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Effect of different orthotic concepts as first line treatment of plantar fasciitis
Walther M, Kratschmer B, Verschl J, Volkering C, Altenberger S, Kriegelstein S, Hilgers M
Foot and Ankle Surgery 2013 Jun;19(2):103-107
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: Evaluation of the effectiveness of three different types of prefabricated foot orthotics in the treatment of plantar fasciitis. METHODS: Prospective, randomized head-to-head trialin 30 adults (21 women, 9 men) with plantar fasciitis without any anatomic alterations. Three different prefabricated orthotics were tested (thin, non supportive orthotic (NO); soft supportive foam orthotic (FO); foam covered rigid self-supporting plastic orthotic (PO)). The follow up was 3 weeks. Main outcome measures were maximum and average pain (VAS), duration of pain per day, walking distance and subjective comfort. RESULTS: There was no significant effect of NO on maximal pain and average pain. FO and PO had a significant effect on pain levels (p < 0.05) whereas PO was superior concerning pain reduction and the time until the onset of effect (p < 0.05). CONCLUSIONS: PO are superior regarding pain reduction and pain free time when compared to FO. NO did not demonstratea significant effect in the test setup used.

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