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  • Gait retraining versus foot orthoses for patellofemoral pain: a pilot randomised clinical trial

    Author(s)
    Bonacci, Jason
    Hall, Michelle
    Saunders, Natalie
    Vicenzino, Bill
    Griffith University Author(s)
    Hall, Michelle
    Year published
    2018
    Metadata
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    Abstract
    Objectives: To determine the feasibility of a clinical trial that compares a 6-week, physiotherapist-guided gait retraining program with a foot orthoses intervention in runners with patellofemoral pain. Design: Pilot randomised controlled trial. Methods: Runners aged 18–40 years with clinically diagnosed patellofemoral pain were randomly allocated to either a 6-week gait retraining intervention of increasing cadence and use of a minimalist shoe or prefabricated foot orthoses. Outcomes at baseline and 12-weeks included recruitment, retention, adherence, adverse events, global improvement, anterior knee pain scale, worst and ...
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    Objectives: To determine the feasibility of a clinical trial that compares a 6-week, physiotherapist-guided gait retraining program with a foot orthoses intervention in runners with patellofemoral pain. Design: Pilot randomised controlled trial. Methods: Runners aged 18–40 years with clinically diagnosed patellofemoral pain were randomly allocated to either a 6-week gait retraining intervention of increasing cadence and use of a minimalist shoe or prefabricated foot orthoses. Outcomes at baseline and 12-weeks included recruitment, retention, adherence, adverse events, global improvement, anterior knee pain scale, worst and average pain on a 100 mm visual analogue scale. Results: Of the 16 randomised participants, two withdrew prior to commencing treatment due to non-trial related matters (n = 1 from each group) and 14 completed the pilot trial. Minor calf muscle soreness was reported by 3 participants in the gait retraining group while no adverse events were reported in the foot orthoses group. There were no deviations from the treatment protocols. There was a large between-group difference favouring gait retraining at 12-weeks in the anterior knee pain scale and the worst pain in the past week, which was reflected in the number needed-to-treat of 2. Conclusions: This study supports the feasibility of a trial comparing gait retraining with foot orthoses and provides point estimates of effect that informs the design and planning of a larger clinical trial. It appears that a 6-week gait retraining program has a clinically meaningful effect on runners with patellofemoral pain when compared to an evidence-based treatment of foot orthoses.
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    Journal Title
    JOURNAL OF SCIENCE AND MEDICINE IN SPORT
    Volume
    21
    Issue
    5
    DOI
    https://doi.org/10.1016/j.jsams.2017.09.187
    Subject
    Sports science and exercise
    Medical physiology
    Health services and systems
    Public health
    Publication URI
    http://hdl.handle.net/10072/385393
    Collection
    • Journal articles

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