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Sharifian M, Taheri A, Karimi M T. Comparison of the Effect of Prefabricated Foot Orthoses on Pain and Quality of Life in Women With Plantar Fasciiti. jrehab. 2018; 19 (1) :18-25
URL: http://rehabilitationj.uswr.ac.ir/article-1-2194-en.html
1- Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran. , m.sharifian1991@yahoo.com
2- Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.
3- Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Abstract:   (1925 Views)
Objective The purpose of the present study was to investigate the effect of soft and semi-rigid prefabricated insoles on the improvement of pain and quality of life in women with plantar fasciitis.
Materials & Methods This study was a randomized clinical trial. A society with 30 women diagnosed with plantar fasciitis by physical and rehabilitation physicians, orthopedic practitioners, and other rehabilitation colleagues and referred to an orthopedic clinic of Isfahan University of Medical Sciences . Absolute recognition of plantar fasciitis was performed by the researcher using Windlass mechanism test. In this study, prefabricated soft insoles made from ethyl vinyl acetate with low-density and semi-hardened insoles of ethyl vinyl acetate with high-density were used. The insoles were full-length with an internal longitudinal arch proportional to the size of the feet of each patient. The intervention was randomly divided into two treatment groups. The patients (n=30) were divided into two groups of 15, which consisted of the test and measurement steps. The first group was without intervention, soft insoles and the semi-hardened insoles. The second group was with the stage without intervention, the soft insoles and semi-hardened insoles. Before intervention, the Foot and Ankle score and quality of life questionnaire (SF-36) was completed and then orthoses intervention was performed in two stages. One questionnaire completed after two weeks using orthosis and another six weeks after using orthosis. Normal distribution of data was calculated using Shapiro Wilk test, and for the final analysis, tests of repeated measures ANOVA were used. Statistical calculations were performed using SPSS 20 software and P<0.05 was considered significant.
Results The results demonstrated that the difference between the mean quality of life of patients in two stages of without insoles and with soft insoles was significantly higher in comparison to the without insoles stage (P<0.05). This result is same as when without insole stage is compared with semi-rigid insole and mean difference showed that this figure was significantly higher in comparison with the without insoles stage (P<0.05). The mean quality of life is higher in the semi-hard insoles in comparison to soft insole stage and the difference between these two stages is not significant (P˃0.05). The mean of foot and ankle pain in was significantly more inpatient without insole condition in comparison to patient with a soft insole (P<0.05). The mean foot and ankle pain in without insole condition is significantly more than the time when the patient has a semi-rigid insole (P<0.05). While the comparison of the pain score with soft insoles and semi-rigid insoles indicates that the pain level of the foot and ankle is significantly higher with the semi-rigid insoles.
Conclusion Based on the present findings, it can be concluded that orthosis intervention, regardless of its gender, has no significant improvement in the quality of life in patients with plantar fasciitis. Furthermore, soft insole reduces the pain of the ankle and foot in these patients.
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Type of Study: Original | Subject: Orthotics & Prosthetics
Received: 30/05/2017 | Accepted: 14/09/2017 | Published: 1/02/2018

1. Liddle D, Rome K, Howe T. Vertical ground reaction forces in patients with unilateral plantar heel pain: A pilot study. Gait & Posture. 2000; 11(1):62–6. doi: 10.1016/s0966-6362(99)00053-3 [DOI:10.1016/S0966-6362(99)00053-3]
2. Roos E, Engström M, Söderberg B. Foot orthoses for the treatment of plantar fasciitis. Foot & Ankle International. 2006; 27(8):606–11. doi: 10.1177/107110070602700807 [DOI:10.1177/107110070602700807]
3. Young CC, Rutherford DS, Niedfeldt MW. Treatment of plantar fasciitis. American Family Physician. 2001; 63(3):467-74. PMID: 11272297 [PMID]
4. Kogler GF, Veer FB, Solomonidis SE, Paul JP. The influence of medial and lateral placement of orthotic wedges on loading of the plantar aponeurosis: An in-vitro study. The Journal of Bone & Joint Surgery. 1999; 81(10):1403–13. doi: 10.2106/00004623-199910000-00005 [DOI:10.2106/00004623-199910000-00005]
