Pain Reduction in Patellofemoral Knee Patients During 3-Month Intervention with Biomechanical and Sensorimotor Foot Orthoses: A Randomized Controlled Clinical Study
<b>Background:</b> Patellofemoral pain (PFP) significantly affects patients’ daily activities and consequently reduces their quality of life. Custom-made foot orthoses (FOs) are a common method of medical treatment that positively influences biomechanical factors such as the kinematics o...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2024-12-01
|
| Series: | Biomedicines |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9059/13/1/38 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832589069435011072 |
|---|---|
| author | Steven Simon Andreas Heine Jonas Dully Carlo Dindorf Oliver Ludwig Michael Fröhlich Stephan Becker |
| author_facet | Steven Simon Andreas Heine Jonas Dully Carlo Dindorf Oliver Ludwig Michael Fröhlich Stephan Becker |
| author_sort | Steven Simon |
| collection | DOAJ |
| description | <b>Background:</b> Patellofemoral pain (PFP) significantly affects patients’ daily activities and consequently reduces their quality of life. Custom-made foot orthoses (FOs) are a common method of medical treatment that positively influences biomechanical factors such as the kinematics of the lower extremity and reduces pain perception in patients. However, there is a gap in research regarding the influence of different FO treatments on knee pain. Therefore, this study addresses the impact of biomechanical foot orthoses (BMFOs) and sensorimotor foot orthoses (SMFOs) on patients with foot deformity and PFP. <b>Methods:</b> A total of 26 participants (9 men, 17 women; 27.7 ± 10.7 years; 175.0 ± 0.1 cm; 75.7 ± 18.8 kg; BMI: 24.7 ± 5.6) took part in this randomized controlled clinical trial. In the pre-test, knee pain was evaluated using the Kujala Anterior Knee Pain Scale after the physician’s anamnesis and plantar pressure measurement. A 3-month intervention with SMFO and BMFO was performed, and weekly development was evaluated using 11-item visual analog scales (VASs). Repeated measures analyses of variance were used to assess differences between time of measurements (ToMs) and the interaction effect between ToMs and treatment groups (SMFO, BMFO). <b>Results:</b> Statistical analysis revealed no statistically significant interaction between ToMs and treatment groups but a significant main effect on Kujala anterior knee pain scores (M<sub>Diff</sub> = 10.189; <i>p</i> = 0.014) and 12-week VAS (<i>p</i> = 0.001). <b>Conclusions:</b> The findings indicate that both treatment approaches effectively alleviated perceived knee pain in the PFP sample with foot deformity, with neither approach demonstrating superior efficacy. This trial was registered in the WHO International Clinical Trials Registry Platform (ICTRP) and German Clinical Trials Register (DRKS00035082). |
| format | Article |
| id | doaj-art-b58cf599f4a44122b2eb90dbc6ced853 |
| institution | Kabale University |
| issn | 2227-9059 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Biomedicines |
| spelling | doaj-art-b58cf599f4a44122b2eb90dbc6ced8532025-01-24T13:23:48ZengMDPI AGBiomedicines2227-90592024-12-011313810.3390/biomedicines13010038Pain Reduction in Patellofemoral Knee Patients During 3-Month Intervention with Biomechanical and Sensorimotor Foot Orthoses: A Randomized Controlled Clinical StudySteven Simon0Andreas Heine1Jonas Dully2Carlo Dindorf3Oliver Ludwig4Michael Fröhlich5Stephan Becker6Department of Sports Science, RPTU University of Kaiserslautern-Landau, 67663 Kaiserslautern, GermanyOrthopedic Medical Practice, Hammer Straße 9, 49740 Haselünne, GermanyDepartment of Sports Science, RPTU University of Kaiserslautern-Landau, 67663 Kaiserslautern, GermanyDepartment of Sports Science, RPTU University of Kaiserslautern-Landau, 67663 Kaiserslautern, GermanyDepartment of Sports Science, RPTU University of Kaiserslautern-Landau, 67663 Kaiserslautern, GermanyDepartment of Sports Science, RPTU University of Kaiserslautern-Landau, 67663 Kaiserslautern, GermanyDepartment of Sports Science, RPTU University of Kaiserslautern-Landau, 67663 Kaiserslautern, Germany<b>Background:</b> Patellofemoral pain (PFP) significantly affects patients’ daily activities and consequently reduces their quality of life. Custom-made foot orthoses (FOs) are a common method of medical treatment that positively influences biomechanical factors such as the kinematics of the lower extremity and reduces pain