Effectiveness of mechanical treatment with customized insole and minimalist flexible footwear for women with calcaneal spur: randomized controlled trial

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorRIBEIRO, Ana Paula
dc.contributor.authorSOUZA, Brenda Luciano de
dc.contributor.authorJOAO, Silvia Maria Amado
dc.date.accessioned2022-10-26T14:40:48Z
dc.date.available2022-10-26T14:40:48Z
dc.date.issued2022
dc.description.abstractBackround: Calcaneal spurs are described as bony outgrowths arising on medial calcaneal, where inappropriate footwear can promote disease progression. Objective: Investigate the effectiveness of mechanical treatment with customized insole and minimalist flexible footwear during gait training program in women with calcaneal spur. Methods: Design: A single-blinded, randomized and controlled trial. Setting: Biomechanics laboratory. Participants: Forty-three women, 29 with calcaneal spur and 14 control. Intervention: Gait training program with use of the minimalist flexible footwear (MFG n = 15, age: 48.9 +/- 9.4, height: 1.61 +/- 0.1, BMI: 32.1 +/- 7.0) and customized insole on footwear (COIG n = 14, age: 50.3 +/- 5.8, height: 1.62 +/- 0.1, BMI: 32.2 +/- 4.3) and control (CG n = 14, age: 47.8 +/- 8.6, height: 1.63 +/- 0.1, BMI: 27.5 +/- 4.5), followed of the evaluations: baseline (T0) and after three (T3) and six (T6) months. Duration of the intervention was of the six months consecutive for at least 42 h per week (six hours a day, seven days a week). Outcome primary were calcaneus pain (visual analogue scale), Foot Function Index (FFI), Foot Health Status Questionnaire (FHSQ-Br) and 6-min walk test (6MWT). Secondary was plantar pressure distribution by a pressure platform system during gait and static index foot posture (FPI). Statistical analysis: analysis of variance for repeated measure and between groups were used to detect treatment-time interactions (alpha = 5%). Effect size with D Cohen's also was used between T0 and after six (T6) months of intervention. Results: The MFG and COIG were effective at reducing pain after six months (MFG: 2.5-4.5 CI, p = 0.001; COIG: 1.5-3.5 CI, p = 0.011). The FFI and FHSQ-Br showed improvements with MFG and COIG after T6 (MFG: 13.7-15.4 CI, p = 0.010; COIG: 11.3-15.0 CI, p = 0.001). The 6MWT increased with MFG (589.3-622.7 CI) and COIG (401.3-644.7 CI) and foot pronation was decreased after T3 and T6 MFG (FPI Right: 4.2-5.4 CI; Left: 3.6-5.4 CI) COIG (FPI Right: 3.4-6.8 CI; Left: 3.3-5.7 CI). The contact area reduced on forefoot and rearfoot with MFG and GOIG and midfoot and rearfoot with MFG. Maximum force was reduced on foot with MFG after T3 and T6. The peak pressure was reduced on the forefoot with MFG and COIG and on midfoot and rearfoot with MFG. Conclusions: The mechanical treatment with customized insole and minimalist flexible footwear during gait training program during six months in women with calcaneal spur reduced the calcaneus pain, increased function and health feet and reduced plantar load on the rearfoot, midfoot and forefoot. However, the footwear alone was more effective than when combined customized insole, given the greater efficacy on clinical and biomechanical aspects.eng
dc.description.indexMEDLINEeng
dc.description.sponsorshipNational Council for Scientific and Technological Development (CNPq), Ministry of Science, Technology, Innovations and Communications of the Brazil, Sao Paulo/SP [458700/2014]
dc.identifier.citationBMC MUSCULOSKELETAL DISORDERS, v.23, n.1, article ID 773, 14p, 2022
dc.identifier.doi10.1186/s12891-022-05729-4
dc.identifier.eissn1471-2474
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/49381
dc.language.isoeng
dc.publisherBMCeng
dc.relation.ispartofBMC Musculoskeletal Disorders
dc.rightsopenAccesseng
dc.rights.holderCopyright BMCeng
dc.subjectFooteng
dc.subjectPaineng
dc.subjectInsoleseng
dc.subjectFootweareng
dc.subjectGaiteng
dc.subjectTrainingeng
dc.subjectCalcaneus spureng
dc.subject.otherlong-term useeng
dc.subject.otherplantar fasciitiseng
dc.subject.otherspecialized footweareng
dc.subject.otherknee osteoarthritiseng
dc.subject.otherelderly-womeneng
dc.subject.otherheel heighteng
dc.subject.otherpaineng
dc.subject.otherorthoticseng
dc.subject.otherpressureeng
dc.subject.othercomforteng
dc.subject.wosOrthopedicseng
dc.subject.wosRheumatologyeng
dc.titleEffectiveness of mechanical treatment with customized insole and minimalist flexible footwear for women with calcaneal spur: randomized controlled trialeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalSOUZA, Brenda Luciano de:Univ Santo Amaro, Sch Med, Postgrad Hlth Sci Dept, Biomech & Musculoskeletal Rehabil Lab, Sao Paulo, Brazil
hcfmusp.citation.scopus1
hcfmusp.contributor.author-fmusphcANA PAULA RIBEIRO
hcfmusp.contributor.author-fmusphcSILVIA MARIA AMADO JOAO
hcfmusp.description.articlenumber773
hcfmusp.description.issue1
hcfmusp.description.volume23
hcfmusp.origemWOS
hcfmusp.origem.pubmed35964021
hcfmusp.origem.scopus2-s2.0-85135820682
hcfmusp.origem.wosWOS:000840319700003
hcfmusp.publisher.cityLONDONeng
hcfmusp.publisher.countryENGLANDeng
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