1. [Insoles in the treatment of pes planovalgus : A prospective, randomised, double-blind, placebo-controlled comparative trial of sensomotoric and supportive insoles].
- Author
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Schmitt AP, Liebau KH, Hamm A, Mittelmeier W, and Schulze C
- Subjects
- Humans, Double-Blind Method, Female, Male, Prospective Studies, Adult, Middle Aged, Treatment Outcome, Foot Orthoses, Flatfoot therapy
- Abstract
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., Competing Interests: Einhaltung ethischer Richtlinien. Interessenkonflikt: A.P.-L. Schmitt, K.-H. Liebau, A. Hamm, W. Mittelmeier und C. Schulze geben an, dass kein Interessenkonflikt besteht. Alle beschriebenen Untersuchungen am Menschen oder an menschlichem Gewebe wurden mit Zustimmung der zuständigen Ethikkommission, im Einklang mit nationalem Recht sowie gemäß der Deklaration von Helsinki von 1975 (in der aktuellen, überarbeiteten Fassung) durchgeführt. Von allen beteiligten Patient/-innen liegt eine Einverständniserklärung vor., (© 2024. The Author(s).)
- Published
- 2025
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