Published online Sep 18, 2023. doi: 10.5312/wjo.v14.i9.707
Peer-review started: April 13, 2023
First decision: July 4, 2023
Revised: August 3, 2023
Accepted: August 21, 2023
Article in press: August 21, 2023
Published online: September 18, 2023
Plantar fasciitis (PF) affects around 10% of the population. Prefabricated orthotics with arch support has been shown to provide symptom relief in PF by decreasing the repetitive stress sustained by the plantar fascia. However, prefabricated ortho
To compare the combined use of prefabricated orthotics and orthotic sandals vs the sole use of prefabricated orthotics in the treatment of PF.
98 participants with PF were randomised into two groups. The intervention group received the Aetrex L420 Compete orthotics and the Aetrex L3000 Maui Flips (orthotic sandals), whilst the control group received the Aetrex L420 Compete orthotics only. Foot pain was assessed both by the numerical rating scale (NRS) and the pain sub-scale of the foot health status questionnaire (FHSQ). Foot func
Foot pain scores measured both by NRS and FHSQ pain sub-scale showed statistically significant reductions in foot pain in both groups (P < 0.05) at six months. Both groups also reported statistically significant improvements (P < 0.05) in function as measured by the FHSQ function subscale and improvement of symptoms as measured by the GROC scale. Between-group analysis showed that the intervention group with the combined use of orthotics and orthotic sandals scored better on all four outcome measures as compared to the control group with the sole use of orthotics. However, the between-group analysis only reached statistical significance on the NRS pain score (P < 0.05).
Combined use of prefabricated orthotics and orthotic sandals provides a greater decrease in foot pain and im
Core Tip: Plantar fasciitis (PF) is a common cause of heel pain and affects 10% of the population. Prefabricated orthotics provides relief of symptoms by supporting the arch but can only be used with shoes. Using both prefabricated orthotics and orthotic sandals can extend the period of support. This study finds that the combined use of Aetrex L420 orthotics and Aetrex L3000 orthotic sandals and the sole use of Aetrex L420 orthotics provide statistically significant decreases in foot pain and improved foot function in PF. The effect was greater when both the orthotic and orthotic sandals were used in combination.