Article

Patellofemoral pain is one of the most common disorders affecting the
knee. Forefoot varus and excessive subtalar pronation
can be associated with
patellofemoral pain. Foot orthotics may produce an improvement in symptoms.
The aim of this study was to test whether patellofemoral pain is
improved after four weeks of using custom-made foot orthoses. DESIGN:
Clinical trial without control group. METHODS: Twenty-one subjects with
patellofemoral pain were given custom-made foot orthoses (2-mm thick
polypropylene and 4-mm thick polyethylene foam liner of 45 shore A hardness).
Patellofemoral pain was evaluated with a visual analogue scale before applying
the treatment, and at two weeks and four weeks follow-up. At the two-week
check-up, a forefoot varus posting was added to the orthoses. RESULTS:
Improvements in patellofemoral pain was significant in all comparisons: initial
pain with pain at the two-week check-up (P < 0.001), initial pain with pain at
four weeks (P < 0.001), and pain at two weeks with pain at four weeks (P < 0.001). The effect size was large in all comparisons. CONCLUSION: For the
participants in this study, the custom-made foot orthoses were found to be an
effective conservative treatment to reduce the symptoms of patellofemoral pain.

Langue : ANGLAIS