Foot Orthoses Enhance the Effectiveness of Exercise, Shockwave, and Ice Therapy in the Management of Medial Tibial Stress Syndrome
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2022;10(14):18 Clin J Sport Med. 2022 May 1;32(3): e251-e260.What this means for my practice?
The results of this trial suggest that the addition of bilateral arch support foot orthoses to a multimodal therapeutic regimen of ice, ankle stretching and strengthening exercises, and extracorporeal shockwave therapy significantly improves pain and physical quality of life, and reduces symptom severity vs. a multimodal regimen only in female recreational runners with medial tibial stress syndrome. This study was limited by the small sample size, as well as the female, recreational-only population which limits generalizability to males and more experienced runners.
Study Summary
Fifty female recreational runners with medial tibial stress syndrome (shin splints) were randomized to receive an 18-week multimodal intervention program (icing, ankle stretching and strengthening, extracorporeal shockwave therapy) plus the use of arch support foot orthoses (n=25) or a sham orthoses (n=25). Outcomes of interest included pain intensity, condition severity, perceived treatment effect, and the Short-Form 36 (SF-36) quality of life questionnaire. Results revealed significantly greater improvement in pain intensity, condition severity, perceived treatment effect, and SF-36 physical function and bodily harm sub-scores in the foot orthoses group vs. the sham group.
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