From: Effectiveness of therapeutic footwear for children: A systematic review
Outcome | Study | Condition | Group | Baseline Mean (SD ±/-) | Final Mean (SD ±/-) | Statistical Result (Significant values given in bold) |
---|---|---|---|---|---|---|
Corrective Therapeutic Footwear | ||||||
Plantar pressure | ||||||
Average peak pressure (kPa): Lateral midfoot | Chen et al. (2015) [16]a | CTEV | Group 1 CTF and DB | N/A | 62.21 (53.35-71.06) b | One-way MANOVA: p=0.005 |
Group2 DB and Own footwear | N/A | 94.97 (66.38-123.59) b | Post hoc: | |||
Group 1 vs. Group 2 p<0.01 | ||||||
Group 3 FAS and CTF | N/A | 60.9 (49.26-72.54) b | Group 2 vs. Group 3 p<0.01 | |||
Maximum peak pressure (kPa): Hindfoot | Group 1 CTF and DB | N/A | 148.71 (135.49-161.94) b | One-way MANOVA: p<0.001 | ||
Group2 DB and Own footwear | N/A | 105.51 (85.73-125.29) b | Post hoc: | |||
Group 1 vs Group 2 p<0.01 | ||||||
Group 3 FAS and CTF | N/A | 164.05 (148.22-179.90) b | Group 2 vs. Group 3 p<0.001 | |||
Peak pressure ratio: Heel/forefoot | Group 1 CTF and DB | N/A | 0.72 (0.58-0.87) b | One-way MANOVA: | ||
p=0.009 | ||||||
Group2 DB and Own footwear | N/A | 0.44 (0.29-0.58) b | Post hoc | |||
Group 3 FAS and CTF | N/A | 0.73 (0.61-0.86) b | Group 1 vs. Group 2 p<0.01; | |||
Group 2 vs. Group 3 p<0.01 | ||||||
Peak pressure ratio: Heel/lateral midfoot | Group 1 CTF and DB | N/A | 1.45 (1.19-1.72) b | One-way MANOVA: | ||
p<0.001 | ||||||
Group2 DB and Own footwear | N/A | 0.77 (0.47-1.08) b | Post hoc: | |||
Group 3 FAS and CTF | N/A | 1.98 (1.68-2.29) b | Group 1 vs. Group2 p<0.01; | |||
Group 1 vs. Group 3 p<0.01; | ||||||
Group 2 vs. Group3 p<0.001 | ||||||
Functional Stability Therapeutic Footwear | ||||||
Kinematic | ||||||
Angle of gait (°) | Knittel and Staheli (1976) [41] | In toeing | SSF | - 17.3 (11.9) | ANOVA: | |
p<0.05 | ||||||
FSTF1 | - 18.3 (12.4) | Post hoc | ||||
FSTF2 | - 17.7 (13.9) | FSTF1 vs. SSF p<0.05 | ||||
FSTF3 | - 16.7 (12.7) | |||||
FSTF4 | - 17.1 (12.5) | FSTF7 vs. SSF p<0.05 | ||||
FSTF5 | - 16.7 (14.2) | |||||
FSTF6 | - 17.0 (14.3) | FSTF8 vs. SSF p<0.05 | ||||
FSTF7 | - 16.9 (12.4) | |||||
FSTF8 | - 15.6 (14.1) | FSTF9 vs. SSF p<0.05 | ||||
FSTF9 | - 10.7 (14.9) | |||||
Max. knee extension (°) stance | Jagadamma et al. (2009) [40] | Cerebral palsy | AFO and SSF | - 2.6 (2.8) | Wilcoxon signed rank: p=0.04 | |
FSTF+AFO | 3.7 (3.3) | |||||
Knee flexion (°) initial contact | AFO and SSF | 13.7 (8.4) | p=0.14 | |||
FSTF+AFO | 17.2 (5.1) | |||||
Max. knee flexion (°) stance | AFO and SSF | 19.7 (9.3) | p=0.06 | |||
FSTF+AFO | 25.2 (5.3) | |||||
Shank to vertical angle (SVA) (°) | AFO and SSF | 5.6 (3) | p=0.005 | |||
FSTF+AFO | 10.8 (1.8) | |||||
Kinetic | ||||||
