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Br J Sports Med. 2011 Sep;45(12):959-65. doi: 10.1136/bjsm.2008.055830. Epub 2009 Aug 12.

Clinical effectiveness of customised sport shoe orthoses for overuse injuries in runners: a randomised controlled study.

Author information

1
Department of Orthopaedics and Traumatology, Albert- Ludwigs University Freiburg, Germany. anja.hirschmueller@uniklinik-freiburg.de

Abstract

BACKGROUND AND OBJECTIVES:

Treatment of chronic running-related overuse injuries by orthopaedic shoe orthoses is very common but not evidence-based to date.

HYPOTHESIS:

Polyurethane foam orthoses adapted to a participant's barefoot plantar pressure distribution are an effective treatment option for chronic overuse injuries in runners.

DESIGN:

Prospective, randomised, controlled clinical trial.

INTERVENTION:

51 patients with running injuries were treated with custom-made, semirigid running shoe orthoses for 8 weeks. 48 served as a randomised control group that continued regular training activity without any treatment.

MAIN OUTCOME MEASURES:

Evaluation was made by the validated pain questionnaire Subjective Pain Experience Scale, the pain disability index and a comfort index in the orthoses group (ICI).

RESULTS:

There were statistically significant differences between the orthoses and control groups at 8 weeks for the pain disability index (mean difference 3.2; 95% CI 0.9 to 5.5) and the Subjective Pain Experience Scale (6.6; 2.6 to 10.6). The patients with orthoses reported a rising wearing comfort (pre-treatment ICI 69/100; post-treatment ICI 83/100) that was most pronounced in the first 4 weeks (ICI 80.4/100).

CONCLUSION:

Customised polyurethane running shoe orthoses are an effective conservative therapy strategy for chronic running injuries with high comfort and acceptance of injured runners.

PMID:
19679575
DOI:
10.1136/bjsm.2008.055830
[Indexed for MEDLINE]
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