Plantar Fasciitis and the Use of Orthotics as Treatment
A Study Into the Use of Prefabricated Orthotics in Shoes, in Combination With Using Indoor Comfort Sandals With built-in Arch Support vs. the Sole Use of Prefabricated Orthotics in Shoes Alone, for the Treatment of Plantar Fasciitis. A Randomised Control Trial
1 other identifier
interventional
104
1 country
1
Brief Summary
To investigate whether the use of prefabricated Orthotics in shoes, in combination with the use of indoor comfort sandals with built-in arch support, benefits the treatment of plantar fasciitis more than the sole use of prefabricated Orthotics in shoes alone.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jul 2021
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 14, 2021
CompletedFirst Posted
Study publicly available on registry
May 20, 2021
CompletedStudy Start
First participant enrolled
July 23, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 11, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
January 31, 2023
CompletedMay 6, 2023
May 1, 2023
1.3 years
May 14, 2021
May 4, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Changes in Pain as assessed by a Visual Analogue Scale (VAS)
Pain will be collected on via a self-report Visual Analogue Scale (VAS) as follows: 0 to 10 where 0 is 'No Pain' and 10 is 'The worst imaginable pain'.
Baseline, 3 weeks, 6 weeks, 3 months and 6 months
Secondary Outcomes (2)
Changes in Foot health status as assessed by the Foot Health Status Questionnaire (FHSQ)
Baseline, 3 weeks, 6 weeks, 3 months and 6 months
Changes in overall health as assessed by The Global Rating Scale of Change (GROC scale)
Baseline, 3 weeks, 6 weeks, 3 months and 6 months
Study Arms (2)
Prefabricated Orthotics in shoes & indoor comfort sandals with built-in arch support
EXPERIMENTALParticipants from Group A will receive an L400 Compete Orthotic (https://www.aetrex.com/search?q=l420\&search-button=\&lang=en\_US) and an Aetrex comfort sandal with built-in arch support (https://www.aetrex.com/aetrex-flips-black-L3000M.html?lang=en\_US or https://www.aetrex.com/fiji-flips-women-watermelon-L7009W.html?lang=en\_US) according to participants shoe size. The investigators will send an instruction sheet along with the Orthotic in the post, explaining how to use it. Alternatively, an online video tutorial on how to use the Orthotic will also be available throughout the study. The group will be asked to continue with usual activities, using the orthotic/comfort sandal wherever possible.
Prefabricated Orthotics in shoes only
ACTIVE COMPARATORGroup B will receive an L400 Compete Orthotic (https://www.aetrex.com/search?q=l420\&search-button=\&lang=en\_US) alone. The investigators will send an instruction sheet along with the Orthotic in the post, explaining how to use it. Alternatively, an online video tutorial on how to use the Orthotic will also be available throughout the study. The group will be asked to continue with usual activities, using the Orthotic wherever possible.
Interventions
An orthotic insole to be inserted into shoes. Orthotic for low arches to flat feet with no forefoot pain, featuring a posted heel to control over-pronation and provide balance. Features Aetrex Arch Support to help biomechanically align the body \& help prevent common foot pain such as Plantar Fasciitis, Arch Pain and Metatarsalgia.
An indoor comfort sandal with built-in arch support to be used at home. Provides extreme cushioning, shock absorption and durability. Arch support helps to stabilize and align feet and also helps to relieve common foot pain \& plantar fasciitis.
Eligibility Criteria
You may qualify if:
- Have been experiencing symptoms of Plantar Fasciitis for at least 2 months. A diagnosis of plantar fasciitis will be made on the criteria that the pain is located on the medial aspect of the heel on palpation and the pain is worst the first thing in the morning.
- Aged 19-75 years old
You may not qualify if:
- Prior operations on the foot,
- Prior treatments apart from analgesia in the last 12 months e.g. corticosteroid injections,
- Congenital or acquired foot and ankle abnormalities which prevent the use of normal footwear.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Talita Cumi Ltd.lead
- Aetrex Worldwide Inccollaborator
Study Sites (1)
Talita Cumi LTD.
Southport, Merseyside, PR8 3NS, United Kingdom
Related Publications (26)
Roos E, Engstrom M, Soderberg B. Foot orthoses for the treatment of plantar fasciitis. Foot Ankle Int. 2006 Aug;27(8):606-11. doi: 10.1177/107110070602700807.
