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Rehabilitation Practice and Science

Translated Title

客製足部矯具對一般足部疼痛之療效及療效預測因子之探討

Abstract

Purpose: Custom-made foot orthoses are commonly used to treat foot pain by modifying the distribution of foot pressure. The therapeutic effect of custom-made foot orthoses on specific foot pain such as pes cavus, rheumatoid arthritis, and plantar fasciitis has been established. However, the therapeutic effect of custom-made foot orthoses on common foot pain remains unclear, and the foot characteristics with which patients are most likely to benefit from this intervention have not been adequately explored. The purposes of this study were to investigate the therapeutic effect of custom-made foot orthoses on common foot pain and to determine potential predictors of effectiveness. Method: Twenty-six patients with common foot pain were recruited. After baseline data on demographic characteristics, foot characteristics, and activity levels were collected, the patients were prescribed custom-made foot orthoses. The Foot Function Index, Short Form 36, and a 5-point Likert scale were administered at the baseline and after 1 and 4 months of treatment as outcome measures. Patients who reported marked improvement in the 5-point Likert scale were assigned to an effective group and patients who did not were assigned to a noneffective group. Predictors of effectiveness were analyzed by comparing the variables (demographic data, foot characteristics, activity level, and baseline Foot Function Index and Short Form 36 scores) between groups. Results: The score on the pain subscale of the Foot Function Index was 30.9±16.1 at the baseline and improved to 22.8±13.2 (p＜.05) and 19.8±11.3 (p＜.05) after 1 and 4 months of treatment, respectively. The score on the disability subscale of the Foot Function Index was 26.5±22.0 at the baseline and improved to 8.8±9.8 (p＜.05) and 6.8±10.8 (p＜.05) after 1 and 4 months of treatment, respectively. In addition, the score on the activity restriction subscale of the Foot Function Index improved significantly after 4 months of treatment. The physical functioning and pain variables of the Short Form 36 improved significantly after 1 and 4 months of treatment. No significant predictor of effectiveness was identified in this study. Conclusion: Custom-made foot orthoses may be effective in treating common foot pain. However, no predictor of effectiveness was identified in this study.

Language

Traditional Chinese

First Page

137

Last Page

145

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