Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A case-series study to explore the efficacy of foot orthoses in treating first metatarsophalangeal joint pain. | Welsh et al. Journal of Foot and Ankle Research 2010 3 17 http content 3 1 17 JOURNAL OF FOOT AND ANKLE RESEARCH RESEARCH Open Access A case-series study to explore the efficacy of foot orthoses in treating first metatarsophalangeal joint pain Brian J Welsh1 Anthony C Redmond2 Nachiappan Chockalingam3 Anne-Maree Keenan2 Abstract Background First metatarsophalangeal MTP joint pain is a common foot complaint which is often considered to be a consequence of altered mechanics. Foot orthoses are often prescribed to reduce 1st MTP joint pain with the aim of altering dorsiflexion at propulsion. This study explores changes in 1st MTP joint pain and kinematics following the use of foot orthoses. Methods The effect of modified pre-fabricated foot orthoses X-line were evaluated in thirty-two patients with 1st MTP joint pain of mechanical origin. The primary outcome was pain measured at baseline and 24 weeks using the pain subscale of the foot function index FFI . In a small sub-group of patients n 9 the relationship between pain and kinematic variables was explored with and without their orthoses using an electromagnetic motion tracking EMT system. Results A significant reduction in pain was observed between baseline median 48 mm and the 24 week endpoint median mm z p . In the sub-group analysis we found no relationship between pain reduction and 1st MTP joint motion and no significant differences were found between the 1st MTP joint maximum dorsiflexion or ankle subtalar complex maximum eversion with and without the orthoses. Conclusions This observational study demonstrated a significant decrease in 1st MTP joint pain associated with the use of foot orthoses. Change in pain was not shown to be associated with 1st MTP joint dorsiflexion nor with altered ankle subtalar complex eversion. Further research into the effect of foot orthoses on foot function is indicated. Background First metatarsophalangeal MTP joint pain is a common foot .