5. Sammarco GJ. Rehabilitation of the foot and ankle. Missouri: Mosby Incorporated; 1995.
6. Wolgin M, Cook C, Graham C, Mauldin D. Conservative treatment of plantar heel pain: Long-term follow-up. Foot & Ankle International. 1994; 15(3):97–102. doi: 10.1177/107110079401500303 [DOI:10.1177/107110079401500303]
7. Riddle DL, Pulisic M, Pidcoe P, Johnson RE. Risk factors for plantar fasciitis. The Journal of Bone and Joint Surgery-American Volume. 2003; 85(5):872–7. doi: 10.2106/00004623-200305000-00015 [DOI:10.2106/00004623-200305000-00015]
8. Landorf KB, Keenan AM, Herbert RD. Effectiveness of different types of foot orthoses for the treatment of plantar fasciitis. Journal of the American Podiatric Medical Association. 2004; 94(6):542–9. doi: 10.7547/0940542 [DOI:10.7547/0940542]
9. Thomas JL, Christensen JC, Kravitz SR, Mendicino RW, Schuberth JM, Vanore JV, et al. The diagnosis and treatment of heel pain: A clinical practice guideline–revision 2010. The Journal of Foot and Ankle Surgery. 2010; 49(3):S1–S19. doi: 10.1053/j.jfas.2010.01.001 [DOI:10.1053/j.jfas.2010.01.001]
10. Menz HB, Zammit GV, Landorf KB, Munteanu SE. Plantar calcaneal spurs in older people: Longitudinal traction or vertical compression. Journal of Foot and Ankle Research. 2008; 1(1). doi: 10.1186/1757-1146-1-7 [DOI:10.1186/1757-1146-1-7]
11. Gross MT, Byers JM, Krafft JL, Lackey EJ, Melton KM. The impact of custom semirigid foot orthotics on pain and disability for individuals with plantar fasciitis. Journal of Orthopaedic & Sports Physical Therapy. 2002; 32(4):149–57. doi: 10.2519/jospt.2002.32.4.149 [DOI:10.2519/jospt.2002.32.4.149]
12. Rezaeian T, Motiallah T, Ghanbari N, Moghimi F, Piroozi S. The prevalence of foot structural deformities in female hairdressers working in Shiraz. Physical Treatments: Specific Physical Therapy. 2015; 5(2). doi: 10.15412/j.ptj.07050202 [DOI:10.15412/J.PTJ.07050202]
13. Shakeri H, Ahi S, Arab AM. [The relationship between general hypermobility and foot arch in healthy adult females (Persian)]. Physical Treatments. 2012; 2(1):51-6.
14. Wapner KL, Sharkey PF. The use of night splints for treatment of recalcitrant plantar fasciitis. Foot & Ankle. 1991; 12(3):135–7. doi: 10.1177/107110079101200301 [DOI:10.1177/107110079101200301]
15. Pfeffer G, Bacchetti P, Deland J, Lewis A, Anderson R, Davis W, et al. Comparison of custom and prefabricated orthoses in the initial treatment of proximal plantar fasciitis. Foot & Ankle International. 1999; 20(4):214–21. doi: 10.1177/107110079902000402 [DOI:10.1177/107110079902000402]
16. O'Brien D, Martin W. A retrospective analysis of heel pain. Journal of the American Podiatric Medical Association. 1985; 75(8):416–8. doi: 10.7547/87507315-75-8-416 [DOI:10.7547/87507315-75-8-416]
17. Nakhaei M, Tahmasbi M, Karimlou M, Vahab KR. [Comparison of three type orthoses effects on plantar fasciitis (Persian)]. Archives of Rehabilitation. 2008; 9(3):8-15.
18. Turlik MA, Donatelli TJ, Veremis MG. A comparison of shoe inserts in relieving mechanical heel pain. The Foot. 1999; 9(2):84–7. doi: 10.1054/foot.1999.0522 [DOI:10.1054/foot.1999.0522]
19. Probe RA, Baca M, Adams R, Preece C. Night splint treatment for plantar fasciitis: A prospective randomized study. Clinical Orthopaedics and Related Research. 1999; 368:190-5. doi: 10.1097/00003086-199911000-00023 [DOI:10.1097/00003086-199911000-00023]
20. Bahramizadeh M, Arazpoor M, Mardani MA, Keyhani MR. A comparative study between the effect of functional foot orthosis and modified orthosis on improvement of pain in patients with plantar fasciitis. Annals of Military and Health Sciences Research. 2009; 7(1):21-6.
21. Martin JE, Hosch JC, Goforth WP, Murff RT, Lynch DM, Odom RD. Mechanical treatment of plantar fasciitis. Journal of the American Podiatric Medical Association. 2001; 91(2):55–62. doi: 10.7547/87507315-91-2-55 [DOI:10.7547/87507315-91-2-55]
22. Barry LD, Barry AN, Chen Y. A retrospective study of standing gastrocnemius-soleus stretching versus night splinting in the treatment of plantar fasciitis. The Journal of Foot and Ankle Surgery. 2002; 41(4):221–7. doi: 10.1016/s1067-2516(02)80018-7 [DOI:10.1016/S1067-2516(02)80018-7]
23. Rome K, Gray J, Stewart F, Hannant SC, Callaghan D, Hubble J. Evaluating the clinical effectiveness and cost-effectiveness of foot orthoses in the treatment of plantar heel pain. Journal of the American Podiatric Medical Association. 2004; 94(3):229–38. doi: 10.7547/0940229 [DOI:10.7547/0940229]
24. Powell M, Post WR, Keener J, Wearden S. Effective treatment of chronic plantar fasciitis with dorsiflexion night splints: A crossover prospective randomized outcome study. Foot & Ankle International. 1998; 19(1):10–8. doi: 10.1177/107110079801900103 [DOI:10.1177/107110079801900103]
25. Bahrami Zadeh M, Forough B, Saeedi H, Keyhani MR. [Comparison between medial heel wedge effect and lateral forefoot wedge effect on improvement of activity daily living, sport and recreational activities and pain in plantar fasciitis patients (Persian)]. Archives of Rehabilitation. 2007; 8(3):62-6.
