based on the dynamic plantar pressure in patients with plantar fasciitis.Methods:This study was performed on 34 patients with plantar fasciitis. Outcomes were compared based on plantar fascia thickness; peak pressure, mean pressure, and maximum force; and pain, activity of daily living, quality of life, and sports activity that were evaluated by ultrasound, plantar pressure platform, and the Foot and Ankle Outcome Score, respectively. The patients were randomly assigned into two groups: the experimental group (CAD/CAM orthoses and night splint) and the control group (night splint only). All data were recorded again after 4 weeks.Results:Pain (P = 0.002) and plantar fascia thickness (P = 0.001) decreased significantly after 1 month of intervention. Activity of daily living (P = 0.044) and quality of life (P = 0.001) showed a significant increase. There was a trend in increasing peak pressure in all masking regions in both groups. The maximum force remarkably reduced in the experimental group in all regions.Conclusions:The results demonstrated that CAD/CAM foot orthoses designed based on dynamic plantar pressure with night splint can reduce the plantar fascia thickness and pain associated with plantar fasciitis and increase the activity of daily living, quality of life, and sports activity. © 2023 SAGE Publications Inc.. All rights reserved.
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