Foot Orthoses in Patellofemoral Pain Syndrome: a Prospective Randomized Study of Morpho-specific Versus Placebo Orthoses
Patellofemoral pain syndrome is one of the most common musculoskeletal disorders. It is defined as an anterior knee pain. Its origin is a conflict during patellar tracking, due to patellofemoral malalignment and soft tissue overload.
A few recent studies seem to show a benefit of prefabricated feet orthoses in patellofemoral pain syndrome, alone or in association with rehabilitation. However, no one has analyzed the outcome of morpho-specific foot orthoses in a prospective randomized study.
The purpose of this prospective randomized study is to compare clinical outcomes in daily living and in sports activities, between morpho-specific and placebo foot orthoses.
Morpho-specific foot orthoses are designed according to the patient's morphotype. They are intended to correct structural defects of the hindfoot, midfoot and forefoot, in the aim to correct abnormal overload during patellofemoral tracking.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Yann DIESINGER, MD
- Phone Number: 0033 388552310
- Email: yann.diesinger@chru-strasbourg.fr
Study Locations
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Haguenau, France, 67500
- Recruiting
- Cabinet libéral - 12, rue du Puits
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Contact:
- Joseph ARNDT, MD
- Email: joseph.arndt@hotmail.fr
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Principal Investigator:
- Joseph ARNDT, MD
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Illkirch Graffenstaden, France, 67400
- Recruiting
- Service de Chirurgie Orthopédique - Hôpital CCOM - Hôpitaux Universitaires de Strasbourg
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Contact:
- Yann DIESINGER, MD
- Phone Number: 0033 388552310
- Email: yann.diesinger@chru-strasbourg.fr
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Principal Investigator:
- Yann DIESINGER, MD
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Strasbourg, France, 67000
- Recruiting
- Cabinet libéral - 50, avenue des Vosges
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Contact:
- Christian LUTZ, MD
- Email: lutzortho@wanadoo.fr
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Principal Investigator:
- Christian LUTZ, MD
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male or female aged 12-40 years
- Patellofemoral pain syndrome
- Patient affiliated to a social protection regime
- Patient who signed an informed consent
- For teenagers with no complete growth and muscular maturation, failure of appropriate rehabilitation during minimum 2 months
- Patient informed of the results of the prior medical examination
- Normality (no sign of osteoarthritis) of the knee radiographs
- Ability to read and understand French
Exclusion Criteria:
- Knee osteoarthritis
- Systemic disease
- Inflammatory rheumatism disease
- Unstable knee
- Prior patellofemoral dislocation
- Osteochondrosis
- Referred pain from a hip or spine disease (particularly proximal femoral epiphysiolysis in the teenagers)
- A history of patellar trauma
- A history of knee surgery
- Meniscus, ligament or osteochondral pathology
- Knee tendinitis or bursitis
- Neurologic disease
- Pregnancy
- Antidepressant therapy or behavioral disorder
- Patient unable to comply the required maximum observance
- Impossibility to give enlightened information to the patient
- Patient under guardianship
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Morpho-specific foot orthoses
Morpho-specific thermo-molded foot orthoses are designed according to the patient's morphotype. Orthoses are custom-molded from different materials such as BIOFLUX resin, Covercuir MF, EVA300/60, EVA400/70, PE255/55, ABSORB Dur and CAPITON PU. |
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Placebo Comparator: Placebo foot orthoses
The placebo foot orthoses will be made with the same principle of molding and with the same materials as for the experimental group.
The only difference is that they involve no active corrective insert element : they will be made without morphotype correction.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Item Pain of the KOOS Score
Time Frame: Twice : at inclusion and at 10 weeks follow-up with feet orthoses
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Twice : at inclusion and at 10 weeks follow-up with feet orthoses
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
KOOS Score (items Symptoms, Activities of daily living, Sport and recreation function, Knee-related quality of life)
Time Frame: Twice : at inclusion and at 10 weeks follow-up with feet orthoses
|
Twice : at inclusion and at 10 weeks follow-up with feet orthoses
|
|
|
Kujala Score
Time Frame: Twice : at inclusion and at 10 weeks follow-up with feet orthoses
|
Twice : at inclusion and at 10 weeks follow-up with feet orthoses
|
|
|
Pain level
Time Frame: Twice : at inclusion and at 10 weeks follow-up with feet orthoses
|
Visual Analog Scale (VAS)
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Twice : at inclusion and at 10 weeks follow-up with feet orthoses
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 5832
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