PMID: 16919213BACKGROUNDBuchbinder R. Clinical practice. Plantar fasciitis. N Engl J Med. 2004 May 20;350(21):2159-66. doi: 10.1056/NEJMcp032745. No abstract available.
PMID: 15152061BACKGROUNDWearing SC, Smeathers JE, Urry SR, Hennig EM, Hills AP. The pathomechanics of plantar fasciitis. Sports Med. 2006;36(7):585-611. doi: 10.2165/00007256-200636070-00004.
PMID: 16796396BACKGROUNDBennett PJ, Patterson C. The foot health status questionnaire (FHSQ): a new instrument for measuring outcomes of foot care. Australasian J Podiatr Med. 1998;32:55-9.
BACKGROUNDBennett PJ, Patterson C, Dunne MP. Health-related quality of life following podiatric surgery. J Am Podiatr Med Assoc. 2001 Apr;91(4):164-73. doi: 10.7547/87507315-91-4-164.
PMID: 11319246BACKGROUNDKamper SJ, Maher CG, Mackay G. Global rating of change scales: a review of strengths and weaknesses and considerations for design. J Man Manip Ther. 2009;17(3):163-70. doi: 10.1179/jmt.2009.17.3.163.
PMID: 20046623BACKGROUNDRiddle DL, Schappert SM. Volume of ambulatory care visits and patterns of care for patients diagnosed with plantar fasciitis: a national study of medical doctors. Foot Ankle Int. 2004 May;25(5):303-10. doi: 10.1177/107110070402500505.
PMID: 15134610RESULTClement DB, Taunton JE, Smart GW, McNicol KL. A Survey of Overuse Running Injuries. Phys Sportsmed. 1981 May;9(5):47-58. doi: 10.1080/00913847.1981.11711077.
PMID: 27453020RESULTDavis PF, Severud E, Baxter DE. Painful heel syndrome: results of nonoperative treatment. Foot Ankle Int. 1994 Oct;15(10):531-5. doi: 10.1177/107110079401501002.
PMID: 7834059RESULTKogler GF, Solomonidis SE, Paul JP. Biomechanics of longitudinal arch support mechanisms in foot orthoses and their effect on plantar aponeurosis strain. Clin Biomech (Bristol). 1996 Jul;11(5):243-252. doi: 10.1016/0268-0033(96)00019-8.
PMID: 11415628RESULTKitaoka HB, Luo ZP, An KN. Analysis of longitudinal arch supports in stabilizing the arch of the foot. Clin Orthop Relat Res. 1997 Aug;(341):250-6.
PMID: 9269181RESULTGoff JD, Crawford R. Diagnosis and treatment of plantar fasciitis. Am Fam Physician. 2011 Sep 15;84(6):676-82.
PMID: 21916393RESULTCrawford F, Atkins D, Young P, Edwards J. Steroid injection for heel pain: evidence of short-term effectiveness. A randomized controlled trial. Rheumatology (Oxford). 1999 Oct;38(10):974-7. doi: 10.1093/rheumatology/38.10.974.
PMID: 10534548RESULTAcevedo JI, Beskin JL. Complications of plantar fascia rupture associated with corticosteroid injection. Foot Ankle Int. 1998 Feb;19(2):91-7. doi: 10.1177/107110079801900207.
PMID: 9498581RESULTLeach R, Jones R, Silva T. Rupture of the plantar fascia in athletes. J Bone Joint Surg Am. 1978 Jun;60(4):537-9.
PMID: 27524RESULTAnderson RB, Foster MD. Operative treatment of subcalcaneal pain. Foot Ankle. 1989 Jun;9(6):317-23. doi: 10.1177/107110078900900616. No abstract available.
PMID: 2663678RESULTDavies MS, Weiss GA, Saxby TS. Plantar fasciitis: how successful is surgical intervention? Foot Ankle Int. 1999 Dec;20(12):803-7. doi: 10.1177/107110079902001209.
PMID: 10609710RESULTPfeffer G, Bacchetti P, Deland J, Lewis A, Anderson R, Davis W, Alvarez R, Brodsky J, Cooper P, Frey C, Herrick R, Myerson M, Sammarco J, Janecki C, Ross S, Bowman M, Smith R. Comparison of custom and prefabricated orthoses in the initial treatment of proximal plantar fasciitis. Foot Ankle Int. 1999 Apr;20(4):214-21. doi: 10.1177/107110079902000402.
