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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2019

Open Access 01-12-2019 | Orthosis | Research article

Can short-term effectiveness of anti-pronation taping predict the long-term outcomes of customized foot orthoses: developing predictors to identify characteristics of patients with plantar heel pain likely to benefit from customized foot orthoses

Authors: Fu-Lien Wu, Yi-Fen Shih, Si-Huei Lee, Hong-Ji Luo, Wendy Tzyy-Jiuan Wang

Published in: BMC Musculoskeletal Disorders | Issue 1/2019

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Abstract

Background

Foot orthoses are widely used to manage plantar heel pain (PHP). However, the evidence concerning the effect of foot orthoses on PHP is not conclusive. The study aims to identify the characteristics of patients with PHP likely to achieve a positive outcome after customized foot orthoses and to verify the concept that patients who respond positively to anti-pronation taping would achieve a positive prognosis after wearing foot orthoses for six months.

Methods

This is a prospective observational cohort study. Seventy-four patients with PHP underwent a baseline examination and received anti-pronation taping to their painful feet. The taping effects on pain and function were assessed at the 7-day follow-up visit. Then, all patients received an intervention for their PHP with customized foot orthoses for six months. Outcome was assessed with a numeric pain rating scale, the patient-specific functional scale, the foot function index, and the global rating of perceived change. Significant reduction of pain, increase of function, and perception of a meaningful improvement were considered a positive response.

Results

Of 74 patients, 49 had a positive response to the customized foot orthosis treatment. Five predictors were identified: (1) the average pain intensity decreased by over 1.5 points with taping, (2) the range of ankle plantarflexion > 54 degrees, (3) the strength of ankle plantarflexors on the symptomatic side was equal to or stronger than that on the other side, (4) the range of hip internal rotation < 39 degrees, and (5) the range of hip external rotation > 45 degrees. The presence of three or more predictors increased the rate of achieving positive outcome from 66 to 89%.

Conclusions

The predictors of customized foot orthosis outcome in patients with PHP are related to several physical measures of a lower extremity. Findings of the study can be used to screen and select patients with PHP for foot orthosis intervention. Moreover, patients who respond positively to anti-pronation taping would also benefit from the customized foot orthoses. However, since there was no control group in the current study, it is inappropriate to draw conclusions about the effectiveness of the foot orthoses treatment.

