Comparison of the Results With and Without Custom Insole in Nonoperative Treatment of Adult-Acquired Flatfoot Deformity
Keywords:
adult-acquired flatfoot deformity, custom insole, nonoperative treatment of adult-acquired flatfoot deformityAbstract
Objective: The objectives of this study were 1) to compare the foot and ankle functional status and medial arch pain or posterior tibial tendon pain in adult-acquired flatfoot deformity before and after the nonoperative treatment with custom insole and 2) to compare the foot and ankle functional status and medial arch pain or posterior tibial tendon pain in adult-acquired flatfoot deformity after the nonoperative treatment with and without custom insole.
Methods: This is a retrospective cohort analytic study to compare the results of with and without custom insole in nonoperative treatment of adult-acquired flatfoot deformity. Fifty-five patients with diagnosis of adult-acquired flatfoot deformity who presented to the Department of Orthopedics at Cha-Am Hospital, Phetchaburi between July 2018–December 2021 were included. The patients were divided in 2 groups: 1stgroup, The With Custom Insole group were 28 cases and 2ndgroup, The Without Custom Insole group were 27 cases. Foot and Ankle Ability Measure (FAAM) Thai version 19 (activity of daily living subscale) and Pain Numerical Rating Scale (NRS) were used to measure the results of treatment. The data were analyzed by using number, percentage, mean, standard deviation, chi-square test, dependent t test and independent t test.
Results: 1) The With Custom Insole group had increase FAAM and decrease NRS after treatment with statistically significant at p < .01 and p < .01 respectively. 2) The With Custom Insole group had higher FAAM and lower NRS after treatment than the Without Custom Insole group with statistically significant at p < .01 and p < .01 respectively.
Conclusion: The nonoperative treatment of adult-acquired flatfoot deformity with custom insole can improve the foot and ankle functional status and decrease medial arch pain or posterior tibial tendon pain with statistically significant.
References
Toullec E. Adult flatfoot. Orthop Traumatol Surg Res. 2015;101:11–17.
Deland JT. Adult-acquired flatfoot deformity. J Am Acad Orthop Surg. 2008;16(7):399–406.
Henry JK, Shakked R, Ellis SJ. Adult-Acquired Flatfoot Deformity. Foot Ankle Orthop. 2019;4(1):1–17.
Kohls-Gatzoulis J, Woods B, Angel JC, et al. The prevalence of symptomatic posterior tibialis tendon dysfunction in women over the age of 40 in England. Foot Ankle Surg. 2009;15(2):75–81.
Abousayed MM, Alley MC, Shakked R, et al. Adult-Acquired Flatfoot Deformity: Etiology, Diagnosis, and Management. JBJS Rev. 2017;5(8):e7:1–11.
Johnson KA, Strom DE. Tibialis posterior tendon dysfunction. Clin Orthop Relat Res. 1989; 239:196–206.
Myerson MS. Adult acquired flatfoot deformity: Treatment of dysfunction of the posterior tibial tendon. Instr Course Lect. 1997;46:393–405.
ชัชวาลย์ เจริญธรรมรักษา, มารุต อรุณากูร. ภาวะเท้าแบนในผู้ใหญ่. ใน: ชำนาญนิติ์ รุ้งพราย, นุสรณ์ ไชยพรหม, มารุต อรุณากูร, และคณะ บรรณาธิการ. ออร์โธปิดิกส์ปัญญาวัตร เท้าและข้อเท้า. พิมพ์ครั้งที่ 1.กรุงเทพมหานคร: บริษัท ยูเนี่ยน ครีเอชั่น จำกัด; 2563. หน้า 106–117.
Haddad SL, Deland JT. Pes planus. In: Coughlin MJ, Saltzmann CL, Anderson RB, editors. Mann’s surgery of the foot and ankle. 9th ed. Philadelphia: Elsevier Saunders; 2014. p. 1292–360.
Alvarez RG, Marini A, Schmitt C, et al. Stage I and II posterior tibial tendon dysfunction treated by a structured nonoperative management protocol: an orthosis and exercise program. Foot Ankle Int. 2006;27(1):2–8.
Kulig K, Reischl SF, Pomrantz AB, et al. Nonsurgical management of posterior tibial tendon dysfunction with orthoses and resistive exercise: a randomized controlled trial. Phys Ther. 2009;89(1):26–37.
Nielsen MD, Dodson EE, Shadrick DL, et al. Nonoperative care for the treatment of adult-acquired flatfoot deformity. J Foot Ankle Surg. 2010;50(3):311–4.
Chao W, Wapner KL, Lee TH, et al. Nonoperative management of posterior tibial tendon dysfunction. Foot Ankle Int. 1996;17(12):736–41.
Mosier SM, Lucas DR, Pomeroy G, et al. Pathology of the posterior tibial tendon insufficiency. Foot Ankle Int. 1998;19(8):520–4.
Malicky ES, Crary JL, Houghton MJ, et al. Talocalcaneal and subfibular impingement in symptomatic flatfoot in adults. J Bone Joint Surg Am. 2002;84-A:2005–9.
Lin JL, Balbas J, Richardson EG. Results of Non-Surgical Treatment of Stage II Posterior Tibial Tendon Dysfunction: A 7- to 10-Year Follow up. Foot Ankle Int. 2008;29(8):781–6.
Gómez-Jurado I, Juárez-Jiménez JM, Munuera-Martínez PV. Orthotic treatment for stage I and II posterior tibial tendon dysfunction (flat foot): A systematic review. Clin Rehabil. 2020;00(0):1–10.
Arunakul M, Arunakul P, Suesiritumrong C, et al. Validity and Reliability of Thai Version of the Foot and Ankle Ability Measure (FAAM) Subjective Form. J Med Assoc Thai. 2015;98(6): 561–7.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
