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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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European Journal of Physical and Rehabilitation Medicine 2018 Mar 16

DOI: 10.23736/S1973-9087.18.05108-0

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

The effect of different foot orthoses on pain and health related quality of life in painful flexible flat foot: a randomized controlled trial

Yasin YURT 1 , Gül ŞENER 2, Yavuz YAKUT 3

1 Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Eastern Mediterranean University, Mersin, Turkey; 2 Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey; 3 Hasan Kalyoncu University, Institute of Health Sciences, Gaziantep, Turkey


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BACKGROUND: Foot orthoses are widely used in conservative treatment of painful flexible flatfoot however research is limited to choose the best option in orthotic treatment.
AIM: We aimed to compare the effects of computer-aided design/computer-aided manufacturing (CAD-CAM) and conventional insole types in comparison with sham insole, on pain and health related quality of life in patients with painful flexible flatfoot.
DESIGN: Randomized controlled trial.
SETTING: Outpatient rehabilitation clinic.
POPULATION: Sixty-seven people with painful flexible flatfoot, aged between 18 and 45 years, were assigned to CAD-CAM (n=22), conventional (n=22) or sham (n=23) groups.
METHODS: In addition to insoles, a home-based exercise program was followed by all participants for eight weeks. Foot pain intensity and quality of life were assessed at the initial evaluation and at the end of two-month follow-up.
RESULTS: Pain intensity (Mean±SD, mm on VAS) was significantly lower in CAD-CAM (27.84±18.41) and conventional (27.05±16.82) insole groups than sham group (46.39±20.18) after two months (p<.05), but there was no difference between conventional and CAD-CAM (p>.05). All groups had significantly higher physical health scores at the second assessment (p<.05), but there was no intergroup difference (p>.05).
CONCLUSIONS: CAD-CAM and conventionally designed insoles are both more effective than having sham insole in alleviating pain in painful flexible flatfoot.
CLINICAL REHABILITATION IMPACT: CAD-CAM and conventionally designed semicustom insoles in conjunction with a home-based exercise program are both effective in controlling pain compared with sham insole and exercise in painful flexible flatfoot. Clinicians can prescribe both types of semicustom insoles as a part of conservative treatment instead of each other.


KEY WORDS: CAD-CAM - Flatfoot - Foot orthoses - Pain - Quality of life

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Publication History

Article first published online: March 16, 2018
Manuscript accepted: March 15, 2018
Manuscript revised: February 28, 2018
Manuscript received: December 9, 2017

Cite this article as

Yurt Y, Şener G, Yakut Y. The effect of different foot orthoses on pain and health related quality of life in painful flexible flat foot: a randomized controlled trial. Eur J Phys Rehabil Med 2018 Mar 16. DOI: 10.23736/S1973-9087.18.05108-0

Corresponding author e-mail

fzt.yasinyurt@gmail.com