Becker Stephan, Simon Steven, Mühlen Jan, Dindorf Carlo, Fröhlich Michael
Department of Sport Science, RPTU Kaiserslautern-Landau, 67663 Kaiserslautern, Germany.
Department of Molecular and Cellular Sports Medicine, Institute of Cardiovascular Research and Sports Medicine, German Sport University Cologne, 50933 Cologne, Germany.
J Funct Morphol Kinesiol. 2023 May 18;8(2):66. doi: 10.3390/jfmk8020066.
This pilot study aimed to investigate the use of sensorimotor insoles in pain reduction, different orthopedic indications, and the wearing duration effects on the development of pain. Three hundred and forty patients were asked about their pain perception using a visual analog scale (VAS) in a pre-post analysis. Three main intervention durations were defined: VAS_post: up to 3 months, 3 to 6 months, and more than 6 months. The results show significant differences for the within-subject factor "time of measurement", as well as for the between-subject factor indication ( < 0.001) and worn duration ( < 0.001). No interaction was found between indication and time of measurements (model A) or between worn duration and time of measurements (model B). The results of this pilot study must be cautiously and critically interpreted, but may support the hypothesis that sensorimotor insoles could be a helpful tool for subjective pain reduction. The missing control group and the lack of confounding variables such as methodological weaknesses, natural healing processes, and complementary therapies must be taken into account. Based on these experiences and findings, a RCT and systematic review will follow.
这项初步研究旨在调查感觉运动鞋垫在减轻疼痛、不同骨科适应症以及佩戴时长对疼痛发展的影响方面的应用。在一项前后分析中,340名患者使用视觉模拟量表(VAS)被问及他们的疼痛感知。定义了三个主要干预时长:VAS_post:长达3个月、3至6个月以及超过6个月。结果显示,在受试者内因素“测量时间”以及受试者间因素适应症(<0.001)和佩戴时长(<0.001)方面存在显著差异。在适应症与测量时间之间(模型A)或佩戴时长与测量时间之间(模型B)未发现交互作用。这项初步研究的结果必须谨慎且批判性地解读,但可能支持感觉运动鞋垫可能是减轻主观疼痛的有用工具这一假设。必须考虑到缺少对照组以及缺乏诸如方法学弱点、自然愈合过程和辅助治疗等混杂变量。基于这些经验和发现,随后将进行一项随机对照试验和系统评价。