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Foot Ankle Spec. 2018 Apr;11(2):112-116. doi: 10.1177/1938640017709906. Epub 2017 May 17.

A Preliminary Study on the Effect of Computer-Aided Designed and Manufactured Orthoses on Chronic Plantar Heel Pain.

Author information

1
Faculty of Health Sciences, University of Malta, Msida, Malta (AG, MG, CF).
2
Faculty of Health Sciences, Staffordshire University, Stoke on Trent, UK (NC).

Abstract

INTRODUCTION:

Chronic plantar heel pain (CPHP) is a significant, painful condition referring to a range of undifferentiated foot conditions that affect the heel of the foot.

METHOD:

Participants presenting with CPHP of more than 6 months' duration were recruited on a first through the door basis. Computer-Aided Design and Computer-Aided Manufactured (CAD-CAM) orthoses were designed and constructed for each participant, then dispensed as per normal practice. Pre- and postintervention assessment of pain was performed at baseline and after 6 weeks of use, utilizing the pain subset of the Foot Function Index (FFI).

RESULTS:

There was a significant reduction in the mean pain scores for all participants in all constructs of the FFI. Total FFI score was also significant ( P = .003).

CONCLUSION:

CAD-CAM orthoses have the potential to become a treatment modality of choice in CPHP since they have resulted in a significant improvement in heel pain after only 6 weeks' use.

LEVELS OF EVIDENCE:

Therapeutic, Level IV: Prospective, comparative trial.

KEYWORDS:

ankle; diagnostic and therapeutic techniques; heel; heel and arch pain; orthotic therapy; pain management; rearfoot

PMID:
28513217
DOI:
10.1177/1938640017709906
[Indexed for MEDLINE]

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