Advertisement

Clinical Rheumatology

, Volume 31, Issue 7, pp 1041–1045 | Cite as

A cohort-controlled trial of the addition of customized foot orthotics to standard care in fibromyalgia

  • Robert FerrariEmail author
Original Article

Abstract

Customized foot orthotics are widely prescribed for patients with chronic, non-specific low back pain and lower limb pain, but there are few trials demonstrating effectiveness, and none for fibromyalgia. A total of 67consecutive patients presenting with chronic, widespread pain, who met the 1990 American College of Rheumatology criteria for fibromyalgia, were included in the study. A total of 32 subjects were prescribed a spinal exercise therapy program along with analgesics. These subjects formed the Control group. A second group, comprised of 35 subjects, received the same therapy, along with customized foot orthotics (Orthotics group). All subjects completed the Revised Fibromyalgia Impact Questionnaire (FIQR) at the initiation of the study and at 8 weeks follow-up. The number of subjects using any type of prescription analgesic or other medication for chronic pain at baseline and at 8 weeks was also recorded. A total of 30 subjects in the Control group and 33 in the Orthotics group completed the study. All subjects completed the baseline and 8-week FIQR. The two groups were well matched in terms of age (45.3 ± 11.5 years in the Orthotics group vs. 47.2 ± 8.7 years in the cohort Control), medication use, duration of pain (6.5 ± 4.3 years in the Orthotics group vs. 6.2 ± 3.4 years in the cohort Control group), as well as baseline FIQR scores (55.2 ± 11.0 in the Orthotics group vs. 56.3 ± 12.2 in the cohort Control group). At 8 weeks, the Orthotics group had a greater reduction in the FIQR score than the cohort Control group (reduction of 9.9 ± 5.9 vs. 4.3 ± 4.4, respectively), and this was mainly due to changes in the ‘function’ domain of the FIQR (reduction of 19.6 ± 9.4 in the Orthotics group vs. 8.1 ± 4.3 in the cohort Control group). As part of a complex intervention, in a cohort-controlled trial of primary care patients with fibromyalgia, the addition of custom-made foot orthotics to usual care appears to improve functioning in the short term.

Keywords

Fibromyalgia Orthotics 

Notes

Disclosures

None.

References

  1. 1.
    Bennett RM, Friend R, Jones KD, Ward R, Han BK et al (2000) The revised fibromyalgia impact questionnaire (FIQR): validation and psychometric properties. Arthritis Res Ther 11:R20Google Scholar
  2. 2.
    Cambron JA, Duarte M, Dexheimer J, Solecki T (2011) Shoe orthotics for the treatment of chronic low back pain: a randomized controlled pilot study. J Manipulative Ther 34:254–260CrossRefGoogle Scholar
  3. 3.
    Bird AR, Bendrups AP, Payne CB (2003) The effect of foot wedging on electromyographic activity in the erector spinae and gluteus medius muscles during walking. Gait Posture 18:81–91PubMedCrossRefGoogle Scholar
  4. 4.
    Trotter LC, Pierrynowski MR (2008) Changes in gait economy between full-contact custom-made foot orthoses and prefabricated inserts in patients with musculoskeletal pain. J Am Podiatr Med Assoc 98:429–435PubMedGoogle Scholar
  5. 5.
    Kang JH, Chen MD, Chen SC, Hsi WL (2006) Correlations between subjective treatment responses and plantar pressure parameters of metatarsal pad treatment in metatarsalgia patients: a prospective study. BMC Musculoskel Dis 7:95CrossRefGoogle Scholar
  6. 6.
    Hastings MK, Mueller MJ, Pilgram TK, Lott DJ, Commean PK, Johnson JE (2007) Effect of metatarsal pad placement on plantar pressure in people with diabetes mellitus and peripheral neuropathy. Foot Ankle Int 28:84–88PubMedCrossRefGoogle Scholar
  7. 7.
    Hsi WL, Kang JH, Lee XX (2005) Optimum position of metatarsal pad in metatarsalgia for pressure relief. Am J Phys Med Rehabil 84:514–520PubMedCrossRefGoogle Scholar
  8. 8.
    Ferrari R (2007) Responsiveness of the short-form 36 and Oswestry Disability Index in chronic nonspecific low back and lower limb pain treated with customized foot orthotics. J Manipulative PhysiolTher 30:456–458CrossRefGoogle Scholar
  9. 9.
    Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C et al (1990) The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis Rheum 33:160–172PubMedCrossRefGoogle Scholar
  10. 10.
    Pauer L, Winkelmann A, Arsenault P, Jespersen A, Whelan L et al (2011) An international, randomized, double-blind, placebo-controlled, phase III trial of pregabalinmonotherapy in treatment of patients with fibromyalgia. J Rheumatol 38:2643–2652PubMedCrossRefGoogle Scholar

Copyright information

© Clinical Rheumatology 2012

Authors and Affiliations

  1. 1.Department of Medicine, 13-103 Clinical Sciences BuildingUniversity of AlbertaEdmontonCanada

Personalised recommendations