The Utilization of a Shoe Insert on Individuals With Unilateral Greater Trochanteric Pain Syndrome on Single Leg Stance, Biomechanics, and Pain Intensity
Mayo Clinic
Summary
We hypothesize that the addition of a unilateral neutral shoe insert combined with standard physical therapy (PT+SI) will have greater improvements in pain and function at 12 weeks and 6 months compared to physical therapy with sham inserts (PT+Sham) and physical therapy (PT) alone. In addition, we hypothesize that the addition of a neutral shoe insert in the involved limb will immediately improve biomechanics and pain with the single-leg stance test.
Eligibility
- Age range
- 18–70 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Subjects with a history of unilateral hip pain lasting more than three months. * Subjects with a VAS pain score of at least 3/10 localized to the lateral hip. * Subjects with pain with palpation to lateral hip. * Subjects with pain with either resisted hip abduction in relative adduction testing position and/or single leg stance test Exclusion Criteria: * Subjects wearing custom foot orthoses at the time of recruitment. * Subjects who endorse current low back pain ≥ 3 on the NRS or lumbar radiculopathy * Subjects with a medical history of spinal or lower limb surgery i…
Interventions
- DeviceUnilateral neutral shoe insert
In the treatment group, subjects will undergo the addition of a neutral shoe insert to the involved lower extremity according to manufacturer guidelines at the initial visit. These subjects will also undergo a once-weekly 12-week course of physical therapy according to the established standardized protocol.
- DeviceBilateral Shoe Insert
For subjects placed in the sham group, subjects will undergo the addition of a neutral shoe insert to both lower extremities according to manufacturer guidelines at the initial visit. These subjects will also undergo a once-weekly 12-week course of physical therapy according to the established standardized protocol with guidelines .
- OtherPhysical Therapy
For subjects placed in the control group, subjects will undergo a once-weekly 12-week course of physical therapy according to the established standardized protocol.
Location
- Mayo ClinicGlendale, Arizona