TY - JOUR
T1 - Einlagenversorgung in der Therapie des Knicksenkfußes
T2 - Prospektive, randomisierte, doppelt verblindete, placebokontrollierte Studie zum Vergleich von sensomotorischen und stützenden Einlagen
AU - Schmitt, Alexander Pascal-Laurent
AU - Liebau, Kira-Henriette
AU - Hamm, Alexander
AU - Mittelmeier, Wolfram
AU - Schulze, Christoph
N1 - Schulze: Universitätsinstitut für Physikalische Medizin und Rehabilitation, Paracelsus Medizinische Universität, Müllner Hauptstr. 48, 5020, Salzburg, Österreich
PY - 2024/12/27
Y1 - 2024/12/27
N2 - BACKGROUND: In adults, flexible symptomatic flat foot is treated conservatively with supportive foot orthoses. Sensorimotor foot orthoses, however, are controversial due to insufficient data.PURPOSE: Comparison of the effectiveness of sensorimotor and supportive foot orthoses in adults.MATERIAL AND METHODS: In 73 patients, in addition to foot gymnastics, supportive, sensorimotor or placebo insoles were compared over 3 measurement points during 1 year as part of a double-blind, prospective, randomised placebo-controlled clinical trial using Numeric Rating-Scala, the Foot and Ankle Disability Index, as well as pedobarography and valgus index. The statistical analysis was performed using ANOVA with repeated measures.RESULTS: The valgus index increased significantly with supportive foot orthoses. In the follow-up, the foot contact area was only significantly reduced with sensorimotor foot orthoses in static and dynamic measurements. Supportive foot orthoses led to a faster reduction in pain, but without reducing the contact area of the foot. There were no relevant differences in functionality.CONCLUSIONS: The reduction of the contact surface in combination with sensorimotor foot orthoses shows the potential for muscular addressing of the flexible flat foot. There were no disadvantages compared to other treatments. Supportive foot orthoses led to a faster reduction in subjective complaints, but appear to weaken the muscles supporting the arch of the foot. In the longer term, consistent foot muscle training also appears to be effective, as wearing placebo foot orthoses also led to an improvement in subjective well-being without significant biomechanical changes.
AB - BACKGROUND: In adults, flexible symptomatic flat foot is treated conservatively with supportive foot orthoses. Sensorimotor foot orthoses, however, are controversial due to insufficient data.PURPOSE: Comparison of the effectiveness of sensorimotor and supportive foot orthoses in adults.MATERIAL AND METHODS: In 73 patients, in addition to foot gymnastics, supportive, sensorimotor or placebo insoles were compared over 3 measurement points during 1 year as part of a double-blind, prospective, randomised placebo-controlled clinical trial using Numeric Rating-Scala, the Foot and Ankle Disability Index, as well as pedobarography and valgus index. The statistical analysis was performed using ANOVA with repeated measures.RESULTS: The valgus index increased significantly with supportive foot orthoses. In the follow-up, the foot contact area was only significantly reduced with sensorimotor foot orthoses in static and dynamic measurements. Supportive foot orthoses led to a faster reduction in pain, but without reducing the contact area of the foot. There were no relevant differences in functionality.CONCLUSIONS: The reduction of the contact surface in combination with sensorimotor foot orthoses shows the potential for muscular addressing of the flexible flat foot. There were no disadvantages compared to other treatments. Supportive foot orthoses led to a faster reduction in subjective complaints, but appear to weaken the muscles supporting the arch of the foot. In the longer term, consistent foot muscle training also appears to be effective, as wearing placebo foot orthoses also led to an improvement in subjective well-being without significant biomechanical changes.
U2 - 10.1007/s00132-024-04589-1
DO - 10.1007/s00132-024-04589-1
M3 - Originalarbeit
C2 - 39729116
SN - 2731-7145
JO - ORTHOPADIE
JF - ORTHOPADIE
ER -