Peak knee flexion moment (N m) stance | Jagadamma et al. (2009) [40] | Cerebral palsy | AFO and SSF | 0.59 (0.31) | Wilcoxon signed rank: p=0.25 | |
FSTF+AFO | 0.7 (0.32) | |||||
Peak Knee extension moment (N m) stance | AFO and SSF | - 0.44 (0.2) | p=0.14 | |||
FSTF+AFO | - 0.29 (0.24) | |||||
Spatiotemporal | ||||||
Base of support (cm) | Abd Elkader et al. (2013) [14] | Mobile pes planus | Group 1 BF | 11.80 (1.06) | Paired t test: | |
Group 1 FSTF | 9.10 (1.31) | Group 1 p<0.05; | ||||
Group 2 p<0.05 | ||||||
Group 2 BF | 12.63 (1.96) | Independent t test | ||||
Group 2 FT | 9.20 (1.17) | BF p=0.12; | ||||
FSTF vs. FT p=0.86 | ||||||
Cadence (Steps/min) | Jagadamma et al. (2009) [40] | Cerebral palsy | AFO and SSF | 122.5 (16.6) | Paired t test: | |
FSTF+AFO | 122.3 (12.4) | p=0.97 | ||||
CoP displacement (mm) | Aboutorabi et al. (2014) [11] | Mobile pes planus | BF | 6.55 (6.40) | Repeated measures ANOVA: | |
p=0.016 | ||||||
FSTF | 5.84 (6.15) | Post hoc: | ||||
SLS+FO | 5.87 (6.40) | FSTF vs. BF p<0.05 | ||||
Standing balance (s) | Wesdock and Edge (2003) [42] | Cerebral palsy | Group1 SSF (after 4 weeks wear of solid AFO) | 11 (13) | Mixed model maximum likelihood estimate: p>0.05 | |
Crouch gait | Group 1 SSF + AFO (after 4 weeks wear of solid AFO) | 18 (23) | ||||
Group 1 FSTF+AFO (after 4 weeks wear of solid AFO) | 50 (68) | |||||
Group 1 SSF (after 4 weeks wear of FSTF+AFO) | 14 (23) | |||||
Group 1 SSF + AFO (after 4 weeks wear of FSTF+AFO) | 11 (24) | |||||
Group 1 FSTF+AFO (after 4 weeks wear of FSTF+AFO) | 49 (70) | |||||
Difference in standing balance (s) | Wesdock and Edge (2003) [42] | Cerebral palsy | Group 1 SSF vs. SSF+AFO (after 4 weeks wear of solid AFO) | (-6)-20 b | No Statistical test for significance performed | |
Group1 SSF+AFO vs. FSTF+AFO (after 4 weeks wear of solid AFO) | (-2)-66b | |||||
Group1 SSF vs. FSTF+AFO (after 4 weeks wear of solid AFO) | 7 -73b | |||||
Group1 SSF vs. SSF+AFO (after 4 weeks wear of solid AFO) | (-19)-13b | |||||
Group 1 SSF+AFO vs. FSTF+AFO (after 4 weeks wear of solid AFO) | 3-73 b | |||||
Group1 SSF vs. FSTF+AFO (after 4 weeks wear of solid AFO) | 0-70 b | |||||
Cerebral palsy | SSF vs. SSF+AFO (after 4 weeks wear of solid AFO) | 14 (6) | after 4 weeks wear of solid AFO | |||
Subset of Group1 all participants who could stand ≥15s | SSF+AFO vs. FSTF+AFO (after 4 weeks wear of solid AFO) | 84 (41) | SSF vs. FSTF+AFO p<0.05; | |||
SSF vs. FSTF+AFO (after 4 weeks wear of solid AFO) | 98 (47) | SSF+AFO vs. FSTF+AFO p<0.05; | ||||
SSF vs. SSF+AFO (after 4 weeks wear of FSTF+AFO) | - 8 (7) | after 4 weeks wear of solid FSTF+AFO | ||||
SSF+AFO vs. FSTF+AFO (after 4 weeks wear of FSTF+AFO) | 101 (25) | SSF vs. FSTF+AFO p<0.05; | ||||