PMID: 10229276RESULTHawke F, Burns J, Radford JA, du Toit V. Custom-made foot orthoses for the treatment of foot pain. Cochrane Database Syst Rev. 2008 Jul 16;2008(3):CD006801. doi: 10.1002/14651858.CD006801.pub2.
PMID: 18646168RESULTLopez-Lopez D, Rodriguez-Vila I, Losa-Iglesias ME, Rodriguez-Sanz D, Calvo-Lobo C, Romero-Morales C, Becerro-de-Bengoa-Vallejo R. Impact of the quality of life related to foot health in a sample of pregnant women: A case control study. Medicine (Baltimore). 2017 Mar;96(12):e6433. doi: 10.1097/MD.0000000000006433.
PMID: 28328852RESULTRiskowski JL, Hagedorn TJ, Hannan MT. Measures of foot function, foot health, and foot pain: American Academy of Orthopedic Surgeons Lower Limb Outcomes Assessment: Foot and Ankle Module (AAOS-FAM), Bristol Foot Score (BFS), Revised Foot Function Index (FFI-R), Foot Health Status Questionnaire (FHSQ), Manchester Foot Pain and Disability Index (MFPDI), Podiatric Health Questionnaire (PHQ), and Rowan Foot Pain Assessment (ROFPAQ). Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11(0 11):S229-39. doi: 10.1002/acr.20554. No abstract available.
PMID: 22588747RESULTLopez Lopez D, Lopez Martinez NZ, Losa Iglesias ME, Rodriguez Sanz D, Palomo Lopez P, Becerro de Bengoa Vallejo R. Impact on quality of life related to foot health in a sample of menopausal women: a case-control observational study. Climacteric. 2016 Oct;19(5):501-5. doi: 10.1080/13697137.2016.1198314. Epub 2016 Jun 24.
PMID: 27338169RESULTLopez DL, Callejo Gonzalez L, Losa Iglesias ME, Canosa JL, Sanz DR, Lobo CC, Becerro de Bengoa Vallejo R. Quality of Life Impact Related to Foot Health in a Sample of Older People with Hallux Valgus. Aging Dis. 2016 Jan 2;7(1):45-52. doi: 10.14336/AD.2015.0914. eCollection 2016 Jan.
PMID: 26816663RESULTGrim C, Kramer R, Engelhardt M, John SM, Hotfiel T, Hoppe MW. Effectiveness of Manual Therapy, Customised Foot Orthoses and Combined Therapy in the Management of Plantar Fasciitis-a RCT. Sports (Basel). 2019 May 28;7(6):128. doi: 10.3390/sports7060128.
PMID: 31141994RESULTRome K, Gray J, Stewart F, Hannant SC, Callaghan D, Hubble J. Evaluating the clinical effectiveness and cost-effectiveness of foot orthoses in the treatment of plantar heel pain: a feasibility study. J Am Podiatr Med Assoc. 2004 May-Jun;94(3):229-38. doi: 10.7547/0940229.
PMID: 15153583RESULTChuter VH, Searle A, Spink MJ. Flip-flop footwear with a moulded foot-bed for the treatment of foot pain: a randomised controlled trial. BMC Musculoskelet Disord. 2016 Nov 11;17(1):468. doi: 10.1186/s12891-016-1327-x.
PMID: 27835963RESULT
Study Officials
- PRINCIPAL INVESTIGATOR
George Ampat, MBBS, MS, FRCS
Talita Cumi Ltd.
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 14, 2021
First Posted
May 20, 2021
Study Start
July 23, 2021
Primary Completion
November 11, 2022
Study Completion
January 31, 2023
Last Updated
May 6, 2023
Record last verified: 2023-05
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
- Time Frame
- The data will become available at the completion of the study on 31/12/2022. It will be available for other researchers indefinitely.
- Access Criteria
- The non-identifiable data will be openly available as a supplementary document to the publication.
At the end of the study, data will be fully anonymised. Only non-identifiable, anonymised data will be archived along with the publication for use of other researchers. For instance, the age, sex, and study results of participants will be archived indefinitely as a supplementary document to the publication