Adults with flexible pes planus and the approach to the prescription of customised foot orthoses in clinical practice: A clinical records audit

Banwell, Helen A.; Thewlis, Dominic; Mackintosh, Shylie

doi:10.1016/j.foot.2015.03.005

Cited by 15 publications

(19 citation statements)

References 27 publications

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“…A number of studies have examined foot kinematics and kinetics after orthosis use [14][15][16]18,48]. Regarding the joint angles, the foot orthosis significantly reduced the peak hindfoot eversion by 3.8 • (p = 0.001, ES = 1.468), which was consistent with previous studies using a medial forefoot or medial full-length insole [49,50].…”

Section: Discussionsupporting

confidence: 83%

Immediate Effects of Medially Posted Insoles on Lower Limb Joint Contact Forces in Adult Acquired Flatfoot: A Pilot Study

Peng

Wong

Yan

et al. 2020

IJERPH

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Flatfoot is linked to secondary lower limb joint problems, such as patellofemoral pain. This study aimed to investigate the influence of medial posting insoles on the joint mechanics of the lower extremity in adults with flatfoot. Gait analysis was performed on fifteen young adults with flatfoot under two conditions: walking with shoes and foot orthoses (WSFO), and walking with shoes (WS) in random order. The data collected by a vicon system were used to drive the musculoskeletal model to estimate the hip, patellofemoral, ankle, medial and lateral tibiofemoral joint contact forces. The joint contact forces in WSFO and WS conditions were compared. Compared to the WS group, the second peak patellofemoral contact force (p < 0.05) and the peak ankle contact force (p < 0.05) were significantly lower in the WSFO group by 10.2% and 6.8%, respectively. The foot orthosis significantly reduced the peak ankle eversion angle (p < 0.05) and ankle eversion moment (p < 0.05); however, the peak knee adduction moment increased (p < 0.05). The reduction in the patellofemoral joint force and ankle contact force could potentially inhibit flatfoot-induced lower limb joint problems, despite a greater knee adduction moment.

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Section: Discussionsupporting

confidence: 83%

Immediate Effects of Medially Posted Insoles on Lower Limb Joint Contact Forces in Adult Acquired Flatfoot: A Pilot Study

Peng

Wong

Yan

et al. 2020

IJERPH

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“…The majority of respondents (72%) prescribed custom-made orthoses most of the time, and the ‘typical’ prescription was a modified Root style orthosis, balanced to the neutral calcaneal stance position, with the shell made from polypropylene and an ethyl vinyl acetate (EVA) rearfoot post. More recently, Banwell et al [ 10 ] conducted a clinical record audit of custom-made orthotic prescriptions for 42 patients with flexible pes planus in an Australian university podiatry clinic, and reported that 64% received orthoses posted to vertical, 36% were inverted, and 19% had a medial heel skive modification. Further examination of patient records indicated that patients who were prescribed a medial heel skive had a more everted resting calcaneal stance position, and those who were prescribed an inverted orthosis had a greater range of subtalar joint motion, suggesting that the selection of these prescription options was guided by individual patient requirements.…”

Section: Introductionmentioning

confidence: 99%

Custom‐made foot orthoses: an analysis of prescription characteristics from an Australian commercial orthotic laboratory

Menz

Allan

Bonanno

et al. 2017

Journal of Foot and Ankle Research

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BackgroundFoot orthoses are widely used in the prevention and treatment of foot disorders. The aim of this study was to describe characteristics of custom-made foot orthosis prescriptions from a Australian podiatric orthotic laboratory.MethodsOne thousand consecutive foot orthosis prescription forms were obtained from a commercial prescription foot orthosis laboratory located in Melbourne, Victoria, Australia (Footwork Podiatric Laboratory). Each item from the prescription form was documented in relation to orthosis type, cast correction, arch fill technique, cast modifications, shell material, shell modifications and cover material. Cluster analysis and discriminant function analysis were applied to identify patterns in the prescription data.ResultsPrescriptions were obtained from 178 clinical practices across Australia and Hong Kong, with patients ranging in age from 5 to 92 years. Three broad categories (‘clusters’) were observed that were indicative of increasing ‘control’ of rearfoot pronation. A combination of five variables (rearfoot cast correction, cover shape, orthosis type, forefoot cast correction and plantar fascial accommodation) was able to identify these clusters with an accuracy of 70%. Significant differences between clusters were observed in relation to age and sex of the patient and the geographic location of the prescribing clinician.ConclusionFoot orthosis prescriptions are complex, but can be broadly classified into three categories. Selection of these prescription subtypes appears to be influenced by both patient factors (age and sex) and clinician factors (clinic location).Electronic supplementary materialThe online version of this article (doi:10.1186/s13047-017-0204-7) contains supplementary material, which is available to authorized users.

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“…Participants' distraction was inevitable, which therapists had difficulty monitoring. Therefore, passive interventions seem to be more popular than active ones [36], even though active interventions show more benefits for flatfoot treatment.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Foot Orthoses and Exercises on Pain and Navicular Drop for Adult Flatfoot: A Network Meta-Analysis

Hoang

Chen

Chou

2021

IJERPH

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Background: Adult flatfoot leads to injury and decreased quality of life. The most widely applied noninvasive approaches are wearing foot orthoses or exercising. Both interventions raise controversy about reducing pain and neutralizing foot posture. This study investigated the impact of foot orthoses and exercise on pain and navicular drop (present for foot posture). Methods: Four databases were used: MEDLINE, PubMed, Web of Science, and Cochrane, from the earliest records to November 2020. Randomized controlled studies focused on adult flatfoot that evaluated the effect of exercise and foot orthoses on pain and navicular drop were extracted. We used data analysis to estimate the relative effect of heterogeneity using I2 and publication bias using funnel plots. Results: Ten studies were identified through to November 2020. Active interventions (AIs) were exercise and exercise combined with foot orthoses; passive interventions (PIs) were foot orthoses and added stretching. Both AIs and PIs decreased pain significantly (SMD −0.94, 95% CI −1.35, −0.54 and SMD −1.4, 95% CI −1.87, −0.92). The AIs reduced pain level better than PIs. Controversially, no treatment was found to affect navicular drop. Conclusion: Both exercise and foot orthoses can reduce pain but not realign foot posture. Exercise alone or combined with foot orthoses showed a better effect on adult flatfoot than only wearing foot orthoses. Active intervention was shown to have better efficacy in reducing pain than passive intervention.

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Adults with flexible pes planus and the approach to the prescription of customised foot orthoses in clinical practice: A clinical records audit

Cited by 15 publications

References 27 publications

Immediate Effects of Medially Posted Insoles on Lower Limb Joint Contact Forces in Adult Acquired Flatfoot: A Pilot Study

Immediate Effects of Medially Posted Insoles on Lower Limb Joint Contact Forces in Adult Acquired Flatfoot: A Pilot Study

Custom‐made foot orthoses: an analysis of prescription characteristics from an Australian commercial orthotic laboratory

The Impact of Foot Orthoses and Exercises on Pain and Navicular Drop for Adult Flatfoot: A Network Meta-Analysis

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