SSF vs. FSTF+AFO (after 4 weeks wear of FSTF+AFO) | 93 (33) | SSF+AFO vs. FSTF+AFO p<0.05 | ||||
(Sig based on 95% Confidence Interval of Group 1 differences in standing balance) | ||||||
Step length (cm) | Abd Elkader et al. (2013) [14] | Down’s Syndrome mobile pes planus | Group 1 BF | 26.53 (3.72) | Paired t test: | |
Group1 FSTF | 30.83 (4.28) | Group 1 p<0.05 | ||||
Group 2 p<0.05 | ||||||
Group 2 BF | 25.63 (4.62) | Independent t test: | ||||
Group 2 FT | 30.73 (5.51) | BF Group 1 vs. 2 p=0.62; | ||||
FSTF vs. FT p=0.95 | ||||||
Aboutorabi et al. (2014) [11] | Mobile pes planus | BF | 37.99 (3.82) | Repeated measures ANOVA: p=0.478 | ||
FSTF | 38.85 (4.97) | |||||
SLS+FO | 39.05 (4.68) | |||||
Step symmetry (%) | Aboutorabi et al. (2014) [11] | Mobile pes planus | BF | -4.90 (4.66) | Repeated measures ANOVA: p=0.000 | |
FSTF | -2.70 (25.54) | Post hoc | ||||
SLS+FO | 16.08 (31.25) | FSTF vs. SLS+FO p<0.05 | ||||
Step width (cm) | Aboutorabi et al. (2014) [11] | Mobile pes planus | BF | 8.87 (1.61) | Repeated measures ANOVA: p=0.170 | |
FSTF | 8.91 (1.99) | |||||
SLS+FO | 9.41 (1.69) | |||||
Stride length (m) | Abd Elkader et al. (2013) [14] | Down’s Syndrome mobile pes planus | Group 1 BF | 0.448 (0.06) | Paired t test: | |
Group 1 FSTF | 0.504 (0.064) | Group 1 p<0.05 | ||||
Group 2 p<0.05 | ||||||
Group 2 BF | 0.455 (0.071) | Independent t test: | ||||
Group 2 FT | 0.524 (0.078) | BF Group 1 vs. 2 p=0.82; | ||||
FSTF vs. FT p=0.44 | ||||||
Jagadamma et al. (2009) [40] | Cerebral palsy | AFO and SSF | 1.08 (0.19) | Paired t test: p=0.54 | ||
FSTF+AFO | 1.06 (0.20) | |||||
Velocity (m/s) | Abd Elkader et al. (2013) [14] | Down’s Syndrome mobile pes planus | Group 1 BF | 0.674 (.059) | Paired t test: | |
Group 1 FSTF | 0.775 (0.035) | Group 1 p<0.05 | ||||
Group 2 p<0.05 | ||||||
Group 2 BF | 0.672 (0.109) | Independent t test: | ||||
Group 2 FT | 0.762 (0.090) | BF Group 1 vs. 2 p=0.95; | ||||
FSTF vs. FT p=0.61 | ||||||
Aboutorabi et al. (2014) [11] | Mobile pes planus | BF | 0.727 (0.136) | Repeated measures ANOVA: p=0.000 | ||
FSTF | 0.847 (0.156) | Post hoc: | ||||
SLS+FO | 0.779 (0.128) | FSTF vs. BF p<0.05; | ||||
SLF +FO vs. BF p<0.05 | ||||||
Jagadamma et al. (2009) [40] | Cerebral palsy | AFO and SSF | 1.08 (0.1) | Paired t test: p=0.80 | ||
FSTF+AFO | 1.07 (0.14) | |||||
Functional Instability Therapeutic Footwear | ||||||
Balance (Dynamic) | ||||||
Anterior posterior control (CoP) | Ramstrand et al. (2008) [43]a | Cerebral Palsy + mixed developmental disability | BF Medium (at 4 weeks) | 45.7 (25.5-66.5) b | Wilcoxon signed rank | |
FITF Medium (at 4 weeks) | 51.44 (33.7-69.2) b | BF vs. FITF Medium at week 4 p<0.05 | ||||