Trial registration

The trial was retrospectively registered with the Australian and New Zealand Clinical Trials Registry (ACTRN 12617000119392).
Literature
1.
Rome K, Howe T, Haslock I. Risk factors associated with the development of plantar heel pain in athletes. Foot. 2001;11(3):119–25.CrossRef
2.
Taunton JE, Ryan MB, Clement DB, McKenzie DC, Lloyd-Smith DR, Zumbo BD. A retrospective case-control analysis of 2002 running injuries. Br J Sports Med. 2002;36(2):95–101.CrossRef
3.
Rome K. Anthropometric and biomechanical risk factors in the development of plantar heel pain—a review of the literature. Phys Ther Rev. 1997;2(3):123–34.CrossRef
4.
Martin RL, Davenport TE, Reischl SF, McPoil TG, Matheson JW, Wukich DK, McDonough CM, American Physical Therapy Association. Heel pain-plantar fasciitis: revision 2014. J Orthop Sports Phys Ther. 2014;44(11):A1–33.CrossRef
5.
Wearing SC, Smeathers JE, Sullivan PM, Yates B, Urry SR, Dubois P. Plantar fasciitis: are pain and fascial thickness associated with arch shape and loading? Phys Ther. 2007;87(8):1002–8.CrossRef
6.
Irving DB, Cook JL, Young MA, Menz HB. Obesity and pronated foot type may increase the risk of chronic plantar heel pain: a matched case-control study. BMC Musculoskelet Disord. 2007;8:41.CrossRef
7.
Lopes AD, Hespanhol Junior LC, Yeung SS, Costa LO. What are the main running-related musculoskeletal injuries? A Systematic Review Sports Med. 2012;42(10):891–905.CrossRef
8.
Sobhani S, Dekker R, Postema K, Dijkstra PU. Epidemiology of ankle and foot overuse injuries in sports: a systematic review. Scand J Med Sci Sports. 2013;23(6):669–86.CrossRef
9.
Di Caprio F, Buda R, Mosca M, Calabro A, Giannini S. Foot and lower limb diseases in runners: assessment of risk factors. J Sports Sci Med. 2010;9(4):587–96.PubMedPubMedCentral
10.
Cheung RT, Chung RC, Ng GY. Efficacies of different external controls for excessive foot pronation: a meta-analysis. Br J Sports Med. 2011;45(9):743–51.CrossRef
11.
Lee SY, McKeon P, Hertel J. Does the use of orthoses improve self-reported pain and function measures in patients with plantar fasciitis? A meta-analysis Phys Ther Sport. 2009;10(1):12–8.CrossRef
12.
Hume P, Hopkins W, Rome K, Maulder P, Coyle G, Nigg B. Effectiveness of foot orthoses for treatment and prevention of lower limb injuries : a review. Sports Med. 2008;38(9):759–79.CrossRef
13.
Hawke F, Burns J, Radford JA, du Toit V. Custom-made foot orthoses for the treatment of foot pain. Cochrane Database Syst Rev. 2008;16(3):CD006801.
14.
Smith M, Brooker S, Vicenzino B, McPoil T. Use of anti-pronation taping to assess suitability of orthotic prescription: case report. Aust J Physiother. 2004;50(2):111–3.CrossRef
15.
Vicenzino B. Foot orthotics in the treatment of lower limb conditions: a musculoskeletal physiotherapy perspective. Man Ther. 2004;9(4):185–96.CrossRef
16.
Meier K, McPoil TG, Cornwall MW, Lyle T. Use of antipronation taping to determine foot orthoses prescription: a case series. Res Sports Med. 2008;16(4):257–71.CrossRef
17.
Puentedura EJ, Cleland JA, Landers MR, Mintken PE, Louw A, Fernandez-de-Las-Penas C. Development of a clinical prediction rule to identify patients with neck pain likely to benefit from thrust joint manipulation to the cervical spine. J Orthop Sports Phys Ther. 2012;42(7):577–92.CrossRef
18.
Flynn T, Fritz J, Whitman J, Wainner R, Magel J, Rendeiro D, Butler B, Garber M, Allison S. A clinical prediction rule for classifying patients with low back pain who demonstrate short-term improvement with spinal manipulation. Spine (Phila Pa 1976). 2002;27(24):2835–43.CrossRef
19.
Vicenzino B, Collins N, Cleland J, McPoil T. A clinical prediction rule for identifying patients with patellofemoral pain who are likely to benefit from foot orthoses: a preliminary determination. Br J Sports Med. 2010;44(12):862–6.CrossRef
20.
Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res. (Hoboken) 2011;63 Suppl 11:S240–52.CrossRef
21.
Wu SH, Liang HW, Hou WH. Reliability and validity of the Taiwan Chinese version of the foot function index. J Formos Med Assoc. 2008;107(2):111–8.CrossRef
22.
Horn KK, Jennings S, Richardson G, Vliet DV, Hefford C, Abbott JH. The patient-specific functional scale: psychometrics, clinimetrics, and application as a clinical outcome measure. J Orthop Sports Phys Ther. 2012;42(1):30–42.CrossRef
23.
Landorf KB, Radford JA. Minimal important difference: values for the foot health status questionnaire, foot function index and visual analogue scale. Foot. 2008;18(1):15–9.CrossRef
24.
Medina McKeon JM, Hertel J. Sex differences and representative values for 6 lower extremity alignment measures. J Athl Train. 2009;44(3):249–55.CrossRef
25.
Elveru RA, Rothstein JM, Lamb RL, Riddle DL. Methods for taking subtalar joint measurements. A clinical report. Phys Ther. 1988;68(5):678–82.CrossRef
26.
Lamm BM, Mendicino RW, Catanzariti AR, Hillstrom HJ. Static rearfoot alignment: a comparison of clinical and radiographic measures. J Am Podiatr Med Assoc. 2005;95(1):26–33.CrossRef
27.
Spink MJ, Fotoohabadi MR, Menz HB. Foot and ankle strength assessment using hand-held dynamometry: reliability and age-related differences. Gerontology. 2010;56(6):525–32.CrossRef
28.
Kelln BM, McKeon PO, Gontkof LM, Hertel J. Hand-held dynamometry: reliability of lower extremity muscle testing in healthy, physically active,young adults. J Sport Rehabil 2008;17(2):160–170.CrossRef
