Treating Heel Pain in Adults: A Randomized Clinical Trial of Hard Versus Soft Orthotics

NCT ID: NCT04380285

Last Updated: 2020-05-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

44 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-01-31

Study Completion Date

2005-08-31

Brief Summary

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Objectives: This study compared the effectiveness of soft versus hard orthotics in treating heel pain and plantar fasciitis in adults. It also compared the level of function after orthotic use, cost and number of visits for orthotics and explored if age was a factor in orthotic effectiveness.

Detailed Description

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Design: This randomized clinical trial included 44 adults (18+) with heel pain and plantar fasciitis. Participants received hard or soft customized orthotics and rated their pain intensity, pain interference and function, pre and post orthotic use. Scores were analyzed with repeated measures ANOVA. Analysis of age used repeated measures ANOVA. Costs were compared using t-test and number of visits was compared using Wilcoxon Rank Sum.

Conditions

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Heel Pain Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The study design was a randomized clinical trial.The study was completed when the target number of recruitments was reached. Prior to randomization to treatment groups, patients were stratified by age (younger adults: 18 - 64 years and older adults: 65 years and older) in blocks of four to ensure that there were an equal number of participants receiving soft versus hard orthotics in each age group.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
The research assistant was blinded to the type of orthotic provided to the participant to prevent possible bias during administration of the post treatment questionnaire.

Study Groups

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Group 1. Custom heel pads and modified soft molded orthotics

Modified soft custom orthotics supported in the medial longitudinal arches and medial shock absorbing heel pads with customized cutout at the point corresponding to the heel pain

Group Type ACTIVE_COMPARATOR

Custom heel pads and modified soft molded orthotics

Intervention Type DEVICE

Group 2. Custom hard orthotics

Custom hard orthotics made from a positive mold of a foot in neutral position, with arch support and medial heel postings.

Group Type ACTIVE_COMPARATOR

Custom hard orthotic

Intervention Type DEVICE

Interventions

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Custom heel pads and modified soft molded orthotics

Intervention Type DEVICE

Custom hard orthotic

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* sample of convenience from the hospital and private clinic. The participants had heel pain associated with plantar fasciitis. Participants could describe and report changes in their pain

Exclusion Criteria

* Those excluded were non-ambulatory (unable to walk greater than 25 meters) orchid spasticity due to a neurological disorder. Others excluded were non-communicative, had cognitive impairment or were unable to complete a questionnaire.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Deborah Seligman, MSc., B.Sc.O.T.

OTHER

Sponsor Role lead

Responsible Party

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Deborah Seligman, MSc., B.Sc.O.T.

Occupational Therapist

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Aileen Davis, PhD,BScPT

Role: PRINCIPAL_INVESTIGATOR

University of Toronto

References

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Seligman DAR, Dawson D, Streiner DL, Seligman DJ, Davis A. Treating Heel Pain in Adults: A Randomized Controlled Trial of Hard vs Modified Soft Custom Orthotics and Heel Pads. Arch Phys Med Rehabil. 2021 Mar;102(3):363-370. doi: 10.1016/j.apmr.2020.10.124. Epub 2020 Nov 18.

Reference Type DERIVED
PMID: 33217374 (View on PubMed)

Other Identifiers

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#9964

Identifier Type: -

Identifier Source: org_study_id

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