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Custom-Made Foot Orthoses Decrease Medial Foot Loading During Drop Jump in Individuals With Patellofemoral Pain.

Michael S Rathleff1, Camilla Richter, Christoffer Brushøj

  • 1*Department of Occupational and Physiotherapy, Aalborg University Hospital, Aalborg, Denmark; †A-Physiotherapy, Solroed Strand, Denmark; ‡Institute of Sports Medicine, Department of Orthopaedic Surgery M, Bispebjerg Hospital, Aalborg, Denmark; §Laboratory of Human Movement Analysis, Department of Orthopaedic Surgery, Copenhagen University Hospital, Hvidovre, Denmark; ¶Physical Medicine and Rehabilitation Research-Copenhagen (PMR-C), Department of Physical Therapy, Copenhagen University Hospital, Copenhagen, Denmark; ‖Department of Orthopedic Surgery, Copenhagen University Hospital, Copenhagen, Denmark; **Clinical Research Centre, Copenhagen University Hospital, Copenhagen, Denmark; and ††Sports Orthopedic Research Center-Copenhagen, Arthroscopic Center, Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Denmark.

Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine
|October 29, 2015
PubMed
Summary
This summary is machine-generated.

Foot orthoses reduced medial-to-lateral forces in individuals with patellofemoral pain (PFP). Those with an immediate force reduction were more likely to report symptom improvement after 12 weeks.

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Area of Science:

  • Biomechanics
  • Orthopedics
  • Sports Medicine

Background:

  • Patellofemoral pain (PFP) is a common condition affecting knee joint function.
  • Medial-to-lateral foot loading patterns may contribute to PFP symptoms.

Purpose of the Study:

  • To assess the impact of foot orthoses on plantar forces during dynamic activities in PFP patients.
  • To correlate changes in foot loading with self-reported symptom improvement.

Main Methods:

  • A 12-week cohort study involving 23 adults with PFP.
  • Custom-made foot orthoses were provided.
  • Plantar pressure was measured during drop jumps and single leg squats using Pedar insoles.

Main Results:

  • Foot orthoses significantly reduced peak medial-to-lateral force by 2.9% during drop jumps.
  • A greater reduction in medial-to-lateral foot loading was associated with improved self-reported symptoms.

Conclusions:

  • Foot orthoses may help decrease abnormal foot loading in individuals with PFP.
  • Immediate biomechanical changes with orthoses predict long-term symptom relief.