perception in patients. However, there is a gap in research regarding the influence of different FO treatments on knee pain. Therefore, this study addresses the impact of biomechanical foot orthoses (BMFOs) and sensorimotor foot orthoses (SMFOs) on patients with foot deformity and PFP. <b>Methods:</b> A total of 26 participants (9 men, 17 women; 27.7 ± 10.7 years; 175.0 ± 0.1 cm; 75.7 ± 18.8 kg; BMI: 24.7 ± 5.6) took part in this randomized controlled clinical trial. In the pre-test, knee pain was evaluated using the Kujala Anterior Knee Pain Scale after the physician’s anamnesis and plantar pressure measurement. A 3-month intervention with SMFO and BMFO was performed, and weekly development was evaluated using 11-item visual analog scales (VASs). Repeated measures analyses of variance were used to assess differences between time of measurements (ToMs) and the interaction effect between ToMs and treatment groups (SMFO, BMFO). <b>Results:</b> Statistical analysis revealed no statistically significant interaction between ToMs and treatment groups but a significant main effect on Kujala anterior knee pain scores (M<sub>Diff</sub> = 10.189; <i>p</i> = 0.014) and 12-week VAS (<i>p</i> = 0.001). <b>Conclusions:</b> The findings indicate that both treatment approaches effectively alleviated perceived knee pain in the PFP sample with foot deformity, with neither approach demonstrating superior efficacy. This trial was registered in the WHO International Clinical Trials Registry Platform (ICTRP) and German Clinical Trials Register (DRKS00035082).https://www.mdpi.com/2227-9059/13/1/38sensorimotor systemSMFOfoot orthosessensorimotor insolesknee pain patientschondropathia patellae |
| spellingShingle | Steven Simon Andreas Heine Jonas Dully Carlo Dindorf Oliver Ludwig Michael Fröhlich Stephan Becker Pain Reduction in Patellofemoral Knee Patients During 3-Month Intervention with Biomechanical and Sensorimotor Foot Orthoses: A Randomized Controlled Clinical Study Biomedicines sensorimotor system SMFO foot orthoses sensorimotor insoles knee pain patients chondropathia patellae |
| title | Pain Reduction in Patellofemoral Knee Patients During 3-Month Intervention with Biomechanical and Sensorimotor Foot Orthoses: A Randomized Controlled Clinical Study |
| title_full | Pain Reduction in Patellofemoral Knee Patients During 3-Month Intervention with Biomechanical and Sensorimotor Foot Orthoses: A Randomized Controlled Clinical Study |
| title_fullStr | Pain Reduction in Patellofemoral Knee Patients During 3-Month Intervention with Biomechanical and Sensorimotor Foot Orthoses: A Randomized Controlled Clinical Study |
| title_full_unstemmed | Pain Reduction in Patellofemoral Knee Patients During 3-Month Intervention with Biomechanical and Sensorimotor Foot Orthoses: A Randomized Controlled Clinical Study |
| title_short | Pain Reduction in Patellofemoral Knee Patients During 3-Month Intervention with Biomechanical and Sensorimotor Foot Orthoses: A Randomized Controlled Clinical Study |
| title_sort | pain reduction in patellofemoral knee patients during 3 month intervention with biomechanical and sensorimotor foot orthoses a randomized controlled clinical study |
| topic | sensorimotor system SMFO foot orthoses sensorimotor insoles knee pain patients chondropathia patellae |
| url | https://www.mdpi.com/2227-9059/13/1/38 |
| work_keys_str_mv | AT stevensimon painreductioninpatellofemoralkneepatientsduring3monthinterventionwithbiomechanicalandsensorimotorfootorthosesarandomizedcontrolledclinicalstudy AT andreasheine painreductioninpatellofemoralkneepatientsduring3monthinterventionwithbiomechanicalandsensorimotorfootorthosesarandomizedcontrolledclinicalstudy AT jonasdully painreductioninpatellofemoralkneepatientsduring3monthinterventionwithbiomechanicalandsensorimotorfootorthosesarandomizedcontrolledclinicalstudy AT carlodindorf painreductioninpatellofemoralkneepatientsduring3monthinterventionwithbiomechanicalandsensorimotorfootorthosesarandomizedcontrolledclinicalstudy AT oliverludwig painreductioninpatellofemoralkneepatientsduring3monthinterventionwithbiomechanicalandsensorimotorfootorthosesarandomizedcontrolledclinicalstudy AT michaelfrohlich painreductioninpatellofemoralkneepatientsduring3monthinterventionwithbiomechanicalandsensorimotorfootorthosesarandomizedcontrolledclinicalstudy AT stephanbecker painreductioninpatellofemoralkneepatientsduring3monthinterventionwithbiomechanicalandsensorimotorfootorthosesarandomizedcontrolledclinicalstudy |