Gait retraining versus foot orthoses for patellofemoral pain: a pilot randomised clinical trial.

Abstract:

OBJECTIVES:To determine the feasibility of a clinical trial that compares a 6-week, physiotherapist-guided gait retraining program with a foot orthoses intervention in runners with patellofemoral pain. DESIGN:Pilot randomised controlled trial. METHODS:Runners aged 18-40 years with clinically diagnosed patellofemoral pain were randomly allocated to either a 6-week gait retraining intervention of increasing cadence and use of a minimalist shoe or prefabricated foot orthoses. Outcomes at baseline and 12-weeks included recruitment, retention, adherence, adverse events, global improvement, anterior knee pain scale, worst and average pain on a 100mm visual analogue scale. RESULTS:Of the 16 randomised participants, two withdrew prior to commencing treatment due to non-trial related matters (n=1 from each group) and 14 completed the pilot trial. Minor calf muscle soreness was reported by 3 participants in the gait retraining group while no adverse events were reported in the foot orthoses group. There were no deviations from the treatment protocols. There was a large between-group difference favouring gait retraining at 12-weeks in the anterior knee pain scale and the worst pain in the past week, which was reflected in the number needed-to-treat of 2. CONCLUSIONS:This study supports the feasibility of a trial comparing gait retraining with foot orthoses and provides point estimates of effect that informs the design and planning of a larger clinical trial. It appears that a 6-week gait retraining program has a clinically meaningful effect on runners with patellofemoral pain when compared to an evidence-based treatment of foot orthoses.

journal_name

J Sci Med Sport

authors

Bonacci J,Hall M,Saunders N,Vicenzino B

doi

10.1016/j.jsams.2017.09.187

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

457-461

issue

5

eissn

1440-2440

issn

1878-1861

pii

S1440-2440(17)31233-1

journal_volume

21

pub_type

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