Cover Journal of the American Podiatric Medical Association
Journal of the American Podiatric Medical Association
ISSN:
8750-7315
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Online Publication Date:
May 2004

Evaluating the Clinical Effectiveness and Cost-effectiveness of Foot Orthoses in the Treatment of Plantar Heel Pain

A Feasibility Study

Keith Rome School of Health and Social Care, University of Teesside, Middlesbrough, England.

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 PhD, DPodM
,
Joanne Gray School of Health and Social Care, University of Teesside, Middlesbrough, England.

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 MSc
,
Fiona Stewart North Tyneside Hospital North Shields, Newcastle, England.

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 PhD
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Stephen Charles Hannant Podiatry Services, North Tyneside Area Health Authority Trust, Newcastle, England.

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 BSc(Hons), DPodM
,
Des Callaghan Podiatry Services, Hartlepool Area Health Authority Trust, Hartlepool, England. Mr. Callaghan is now deceased.

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 MA, DPodM
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Joanne Hubble Podiatry Services, North Tyneside Area Health Authority Trust, Newcastle, England.

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 BSc(Hons), DPodM
DOI:
https://doi.org/10.7547/0940229
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This study evaluated the clinical effectiveness and cost-effectiveness of two different types of foot orthoses used to treat plantar heel pain. Forty-eight patients were randomly assigned to receive either a functional or an accommodative orthosis. General (EuroQol) and specific (Foot Health Status Questionnaire) health-status measures were used. Data were also collected using economic questionnaires relating to National Health Service costs for podia-try, other health-service costs, and patient costs. Data were measured at baseline and at 4- and 8-week intervals. Thirty-five patients completed the study. The results demonstrated a significant decrease in foot pain and a significant increase in foot function with the functional foot orthoses over the 8-week trial. The accommodative foot orthoses demonstrated a significant reduction in foot pain only at 4 weeks. The cost-effectiveness analysis demonstrated that functional orthoses, although initially more expensive, result in a better quality of life. Use of functional orthoses resulted in an increased cost of £17.99 ($32.74) per patient, leading to an incremental cost per quality-adjusted life year of £1,650 ($3,003) for functional orthoses. (J Am Podiatr Med Assoc 94(3): 229–238, 2004)

Corresponding author: Keith Rome, PhD, DPodM, Teesside Centre for Rehabilitation Sciences, School of Health and Social Care, University of Teesside, Middlesbrough TS1 3BA, England.
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