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Does orthotics use improve comfort,speed,and injury rate during running?A randomised control trial
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作者 alice e fortune Jonathan M G Sims George Ampat 《World Journal of Orthopedics》 2023年第5期348-361,共14页
BACKGROUND Running is a hugely popular sport.Unfortunately,running-related injury(RRI)rates are high,particularly amongst amateur and recreational runners.Finding ways to reduce RRI rates and maximise comfort and perf... BACKGROUND Running is a hugely popular sport.Unfortunately,running-related injury(RRI)rates are high,particularly amongst amateur and recreational runners.Finding ways to reduce RRI rates and maximise comfort and performance for runners is important.Evidence regarding whether orthotics can successfully improve these parameters is limited and contradicting.Further research is required to provide runners with clearer guidance on the usefulness of orthotics.AIM To investigate the effect of Aetrex Orthotics on comfort,speed and RRI rates during recreational running.METHODS One hundred and six recreational runners were recruited on a voluntary basis via running clubs and social media pages and randomised into either the intervention or control group.Participants in the intervention group ran with Aetrex L700 Speed Orthotics inserted in their usual running shoes,whilst participants in the control group ran in their usual running shoes with no orthotics.The study ran for an 8-wk period.Participants provided data relating to running comfort,distance,and time during weeks 3-6.Participants provided data relating to any RRIs they sustained during all 8 wks.Running distance and time were used to calculate running speed in miles per hour(mph).For each outcome variable,95%confidence intervals and P values were calculated to assess the statistical significance between the groups.For comfort and speed data,univariate multi-level analysis was performed,and for outcome variables with significant between group differences,multi-level multivariate analysis was performed to evaluate any confounding effects of gender and age.RESULTS Ninety-four participants were included in the final analysis(drop-out rate=11%).Comfort and speed from 940 runs and 978 injury data reports were analysed.Participants who ran with orthotics reported,on average,speeds 0.30 mph faster(P=0.20)and comfort scores 1.27 points higher(P≤0.001)than participants who ran with no orthotics.They were also 2.22 times less likely to sustain an injury(P=0.08)than participants who ran with no orthotics.However,findings were only significant for comfort and not for speed or injury rates.Age and gender were found to be significant predictors of comfort.However,the improvements in comfort reported by participants who ran with orthotics were still significant after adjusting for age and gender.CONCLUSION This study found orthotics to improve comfort and speed and prevent RRIs whilst running.However,these findings were only statistically significant for comfort. 展开更多
关键词 Running Foot orthoses Running related injuries PAIN Patient comfort Athletic performance
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Use of orthotics with orthotic sandals versus the sole use of orthotics for plantar fasciitis:Randomised controlled trial
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作者 Portia Amoako-Tawiah Holly Love +4 位作者 Jaida Chacko Madathilethu Jessica LaCourse alice e fortune Jonathan M G Sims George Ampat 《World Journal of Orthopedics》 2023年第9期707-719,共13页
BACKGROUND Plantar fasciitis(PF)affects around 10%of the population.Prefabricated orthotics with arch support has been shown to provide symptom relief in PF by decreasing the repetitive stress sustained by the plantar... BACKGROUND Plantar fasciitis(PF)affects around 10%of the population.Prefabricated orthotics with arch support has been shown to provide symptom relief in PF by decreasing the repetitive stress sustained by the plantar fascia.However,prefabricated orthotics are only effective when shoes are worn,meaning the foot may be left unsupported when it is impractical to wear shoes.Using orthotic sandals in conjunction with prefabricated orthotics may increase PF symptom relief,as they can be worn inside the home,extending the period in which the foot is supported.AIM To compare the combined use of prefabricated orthotics and orthotic sandals vs the sole use of prefabricated orthotics in the treatment of PF.METHODS 98 participants with PF were randomised into two groups.The intervention group received the Aetrex L420 Compete orthotics and the Aetrex L3000 Maui Flips(orthotic