TY - JOUR
T1 - Efficacy of foot orthoses for the treatment of plantar heel pain
T2 - a systematic review and meta-analysis
AU - Rasenberg, Nadine
AU - Riel, Henrik
AU - Rathleff, Michael S
AU - Bierma-Zeinstra, Sita M A
AU - van Middelkoop, Marienke
N1 - © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
PY - 2018/8
Y1 - 2018/8
N2 - Background Plantar heel pain (PHP) is common. Foot orthoses are often applied as treatment for PHP, even though there is little evidence to support this. Objective To investigate the effects of different orthoses on pain, function and self-reported recovery in patients with PHP and compare them with other conservative interventions. Design Systematic review and meta-Analysis. Data sources A systematic literature search was conducted in MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Web of Science, CINAHL and Google Scholar up to January 2017. Eligibility criteria for selecting studies Randomised controlled trials comparing foot orthoses with a control (defined as no intervention, sham or other type of conservative treatment) reporting on pain, function or self-reported recovery in patients with PHP. Results Twenty studies investigating eight different types of foot orthoses were included in the review. Most studies were of high quality. Pooled data from six studies showed no difference between prefabricated orthoses and sham orthoses for pain at short term (mean difference (MD) of 0.26 (95% CI â '0.09 to 0.60)). No difference was found between sham orthoses and custom orthoses for pain at short term (MD 0.22 (95% CI â '0.05 to 0.50)), nor was there a difference between prefabricated orthoses and custom orthoses for pain at short term (MD 0.03 (95% CI â '0.15 to 0.22)). For the majority of other interventions, no significant differences were found. Conclusions Foot orthoses are not superior for improving pain and function compared with sham or other conservative treatment in patients with PHP. PROSPERO registration number CRD42015029659.
AB - Background Plantar heel pain (PHP) is common. Foot orthoses are often applied as treatment for PHP, even though there is little evidence to support this. Objective To investigate the effects of different orthoses on pain, function and self-reported recovery in patients with PHP and compare them with other conservative interventions. Design Systematic review and meta-Analysis. Data sources A systematic literature search was conducted in MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Web of Science, CINAHL and Google Scholar up to January 2017. Eligibility criteria for selecting studies Randomised controlled trials comparing foot orthoses with a control (defined as no intervention, sham or other type of conservative treatment) reporting on pain, function or self-reported recovery in patients with PHP. Results Twenty studies investigating eight different types of foot orthoses were included in the review. Most studies were of high quality. Pooled data from six studies showed no difference between prefabricated orthoses and sham orthoses for pain at short term (mean difference (MD) of 0.26 (95% CI â '0.09 to 0.60)). No difference was found between sham orthoses and custom orthoses for pain at short term (MD 0.22 (95% CI â '0.05 to 0.50)), nor was there a difference between prefabricated orthoses and custom orthoses for pain at short term (MD 0.03 (95% CI â '0.15 to 0.22)). For the majority of other interventions, no significant differences were found. Conclusions Foot orthoses are not superior for improving pain and function compared with sham or other conservative treatment in patients with PHP. PROSPERO registration number CRD42015029659.
KW - Foot
KW - Foot injuries
KW - Orthotics
KW - Pain
KW - Humans
KW - Pain Management
KW - Foot Orthoses
KW - Treatment Outcome
KW - Heel/physiopathology
KW - Randomized Controlled Trials as Topic
UR - http://www.scopus.com/inward/record.url?scp=85049138198&partnerID=8YFLogxK
U2 - 10.1136/bjsports-2017-097892
DO - 10.1136/bjsports-2017-097892
M3 - Review article
C2 - 29555795
SN - 0306-3674
VL - 52
SP - 1040
EP - 1046
JO - British Journal of Sports Medicine
JF - British Journal of Sports Medicine
IS - 16
ER -