Pressure pain sensitivity changes after use of shock-absorbing insoles among young soccer players training on artificial turf: a randomized controlled trial
Madeleine P, Hoej BP, Fernández-de-Las-Peñas C, Rathleff MS, Kaalund S
The Journal of orthopaedic and sports physical therapy · 11 citations
Review labels
Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.
How it was studied
- Design
- Randomized controlled trial (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Funding not disclosed
Publication
- Published
- 2014-07-17 · J Orthop Sports Phys Ther · vol. 44 · issue 8 · pp. 587–594
- Publisher
- American Physical Therapy Association
- Cited
- 19 citations · more than 82% of similar papers · 1.7× the field average
- References
- 32 works
- Access
- Paywalled
- Research areas
- Sports injuries and prevention · Tendon Structure and Treatment · Lower Extremity Biomechanics and Pathologies
- Keywords
- Randomized controlled trial, Shock (circulatory), Sensitivity (control systems), Physical therapy, Physical medicine and rehabilitation, Medicine, Surgery, Engineering, Internal medicine
- MeSH
- foot, leg, humans, low back pain, prospective studies, single-blind method, pain threshold, pressure, physical education and training, soccer, shoes, adolescent, pain perception
5 authors
From DK
- Pascal MadeleineAalborg University
- Brian P. HoejAalborg University
- César Fernández‐de‐las‐Peñas
- Michael Skovdal RathleffAalborg University Hospital
- Søren Kaalund
Abstract
Study design
Prospective, randomized, controlled single-blind intervention trial.
Objectives
Shock-absorbing insoles (SAIs), compared with usual insoles, were hypothesized to result in larger increases in pressure pain threshold (PPT) after 3 weeks of use.
Background
Shock-absorbing insoles can decrease self-reported pain among young soccer players training on artificial turf. However, nothing is known about the underlying changes in pain sensitivity assessed by PPT. Methods Seventy-five players were included from the youth teams of under 15, under 17, and under 19 years of age, playing for the Aalborg Boldspilklub (AaB) professional sports club. After a randomization stratified by team and age, players were divided into 2 groups, one that received SAIs and a control group that used their usual insoles. Assessments were made in both groups after 3 weeks of training on artificial turf (baseline) and 3 weeks later (follow-up). The primary outcome was change in PPTs from baseline to follow-up, with PPTs measured over 13 locations on the plantar surface of the foot, leg, and low back of the nonpreferred kicking leg.
Results
A significantly larger increase was found in PPTs from baseline to follow-up for the SAI group compared with the control group (mean difference, 62 kPa; 95% confidence interval [CI]: 40, 85 kPa). The PPTs increased significantly more among the SAI group compared with the control group (P<.05) for the abductor digiti minimi (mean difference, 82 kPa; 95% CI: 6, 157 kPa), tibialis anterior (mean difference, 125 kPa; 95% CI: 20, 230 kPa), medial gastrocnemius (mean difference, 83 kPa; 95% CI: -6, 171 kPa), and erector spinae (mean difference, 86 kPa; 95% CI: -17, 188 kPa).
Conclusion
The use of SAIs resulted in increased PPTs after 3 weeks of training on artificial turf compared with controls, suggesting a protective role of SAIs in pressure sensitivity and pain perception.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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