Evidence map›Paper›PMID 28138341›Full record

Trial reportJournal of foot and ankle research2017

The Foot Orthoses versus Hip eXercises (FOHX) trial for patellofemoral pain: a protocol for a randomized clinical trial to determine if foot mobility is associated with better outcomes from foot orthoses.

Mark Matthews, Michael Skovdal Rathleff, Andrew Claus, Tom McPoil, Robert Nee, Kay Crossley, Jessica Kasza, Sanjoy Paul, Rebecca Mellor, Bill Vicenzino

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of foot and ankle research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Article
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  5. Article
  6. Journal of Foot and Ankle Research: the first ten years.Journal of foot and ankle research · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 3 countries.

Mark MatthewsThe University of Queensland, School of Health and Rehabilitation Sciences, Sports Injuries Rehabilitation and Prevention for Health research unit, CCRE Spine, Brisbane, Australia.
Michael Skovdal RathleffResearch Unit for General Practice in Aalborg and Department of Clinical Medicine, Aalborg, Denmark.
Andrew ClausThe University of Queensland, School of Health and Rehabilitation Sciences, Sports Injuries Rehabilitation and Prevention for Health research unit, CCRE Spine, Brisbane, Australia.
Tom McPoilSchool of Physical Therapy, Rueckert-Hartman College for Health Professions, Regis University, Denver, USA.
Robert NeeSchool of Physical Therapy, Pacific University, Hillsboro, USA.
Kay CrossleyLa Trobe University, School of Allied Health, College of Science, Health and Engineering, Melbourne, Australia.
Jessica KaszaDepartment of Epidemiology and Preventive Medicine, Monash University, Clayton, Australia.
Sanjoy PaulClinical Trials and Biostatistics Centre, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
Rebecca MellorThe University of Queensland, School of Health and Rehabilitation Sciences, Sports Injuries Rehabilitation and Prevention for Health research unit, CCRE Spine, Brisbane, Australia.
Bill VicenzinoThe University of Queensland, School of Health and Rehabilitation Sciences, Sports Injuries Rehabilitation and Prevention for Health research unit, CCRE Spine, Brisbane, Australia.
Queensland Health · AUUniversity of Queensland · AUAalborg University · DKLa Trobe University · AUMonash University · AUPacific University Oregon · USQIMR Berghofer Medical Research Institute · AURegis University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatellofemoral pain (PFP) is a prevalent, often recalcitrant and multifactorial knee pain condition. One method to optimize treatment outcome is to tailor treatments to the patient's presenting characteristics. Foot orthoses and hip exercises are two such treatments for PFP with proven efficacy yet target different ends of the lower limb with different proposed mechanisms of effect. These treatments have not been compared head-to-head, so there is a dearth of evidence for which to use clinically. Only foot orthoses have been explored for identifying patient characteristics that might predict a beneficial effect with either of these two treatments. Preliminary evidence suggests patients will do well with foot orthoses if they have a midfoot width in weight bearing that is ≥ 11 mm more than in non-weight bearing, but this has yet to be verified in a study that includes a comparator treatment and an adequate sample size. This trial will determine if: (i) hip exercises are more efficacious than foot orthoses, and (ii) greater midfoot width mobility will be associated with success with foot orthoses, when compared to hip exercises.

methodsTwo hundred and twenty participants, aged 18-40 years, with a clinical diagnosis of PFP will be randomly allocated with a 1:1 ratio to receive foot orthoses or progressive resisted hip exercises, and stratified into two subgroups based on their presenting midfoot width mobility ( DISCUSSION: This trial is designed to compare the efficacy of foot orthoses versus hip exercise, as well as to determine if high midfoot width mobility is associated with better outcomes with foot orthoses when compared to hip exercises. Results of this trial will assist clinicians in optimising the management of those with PFP by testing whether a simple measure of midfoot width mobility can help to determine which patients are most likely to benefit from foot orthoses.

trial registrationThis trial is registered on the Australian New Zealand Clinical Trials Register (ACTRN12614000260628).

Indexed as

Foot OrthosesAdolescentAdultExercise TherapyFemaleHumansMaleMotor ActivityPatellofemoral Pain SyndromePatient SatisfactionPatient SelectionProspective StudiesTreatment OutcomeYoung AdultClinical predictionKnee painManagementPrognosisTreatment effect modifier

Identifiers

PMID28138341
PMCPMC5264284
OpenAlexW2580500506

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.