Mediolateral control (CoP) | BF Slow (baseline) | 57.2 (47.0-67.2) b | Friedman ANOVA: | |||
BF Slow p<0.05 | ||||||
BF Medium (baseline) | 66.4 (52.6-80.1) b | Post hoc | ||||
BF Slow at week 8 vs. week 4 and baseline p<0.05 | ||||||
Wilcoxon signed rank | ||||||
BF Slow (at 4 weeks) | 69.2 (59.9-78.5) b | BF vs. FITF Slow at 8 weeks p<0.05; | ||||
BF Medium (at 4 weeks) | 75 (67.4-82.6) b | BF vs. FITF Medium at 4- and 8-weeks p<0.05 | ||||
FITF Slow (at 4 weeks) | 55.1 (36.3-73) b | |||||
FITF Medium (at 4 weeks) | 67 (54.3-79.2) b | |||||
BF Slow (at 8 weeks) | 74.89 (64.9-84.8) b | |||||
BF Medium (at 8 weeks) | 72.44 (55.1-89.9) b | |||||
FITF Slow (at 8 weeks) | 57.56 (40.3-74.8) b | |||||
FITF Medium (at 8 weeks) | 65.33 (44.5-86.2) b | |||||
Number of falls toes up condition | Subject 1,2,6,9,10 | 0 | Chi Square: | |||
Subject 3 | 2 | Between testing occasions p<0.05 | ||||
Subject 4 | 3 | |||||
Subjects 5,8 | 4 | |||||
Subject 7 | 10 | |||||
Subjects 1,5, 8 -10 (at 4 weeks) | 0 | |||||
Subjects 2, 6 (at 4 weeks) | Did not participate | |||||
Subjects 3 ,4 (at 4 weeks) | 1 | |||||
Subject 7 (at 4 weeks) | 2 | |||||
Subjects 1,2, 4 - 10 (at 8 weeks) | 0 | |||||
Subject 3 (at 8 weeks) | 1 | |||||
Functional Lift Therapeutic Footwear | ||||||
Kinematic | ||||||
Ankle dorsiflexion at initial contact (°) | Eek et al. (2017) [10] | Cerebral palsy | BF Long leg | -2.3d (7.9) e | Wilcoxon signed rank: | |
BF Short leg | -9.2d (13.6) e | Comparison long to short | ||||
FLTF Long leg | 4.3d (9.1) e | BF p = 0.009; | ||||
FLTF Short leg | -2d (17) e | FLTF p= 0.017; | ||||
SSF Long leg | 3.5d (9.) e | SSF p=0.009 | ||||
SSF Short leg | -6.2d (11.3) e | |||||
Ankle dorsiflexion in stance (°) | BF Long leg | 11.9d (11.6) e | Comparison long to short | |||
BF Short leg | 6.5d (6.4) e | BF p = 0.22; | ||||
FLTF Long leg | 15.1d (4.9) e | FLTF p=0.241; | ||||
FLTF Short leg | 14.4d (8.6) e | SSF p=0.022 | ||||
SSF Long leg | 16.5d (2.8) e | |||||
SSF Short leg | 11.4d (10.7) e | |||||
Ankle dorsiflexion in swing (°) | BF Long leg | 3.7d (5.8) e | Comparison long to short | |||
BF Short leg | 3.2d (5.5) e | BF p = 0.007; | ||||
FLTF Long leg | 6.5d (10.9) e | FLTF p=0.037; | ||||
FLTF Short leg | 2.6d (9.3) e | SSF p=0.13 | ||||
SSF Long leg | 5.8d (7.8) e | |||||
SSF Short leg | 0.5d (10.7) e | |||||
Hip adduction in stance (°) | BF Long leg | 8.4d (6.4) e | Comparison long to short | |||
BF Short leg | 7.4d (4.4) e | BF p = 0.959; | ||||
FLTF Long leg | 6.6d (2.9) e | FLTF p=0.646; | ||||
FLTF Short leg | 9.3d (7.5) e | SSF p=0.646 | ||||
SSF Long leg | 7.0d (4.8) e | |||||
SSF Short leg | 6.3d (4.8) e | |||||
Hip extension in stance (°) | BF Long leg | 9.6d (6.2) e | Comparison long to short | |||