29.
Kwon OY, Tuttle LJ, Commean PK, Mueller MJ. Reliability and validity of measures of hammer toe deformity angle and tibial torsion. Foot. (Edinb) 2009;19(3):149–55.CrossRef
30.
Stuberg W, Temme J, Kaplan P, Clarke A, Fuchs R. Measurement of tibial torsion and thigh-foot angle using goniometry and computed tomography. Clin Orthop Relat Res. 1991;272:208–12.
31.
Nilsson MK, Friis R, Michaelsen MS, Jakobsen PA, Nielsen RO. Classification of the height and flexibility of the medial longitudinal arch of the foot. J Foot Ankle Res. 2012;5:3.CrossRef
32.
Jarvis HL, Nester CJ, Jones RK, Williams A, Bowden PD. Inter-assessor reliability of practice based biomechanical assessment of the foot and ankle. J Foot Ankle Res. 2012;5:14.CrossRef
33.
Neto T, Jacobsohn L, Carita AI, Oliveira R. Reliability of the Active-Knee-Extension and Straight-Leg-Raise Tests in Subjects With Flexibility Deficits. J Sport Rehabil. 2015;Technical Notes 17:2014–0220.
34.
Clapis PA, Davis SM, Davis RO. Reliability of inclinometer and goniometric measurements of hip extension flexibility using the modified Thomas test. Physiother Theory Pract. 2008;24(2):135–41.CrossRef
35.
Reese NB, Bandy WD. Use of an inclinometer to measure flexibility of the iliotibial band using the Ober test and the modified Ober test: differences in magnitude and reliability of measurements. J Orthop Sports Phys Ther. 2003;33(6):326–30.CrossRef
36.
Redmond AC, Crosbie J, Ouvrier RA. Development and validation of a novel rating system for scoring standing foot posture: the Foot Posture Index. Clin Biomech. (Bristol, Avon) 2006;21(1):89–98.CrossRef
37.
Landorf KB, Radford JA, Keenan AM, Redmond AC. Effectiveness of low-dye taping for the short-term management of plantar fasciitis. J Am Podiatr Med Assoc. 2005;95(6):525–30.CrossRef
38.
Hyland MR, Webber-Gaffney A, Cohen L, Lichtman PT. Randomized controlled trial of calcaneal taping, sham taping, and plantar fascia stretching for the short-term management of plantar heel pain. J Orthop Sports Phys Ther. 2006;36(6):364–71.CrossRef
39.
Jaeschke R, Singer J, Guyatt GH. Measurement of health status. Ascertaining the minimal clinically important difference. Control Clin Trials. 1989;10(4):407–15.CrossRef
40.
Kamper SJ, Maher CG, Mackay G. Global rating of change scales: a review of strengths and weaknesses and considerations for design. J Man Manip Ther. 2009;17(3):163–70.CrossRef
41.
Peduzzi P, Concato J, Kemper E, Holford TR, Feinstein AR. A simulation study of the number of events per variable in logistic regression analysis. J Clin Epidemiol. 1996;49(12):1373–9.CrossRef
42.
Harrell FJ, Lee KL, Mark DB. Multivariable prognostic models: issues in developing models, evaluating assumptions and adequacy, and measuring and reducing errors. Stat Med. 1996;15:361–87.CrossRef
43.
Soucie JM, Wang C, Forsyth A, Funk S, Denny M, Roach KE, Boone D. Hemophilia treatment center N. range of motion measurements: reference values and a database for comparison studies. Haemophilia. 2011;17(3):500–7.CrossRef
44.
Yates B, White S. The incidence and risk factors in the development of medial tibial stress syndrome among naval recruits. Am J Sports Med. 2004;32(3):772–80.CrossRef
45.
Sahrmann S. Diagnosis and treatment of movement impairment syndromes: Elsevier health sciences; 2002.
46.
Comerford MJ, Mottram SL. Movement and stability dysfunction--contemporary developments. Man Ther. 2001;6(1):15–26.CrossRef
47.
Rathleff MS, Molgaard CM, Fredberg U, Kaalund S, Andersen KB, Jensen TT, Aaskov S, Olesen JL. High-load strength training improves outcome in patients with plantar fasciitis: a randomized controlled trial with 12-month follow-up. Scand J Med Sci Sports. 2015;25(3):e292–300.CrossRef
48.
Moen MH, Bongers T, Bakker EW, Zimmermann WO, Weir A, Tol JL, Backx FJ. Risk factors and prognostic indicators for medial tibial stress syndrome. Scand J Med Sci Sports. 2012;22(1):34–9.CrossRef
49.
Lee MS, Vanore JV, Thomas JL, Catanzariti AR, Kogler G, Kravitz SR, Miller SJ, Gassen SC. Clinical practice guideline adult flatfoot P. diagnosis and treatment of adult flatfoot. J Foot Ankle Surg. 2005;44(2):78–113.CrossRef
50.
Hamstra-Wright KL, Bliven KC, Bay C. Risk factors for medial tibial stress syndrome in physically active individuals such as runners and military personnel: a systematic review and meta-analysis. Br J Sports Med. 2015;49(6):362–9.CrossRef
51.
Newman P, Witchalls J, Waddington G, Adams R. Risk factors associated with medial tibial stress syndrome in runners: a systematic review and meta-analysis. Open Access J Sports Med. 2013;4:229–41.CrossRef
52.
Winkelmann ZK, Anderson D, Games KE, Eberman LE. Risk factors for medial Tibial stress syndrome in active individuals: an evidence-based review. J Athl Train. 2016;51(12):1049–52.CrossRef
Metadata
Title
Can short-term effectiveness of anti-pronation taping predict the long-term outcomes of customized foot orthoses: developing predictors to identify characteristics of patients with plantar heel pain likely to benefit from customized foot orthoses
Authors
Fu-Lien Wu
Yi-Fen Shih
Si-Huei Lee
Hong-Ji Luo
Wendy Tzyy-Jiuan Wang
Publication date
01-12-2019
Publisher
BioMed Central
Keyword
Orthosis
Published in
BMC Musculoskeletal Disorders / Issue 1/2019
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-019-2648-3

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