26. Karimi MT, Fereshtehnejad N, Pool F. The impact of foot insole on the energy consumption of flat-footed individuals during walking. Foot & Ankle Specialist. 2012; 6(1):21–6. doi: 10.1177/1938640012457676 [DOI:10.1177/1938640012457676]
27. Bahramizadeh M, Tehraninasr A, Froogh B, Saeedi H. A comparative study of the biomechanics of plantar fasciitis treatment: Two methods of orthotic wedging. Journal of Biomechanics. 2006; 39:S169-70. [DOI:10.1016/S0021-9290(06)83592-X]
28. Forough B, Bahrami M, Saiidi H, Rahimi F. [The effect of medial heel wedge on improvement of pain in patients suffering from plantar fasciitis (Persian)]. Arak Medical University Journal. 2006; 9(3):60-6.
29. Farmani F, Sadeghi M, Saeedi H, Kamali M. The effect of foot orthoses on energy consumption in runners with flat foot. Indian Journal of Physiotherapy & Occupational Therapy. 2011; 5(1):60-2.
30. 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. Physical Therapy in Sport. 2009; 10(1):12–8. doi: 10.1016/j.ptsp.2008.09.002 [DOI:10.1016/j.ptsp.2008.09.002]
31. Perhamre S, Lundin F, Norlin R, Klässbo M. Sever's injury; treat it with a heel cup: a randomized, crossover study with two insole alternatives. Scandinavian Journal of Medicine & Science in Sports. 2011; 21(6):42-7. Available from: [DOI:10.1111/j.1600-0838.2010.01140.x]
32. Davis PF, Severud E, Baxter DE. Painful heel syndrome: results of nonoperative treatment. Foot & Ankle International. 1994; 15(10):531–5. doi: 10.1177/107110079401501002 [DOI:10.1177/107110079401501002]
33. Bolgla LA, Malone TR. Plantar fasciitis and the windlass mechanism: a biomechanical link to clinical practice. Journal of Athletic Training. 2004; 39(1):77-82. PMCID: PMC385265 [PMID] [PMCID]
34. Drake M, Bittenbender C, Boyles RE. The short-term effects of treating plantar fasciitis with a temporary custom foot orthosis and stretching. Journal of Orthopaedic & Sports Physical Therapy. 2011; 41(4):221–31. doi: 10.2519/jospt.2011.3348 [DOI:10.2519/jospt.2011.3348]
35. De Garceau D, Dean D, Requejo SM, Thordarson DB. The association between diagnosis of plantar fasciitis and windlass test results. Foot & Ankle International. 2003; 24(3):251–5. doi: 10.1177/107110070302400309 [DOI:10.1177/107110070302400309]
36. Negahban H, Mazaheri M, Salavati M, Sohani SM, Askari M, Fanian H, et al. Reliability and validity of the foot and ankle outcome score: A validation study from Iran. Clinical Rheumatology. 2010; 29(5):479–86. doi: 10.1007/s10067-009-1344-3 [DOI:10.1007/s10067-009-1344-3]
37. Bahramian F, Abootorabi A, Zarezadeh F, Rezaeian T. [Effect of custom-molded insole with new technique on pain and function in females with flexible flat foot: A pilot study (Persian)]. Journal of Rehabilitation. 2016; 17(4):318–25. doi: 10.21859/jrehab-1704318 [DOI:10.21859/jrehab-1704318]
38. Montazeri A, Goshtasebi A, Vahdaninia M, Gandek B. The short form health survey (SF-36): Translation and validation study of the Iranian version. Quality of Life Research. 2005; 14(3):875–82. doi: 10.1007/s11136-004-1014-5 [DOI:10.1007/s11136-004-1014-5]
39. Mokhtari F, Ghasemi N. Comparison of Elderlys "Quality of Life and Mental Health Living in Nursing Homes and Members of Retired Club of Shiraz City" (Persian)]. Iranian Journal of Ageing. 2011; 5(18):53-63.

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