Activity Worth: 1 CPD hours

Australasian Podiatry Conference 2017: Foot orthoses for plantar heel pain: a systematic review and meta-analysis - APodC

by Glen A Whittaker1,2, Shannon E Munteanu1,2, Hylton B Menz1,2, Jade M Tan1,2, Chantel L Rabusin1,2, Karl B Landorf1,2 on Thursday, 25 April 2019 - 8:14pm

The Australasian Podiatry Conference 2017 featured an array of great speakers and exemplary papers.

We are pleased to provide here one of the conference abstracts and invite you to read the abstract and then complete the writing task detailed below.

CPD Activity: Value – 1 hour – Consider category 4 Self-directed Learning under Podiatry Board of Australia Guidelines.  Consider also Category 3 Quality Improvement Activities under the guidelines

 

55 Foot orthoses for plantar heel pain: a systematic review and meta-analysis

Glen A Whittaker1,2, Shannon E Munteanu1,2, Hylton B Menz1,2, Jade M Tan1,2, Chantel L Rabusin1,2, Karl B Landorf1,2

1Discipline of Podiatry, La Trobe University, Bundoora, Victoria, Australia; 2La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Bundoora, Victoria, Australia

Correspondence: Glen A Whittaker

 

Objectives

Plantar heel pain is a common condition affecting the foot. Foot orthoses are widely used to treat plantar heel pain, however previous meta-analyses have reported inconsistent findings. Accordingly, there is a need to conduct a systematic review and meta-analysis of the effectiveness of foot orthoses for plantar heel pain.

Method

Databases searched include Medline, CINAHL, SPORTDiscus, Embase and the Cochrane Library. Studies must have used a randomised design, and investigated foot orthoses for plantar heel pain. Cochrane risk-of-bias and the Grading Recommendations Assessment, Development, and Evaluation approach were used to assess the quality of studies. Outcomes evaluated were pain, function and ‘first-step’ pain. Endpoints were categorised as short (0 to 6 weeks), medium (7 to 12 weeks) or longer term (13 to 52 weeks). Mean difference or standardised mean difference and the 95% confidence intervals were calculated, and significant results were back-transformed to clinically meaningful measures.

Results

In the short term (0 to 6 weeks), low quality evidence found that foot orthoses do not reduce pain or improve function. In the medium term (7 to 12 weeks), moderate quality evidence found that foot orthoses were more effective than a sham at reducing pain (SMD −0.27 [−0.48 to −0.06]), however this finding did not reach the previously calculated minimal important difference value. There was no improvement in function in the medium term. In the longer term (13 to 52 weeks), very low quality evidence found that foot orthoses do not reduce pain or improve function.

Conclusions

There is moderate quality evidence that foot orthoses are effective at reducing pain in the medium term, however it is uncertain if the effect is clinically meaningful for patients. In the short and longer term, foot orthoses do not reduce pain or improve function.

The task

 

Read the abstract, then prepare a brief paper (250 – 500 words) in which you explain why the subject matter is important to you. Give your initial response, and then write about the aspect you have chosen to reflect upon. You may wish to relate to your own skills, professional experience or discipline knowledge.

 

Outline any changes in your understanding and/or behaviour as a result of the experience. What actions may flow from your engagement? Explain the implications for this in your future professional practice. What actions might you take and why?

 

Don’t forget to upload your completed work to your e-portfolio, citing paper number and title,  as evidence of completion.

 

 

 

 

This abstract can be viewed at the below link.  This abstract is number 55.

 

 

 

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