BF Short leg | 11.3d (3.7) e | BF p = 0.114 | ||||
FLTF Long leg | 12.8d (8) e | FLTF p=0.241 | ||||
FLTF Short leg | 12.3d (5.70e | SSF p=0.203 | ||||
SSF Long leg | 11.9d (7.3) e | |||||
SSF Short leg | 12.5d (5.7) e | |||||
Hip flexion at initial contact (°) | BF Long leg | 36.3d (9.1) e | Comparison long to short | |||
BF Short leg | 29.8d (5.1) e | BF p = 0.005; | ||||
FLTF Long leg | 34.9d (5.4) e | FLTF p=0.139; | ||||
FLTF Short leg | 34.1d (4.1) e | SSF p=0.005 | ||||
SSF Long leg | 36.3d (4.3) e | |||||
SSF Short leg | 30.5d (8.3) e | |||||
Hip flexion in swing (°) | BF Long leg | 37.3 (6.9) e | Comparison long to short | |||
BF Short leg | 33.0 (5.5) e | BF p = 0.009; | ||||
FLTF Long leg | 38.7 (7.3) e | FLTF p=0.139; | ||||
FLTF Short leg | 36.9 (6.1) e | SSF p=0.028 | ||||
SSF Long leg | 36.3 (7.5) e | |||||
SSF Short leg | 33.3 (6.4) e | |||||
Knee extension in stance (°) | BF Long leg | 7.0d (9.6) e | Comparison long to short | |||
BF Short leg | 4.8d (12.6) e | BF p = 0.007; | ||||
FLTF Long leg | 4.9d (10.2) e | FLTF p=0.028; | ||||
FLTF Short leg | 1.9d (10.9) e | SSF p=0.007 | ||||
SSF Long leg | 8.8d (10.6) | |||||
SSF Short leg | 1.6d (8.7) e | |||||
Knee flexion at initial contact (°) | BF Long leg | 13.4d (6.8) e | Comparison long to short | |||
BF Short leg | 11.9d (7.8) e | BF p = 0.508; | ||||
FLTF Long leg | 7.7d (7.5) e | FLTF p=0.114; | ||||
FLTF Short leg | 9.4d (6.7) e | SSF p=0.386; | ||||
SSF Long leg | 7.3d (11.5) e | |||||
SSF Short leg | 8.10d (7.5) e | |||||
Knee flexion in swing (°) | BF Long leg | 63.8d (5.0) e | Comparison long to short | |||
BF Short leg | 62.2d (12.7) e | BF p = 0.203; | ||||
FLTF Long leg | 64.2d (5.2) e | FLTF p=0.445; | ||||
FLTF Short leg | 60.8d (13.4) e | SSF p=0.093 | ||||
SSF Long leg | 65.6d (2.7) e | |||||
SSF Short leg | 62.5d (15.3) e | |||||
Spatiotemporal | ||||||
Cadence steps/min | Eek et al. (2017) [10] | Cerebral palsy | BF | 100.6d (17.8) e | Friedman ANOVA: p>0.05 | |
FLTF | 98.4d (25.7) e | |||||
SSF | 99.3d (24.9) e | |||||
Stance phase % | BF Long leg | 61.1d (2.03) e | Wilcoxon signed rank: | |||
BF Short leg | 56.8d (4.0) e | Comparison long to short | ||||
FLTF Long leg | 60.8d (292) e | BF p = 0.022; | ||||
FLTF Short leg | 60.0d (4.16) e | FLTF p=0.241; | ||||
SSF Long leg | 62.5d (1.91) e | SSF p=0.005 | ||||
SSF Short leg | 58.9d (3.90) e | |||||
Stride length (m) | BF | 1.12d (0.13) e | Friedman ANOVA: p<0.05 | |||
FLTF | 1.24d (0.12) e | Post hoc: | ||||
SSF | 1.24d (0.12) e | BF vs. FLTF p<0.05; | ||||
BF vs. SSF p<0.05 | ||||||
Velocity (m/s) | BF | 1.18d (0.16) e | Friedman ANOVA: p<0.05 | |||
FLTF | 1.24d (0.12) e | Post hoc: | ||||
SSF | 1.21d (0.22) e | BF vs. FLTF p<0.05 |