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PHYS THER
Vol. 73, No. 2, February 1993, pp. 62-68

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Research Reports

Evaluation of Soft Foot Orthotics in the Treatment of Patellofemoral Pain Syndrome

Janice J Eng and Michael R Pierrynowski

JJ Eng, PT, is a doctoral candidate, Department of Kinesiology, University of Waterloo, Waterloo, Ontario, Canada N2L 3G1. She was a student in the master's degree program, Institute of Biomedical Engineering and Department of Community Health, Faculty of Medicine, University of Toronto, when the study was completed in partial fulfillment of her degree requirements.
MR Pierrynowski, PhD, is Associate Professor, School of Occupational Therapy and Physiotherapy, McMaster University, Hamilton, Ontario, Canada L8N 3Z5. He was Associate Professor, School of Physical and Health Education, Faculty of Medicine, and Institute of Biomedical Engineering, University of Toronto, when this study was completed.

Background and Purpose. The effectiveness of soft foot orthotics in the treatment of patients who have patellofemoral pain syndrome was investigated. Subjects. Subjects were 20 adolescent female patients, aged 13 to 17 years (X=14.8, SD=1.2), who were diagnosed with patellofemoral pain syndrome and who exhibited excessive forefoot varus or calcaneal valgus. Methods. Subjects were randomly assigned to one of two groups: a control group (n=10), which took part in an exercise program, or a treatment group (n=10), which used soft foot orthotics in addition to participating in the exercise program. The exercise program consisted of quadriceps femoris and hamstring muscle strengthening and stretching exercises. A visual analogue scale was used to assess the level of pain of the subjects over an 8-week period. Results. Both the treatment and control groups demonstrated a significant decrease in the level of pain, but the improvement of the treatment group was significantly greater than that of the control group. Conclusion and Discussion. The results suggest that in addition to an exercise program, the use of soft foot orthotics is an effective means of treatment for the patient with patellofemoral pain syndrome.


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Commentary
Nicola Maffulli
Physical Therapy 1993 73: 68-69. [Abstract] [PDF]

Author Response
Janice J Eng and Michael R Pierrynowski
Physical Therapy 1993 73: 69-70. [Abstract] [PDF]



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