Comparison of medial arch-supporting insoles and heel pads in the treatment of plantar fasciitis

Abstract

Plantar fasciitis is a disorder caused by inflammation of the insertion point of the plantar fascia over the medial tubercle of the calcaneus. Foot orthotics are used to treat plantar fasciitis. Heel pads medialise the centre of force, whereas medial arch supporting insoles lateralise the force. We assessed the clinical results of the treatment of plantar fasciitis with silicone heel pads and medial arch-supported silicone insoles. We retrospectively reviewed 75 patients with heel pain. A total of 35 patients in the first group were treated with medial arch supporting insoles, and 40 patients in the second group were treated with heel pads. The patients were evaluated with the Visual Analogue Scale (VAS) and the Foot and Ankle Ability Measure (FAAM) at the first and last examinations. The mean VAS score in the first group was 8.6±1,2 (6-10); the FAAM daily activity score was 66.2±16 (41.2-95.0), and the sporting activity score was 45.4±24,4 (0.1-81) before treatment. At the last follow-up in this group, the mean VAS score was 5.3±1,5 (0-9); the FAAM daily activity score was 83,0±15,1 (55,9-100), and the sporting activity score was 73,5±26,2 (25-100). The mean VAS score in the second group was 8,6±0,9 (7-10); the FAAM daily activity score was 66.4±17 (41.4-95.2), and the sporting activity score was 45.8±24,2 (0.8-81, 3) before the treatment. At the last followup in this group, the mean VAS score was 5.5±1,2 (0-9); the FAAM daily activity score was 83.4±14,9 (60, 2-100), and the sporting activity score was 73.8±26 (28-100). There was no significant difference in the clinical results of both groups. The force distribution by the use of silicone heel pads and medial arch-supported silicone insoles had no effect on the clinical results of the treatment of plantar fasciitis.

Plantarni fascitis je poremećaj koji nastaje usled zapaljenja pripoja plantarne fascije za medijalni tuberkulum petne kosti. Za lečenje plantarnog fascitisa se koriste ortoze za stopala. Petni ulošci pomeraju mesto opterećenja ka unutra, dok ulošci za podupiranje medijalnog luka pomeraju mesto opterećenja upolje. Klinički rezultati se bave ispitivanjem lečenja plantarnog fascitisa silikonskim petnim ulošcima i silikonskim ulošcima za podupiranje medijalnog luka stopala. Retrospektivno je ispitano 75 pacijenata sa bolom u peti. 35 pacijenata u prvoj grupi su lečeni sa ulošcima za podupiranje medijalnog luka stopala. 40 pacijenata u drugoj grupi je lečeno petnim ulošcima. Pacijenti su ocenjivani pomoću Visual Analogue Scale (VAS) i Foot and Ankle Ability Measure (FAAM) na prvom i na poslednjem pregledu. Pre lečenja, srednja vrednost VAS skora u prvoj grupi je bila 8,6 ± 1,2 (6 - 10), FAAM skora adnevne aktivnosti 66,2 ± 16 (42,1 – 95,0) i skora sportske aktivnosti 45,4 ± 24,4 (0,1 - 81). Srednje vrednosti na poslednjem pregledu VAS skora su iznosile 5,3 ± 1,5 (0 - 9), FAAM skora adnevne aktivnosti 83,0 ± 15,1 (55,9 – 100) i skora sportske aktivnosti 73,5 ± 26,2 (25 - 100). Pre lečenja, srednja vrednost VAS skora u drugoj grupi je iznosila 8,6 ± 0,9 (7 - 10), FAAM skora adnevne aktivnosti 66,4 ± 17 (41,4 – 95,2) i skora sportske aktivnosti 45,8 ± 24,2 (0,8 – 81,3). Na poslednjem pregledu srednja vrednost VAS skora je bila 5,5 ± 1,2 (0 - 9), FAAM skora adnevne aktivnosti 83,4 ± 14,9 (60,2 - 100) i skora sportske aktivnosti 73,8 ± 26 (28 – 100). Nema statistički značajne razlike u kliničkim rezultatima između grupa. Raspodela sile pritiska upotrebom silikonskih petnih uložaka ili silikonskih uložaka za podupiranje medijalnog luka stopala nema uticaj na kliničke rezultate lečenja plantarnog fascitisa.