> If a patient is still in the same amount of pain, does the patient
really
> care if their mechanical function has improved (in your opinion) from
the
> treatment you have provided? Patient-based measures are often more
> reliable
> and valid outcome measures (eg VAPS) than objective assessments of
foot
> motion commonly used in clinical practice.
We have done 2 subjects (lots more to go) looking at changes in function
and symptomatic relief. Both had no detectable change in dynamic
function, but got a big improvement in clinical symptoms :-)
> Across a lot of the podiatry literature there appears to be a habit of
> testing treatments objectively and finding out how they work whilst at
the
> same time there are relatively few, if any, studies that establish the
> treatment as effective at improving quality of life or reducing pain.
> Shouldn't we first concentrate on establishing whether a treatment
'is'
> effective rather than whether 'how' a treatment is effective?
Based on our n=2, changes in rearfoot position are not related to
symptom relief..... we sort of new that already, but data is always
nicer.
CP
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