sandals),whilst the control group received the Aetrex L420 Compete orthotics only.Foot pain was assessed both by the numerical rating scale(NRS)and the pain sub-scale of the foot health status questionnaire(FHSQ).Foot functionality was measured using the function sub-scale of the FHSQ.Symptom change was measured using the global rating of change scale(GROC).RESULTS Foot pain scores measured both by NRS and FHSQ pain sub-scale showed statistically significant reductions in foot pain in both groups(P<0.05)at six months.Both groups also reported statistically significant improvements(P<0.05)in function as measured by the FHSQ function subscale and improvement of symptoms as measured by the GROC scale.Between-group analysis showed that the intervention group with the combined use of orthotics and orthotic sandals scored better on all four outcome measures as compared to the control group with the sole use of orthotics.However,the between-group analysis only reached statistical significance on the NRS pain score(P<0.05).CONCLUSION Combined use of prefabricated orthotics and orthotic sandals provides a greater decrease in foot pain and improvement in foot function in PF compared to using prefabricated orthotics alone. 展开更多
关键词 Plantar fasciitis Foot diseases Musculoskeletal pain Foot orthoses
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Does orthotics use improve comfort,speed and injury rate during running?Preliminary analysis of a randomised control trial
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作者 alice e fortune Jonathan M G Sims +1 位作者 Samantha J Rhodes George Ampat 《World Journal of Orthopedics》 2022年第7期652-661,共10页
BACKGROUND Evidence regarding the effectiveness of using orthotics in improving comfort,increasing running speed and helping to reduce injury rate during running is limited and mixed.Alongside the increasing popularit... BACKGROUND Evidence regarding the effectiveness of using orthotics in improving comfort,increasing running speed and helping to reduce injury rate during running is limited and mixed.Alongside the increasing popularity of running is the increasing rate of running-related injuries(RRIs).Further research into whether orthotics could be used to help reduce RRIs would be highly beneficial for those affected.Additionally,there is a need to clarify whether orthotics use increases comfort during running and helps improve running speed.AIM To investigate whether running with Aetrex Orthotics improves comfort and performance and reduces injury whilst running.METHODS Runners were recruited on a voluntary basis if they were 18 or older with no serious health conditions,ongoing foot pain or deformity,previous foot surgery in their lifetime or any surgery in the past 6 mo.Participants were randomly assigned to either an intervention group or a control group.All participants were asked to complete runs and provide quantitative data regarding comfort during running,running time and distance,and any RRIs over an 8-wk study period.Participants in the intervention group ran with Aetrex L700 Speed Orthotics,whilst participants in the control group ran without orthotics.Other than the addition of orthotics for participants in the intervention group,all participants were asked to run as they usually would.This report presents preliminary data from the first 47 participants recruited for this study.Running speed was calculated from running distance and time and given in miles per hour.For each outcome variable,the mean for each group,effect size and 95%confidence interval were calculated,and a t-test was performed to determine if between-group differences were statistically significant.RESULTS Data for all three primary outcomes was provided from a total of 254 runs by the 23 participants in the intervention group and a total of 289 runs by the 24 participants in the control group.Participants in the intervention group reported higher comfort scores(8.00±1.41 vs 6.96±2.03,P≤0.0001),faster running speeds(6.27±1.03 vs 6.00±1.54,P=0.013),and lower RRI rates(0.70±1.01 vs 1.21±1.53,P=0.18)than those in the control group.These findings were statistically significant for comfort and running speed but not for RRI rate,with statistical significance considered if P<0.05.No adjustments were made for group differences in age,gender,tendency for RRIs or usual running speed.CONCLUSION This preliminary report provides evidence for orthotics use in increasing comfort levels and running speed,but no significant difference in RRI rate. 展开更多
关键词 Running Foot orthoses Running related injuries PAIN Patient comfort Athletic performance
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