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The use of in-shoe foot orthoses in the short-term treatment of anterior knee pai

Not Applicable
Completed
Conditions
Anterior knee pain
Musculoskeletal - Other muscular and skeletal disorders
Registration Number
ACTRN12611000492954
Lead Sponsor
niversity of Queensland
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
40
Inclusion Criteria

Patients complain of anterior or retropatella pain of greater than 6-weeks duration aggravated by 2 of the following activities: running, stair or hill climbing, hopping, jumping, squatting, kneeling or sitting for long periods of time. Pain on palpation of the patella facet or on deep squat.

Exclusion Criteria

(1) concomitant pain or injury in the hip, pelvis or lumbar spine;
(2) damage to any knee structures or indications of patella tendinosis;
(3) chronic patella instability
(4) knee effusion;
(5) any foot conditions that would preclude the use of orthoses;
(6) the use of physiotherapy treatment for knee pain or foot orthoses in the previous 3 years; or
(7) previous lower limb surgery.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Patient perceived improvement on a 6-point Global Improvement scale: completely recovered, much improved, improved, no change, worse and much worse. Completely recovered and much improved are considered successful treatment[6 weeks];Neuromotor changes of gluteus medius, biceps femoris, vastus lateralis, vastus medialis obliquus, rectus femoris, tibialis anterior, soleus and medial gastrocnemius. Measured by comparing electromyography signals recorded while jogging wearing the shoe with those recorded when jogging wearing the orthoses.[Baseline and at 6-weeks after baseline]
Secondary Outcome Measures
NameTimeMethod
100 mm visual analogue scale for usual pain over the preceeding week. Changes > 20mm considered clinically meaningful[Baseline and 6-weeks after baseline];100 mm visual analogue scale for worst pain over the preceeding week. Changes > 20mm considered clinically meaningful[Baseline and 6-weeks after baseline];Kujala Patellofemoral Score > 10 points change from baseline to follow-up[Baseline and 6-weeks after baseline];Patient Specific Functional Scale >2 points change is considered clinically meaningful[Baseline and 6-weeks after baseline]
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