Identification of individuals with patellofemoral pain whose symptoms improved after a combined program of foot orthosis use and modified activity: a preliminary investigation.
Phys Ther
; 84(1): 49-61, 2004 Jan.
Article
em En
| MEDLINE
| ID: mdl-14992676
ABSTRACT
BACKGROUND AND PURPOSE:
In patients with patellofemoral pain syndrome (PFPS), the authors determined which aspects of the examination could be used to identify those patients most likely to respond to off-the-shelf foot orthoses and instruction in activity modification. PARTICIPANTS ANDMETHODS:
Fifty participants were enrolled in the study, and data for 5 individuals were excluded from analysis. Thirty-four men and 11 women completed the study. Participants were given foot orthoses and instructed in activity modification for 3 weeks. A 50% reduction in pain was considered a success. Likelihood ratios (LRs) were computed to determine which examination findings were most predictive of success.RESULTS:
The best predictors of improvement were forefoot valgus alignment of 2 degrees (+LR=4.0, 95% confidence interval [CI]=0.7-21.9), great toe extension of 78 degrees (+LR=4.0, 95% CI=0.7-21.9), and navicular drop of 3 mm (+LR=2.4, 95% CI=1.3-4.3). DISCUSSION ANDCONCLUSION:
The results suggest that patients with PFPS who have forefoot valgus alignment of 2 degrees, passive great toe extension of 78 degrees, or navicular drop of 3 mm are most likely to respond favorably to initial intervention with an off-the-shelf foot orthosis and instruction in activity modification.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Aparelhos Ortopédicos
/
Patela
/
Educação Física e Treinamento
/
Artralgia
/
Fêmur
/
Pé
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Phys Ther
Ano de publicação:
2004
Tipo de documento:
Article
País de afiliação:
Estados Unidos