PMID- 30142623 OWN - NLM STAT- MEDLINE DCOM- 20181126 LR - 20181126 IS - 1873-1600 (Electronic) IS - 1466-853X (Linking) VI - 34 DP - 2018 Nov TI - Effects of a 4-week intervention using semi-custom insoles on perceived pain and patellofemoral loading in targeted subgroups of recreational runners with patellofemoral pain. PG - 21-27 LID - S1466-853X(18)30317-1 [pii] LID - 10.1016/j.ptsp.2018.08.006 [doi] AB - OBJECTIVE: Explore the effects of a 4-week intervention using semi-custom insoles in recreational runners with patellofemoral pain. DESIGN: Mixed methods. PARTICIPANTS: Seventeen (10 males and 7 females) recreational runners. SETTING: Laboratory. OUTCOME MEASUREMENTS: Participants were separated into specific subgroups, then provided with a pair of semi-custom insoles, for a period of 4-weeks. Lower extremity kinetics/kinematics during running at 4.0 m/s were obtained. In addition, knee pain was examined using the Knee injury and Osteoarthritis Outcome Score-Patellofemoral scale (KOOS-PF). Data were collected before and after wearing the insoles for 4-weeks. RESULTS: Significant improvements were shown for KOOS-PF in both subgroups (strong: (pre) = 63.84 & (post) = 71.49 and weak and tight: (pre) = 53.03 & (post) = 72.73), although only improvements in the weak and tight group exceeded the minimum clinically important difference (MCID). In addition, significant reductions in peak patellofemoral stress were shown in both subgroups (strong: (pre) = 6.82 & (post) = 6.39KPa/BW and weak and tight: (pre) = 7.66 & (post) = 6.28KPa/BW), although only reductions in the weak and tight group exceeded the MCID. CONCLUSIONS: Semi-custom insoles may be a mechanism to reduce patellofemoral pain symptoms in recreational runners from the weak and tight subgroup. It is proposed that this improvement was mediated through reductions in patellofemoral loading in this subgroup. CI - Copyright (c) 2018 Elsevier Ltd. All rights reserved. FAU - Sinclair, Jonathan AU - Sinclair J AD - Centre for Applied Sport and Exercise Sciences, Faculty of Health and Wellbeing, University of Central Lancashire, Lancashire, UK. Electronic address: jksinclair@uclan.ac.uk. FAU - Janssen, Jessie AU - Janssen J AD - Allied Health Research Unit, Faculty of Health and Wellbeing, University of Central Lancashire, Lancashire, UK. FAU - Richards, Jim David AU - Richards JD AD - Allied Health Research Unit, Faculty of Health and Wellbeing, University of Central Lancashire, Lancashire, UK. FAU - Butters, Bobbie AU - Butters B AD - Centre for Applied Sport and Exercise Sciences, Faculty of Health and Wellbeing, University of Central Lancashire, Lancashire, UK. FAU - Taylor, Paul John AU - Taylor PJ AD - School of Psychology, Faculty of Science & Technology, University of Central Lancashire, Lancashire, UK. FAU - Hobbs, Sarah Jane AU - Hobbs SJ AD - Centre for Applied Sport and Exercise Sciences, Faculty of Health and Wellbeing, University of Central Lancashire, Lancashire, UK. LA - eng PT - Journal Article DEP - 20180815 PL - England TA - Phys Ther Sport JT - Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine JID - 100940513 SB - IM MH - Adult MH - Biomechanical Phenomena MH - Female MH - *Foot Orthoses MH - Humans MH - Male MH - Middle Aged MH - Pain Management/*instrumentation MH - Patellofemoral Pain Syndrome/*therapy MH - Running/*injuries MH - *Shoes MH - Young Adult OTO - NOTNLM OT - Insoles OT - Patellofemoral loading OT - Patellofemoral pain OT - Subgrouping EDAT- 2018/08/25 06:00 MHDA- 2018/11/27 06:00 CRDT- 2018/08/25 06:00 PHST- 2018/06/27 00:00 [received] PHST- 2018/08/12 00:00 [revised] PHST- 2018/08/13 00:00 [accepted] PHST- 2018/08/25 06:00 [pubmed] PHST- 2018/11/27 06:00 [medline] PHST- 2018/08/25 06:00 [entrez] AID - S1466-853X(18)30317-1 [pii] AID - 10.1016/j.ptsp.2018.08.006 [doi] PST - ppublish SO - Phys Ther Sport. 2018 Nov;34:21-27. doi: 10.1016/j.ptsp.2018.08.006. Epub 2018 Aug 15.