An exploration of the effects of prefabricated and customized insoles on lower limb kinetics and kinematics during walking, stepping up and down tasks: A time series analysis

Lourenço, Bianca Martins; Magalhães, Fabrício Anicio; Vieira, Fernanda Muniz; Reis, Caroline Kokudai; Costa, Henrique Silveira; Araújo, Vanessa Lara; Richards, Jim; Trede, Renato Guilherme

doi:10.1016/j.gaitpost.2022.10.004

Cited by 3 publications

(8 citation statements)

References 43 publications

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“…The first metatarsal region's contact area was increased and the peak pressure and time-pressure integral of the fist metatarsal [22]. Lourenço et al (2022) observed the effects of prefabricated and customized insoles on walking, stepping up and stepping down tasks in individuals with excessive foot pronation. The kinetic data were recorded using three synchronized force plates.…”

Section: Discussionmentioning

confidence: 95%

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Pilot Study: Effect of Morton’s Extension on the Subtalar Joint Forces in Subjects with Excessive Foot Pronation

Palomo-Toucedo

González-Elena

Balestra-Romero³

et al. 2023

Sensors

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This study focuses on the assessment of the mechanical effect produced by Morton’s extension as an orthopedic intervention in patients with bilateral foot pronation posture, through a variation in hindfoot and forefoot prone-supinator forces during the stance phase of gait. A quasi-experimental and transversal research was designed comparing three conditions: barefoot (A); wearing footwear with a 3 mm EVA flat insole (B); and wearing a 3 mm EVA flat insole with a 3 mm thick Morton’s extension (C), with respect to the force or time relational to the maximum time of supination or pronation of the subtalar joint (STJ) using a Bertec force plate. Morton’s extension did not show significant differences in the moment during the gait phase in which the maximum pronation force of the STJ is produced, nor in the magnitude of the force, although it decreased. The maximum force of supination increased significantly and was advanced in time. The use of Morton’s extension seems to decrease the maximum force of pronation and increase supination of the subtalar joint. As such, it could be used to improve the biomechanical effects of foot orthoses to control excessive pronation.

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Section: Discussionmentioning

confidence: 95%

“…The kinetic data were recorded using three synchronized force plates. Both insoles reduced rearfoot eversion in all tasks [23]. Zhang et al (2022) determined the effects of foot orthoses with forefoot wedge and arch-support components during running in symptomatic pronated feet.…”

Section: Discussionmentioning

confidence: 99%

Pilot Study: Effect of Morton’s Extension on the Subtalar Joint Forces in Subjects with Excessive Foot Pronation

Palomo-Toucedo

González-Elena

Balestra-Romero³

et al. 2023

Sensors

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“…Additionally, we reported numerical values for all types of foot orthotics used in the respective studies 13-16, 30-33, 38-42, 44 . We extracted data from graphs out of ve studies 15,30,31,33,43 .…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The subgroup analysis showed no signi cant effect of short-term FO application in the studies that assessed foot posture using the foot print arch index 35 (1 study: SMDs=0.55, 95% CI -0.18 to 1.28, p=0.14). Signi cant effects were observed for the studies that used the FPI-6 or clinical observation [30][31][32][33] (4 studies: moderate SMDs=0.68, 95% CI 0.13 to 1.23, p=0.01, I 2 =83%) and forefoot varus 13,40 (2 studies: moderate SMDs=0.5, 95% CI 0.24 to 0.77, p=0.0002, I 2 =0%) to determine foot pronation (Fig 4 , Table 5). Five studies reported peak ankle eversion moment in Nm/kg.…”

Section: Anklementioning

confidence: 99%

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Effects of short-term foot orthoses application on walking kinematics and kinetics in adults with pronated feet: A systematic review with meta-analysis

Jafarnezhadgero,

Esmaeili,

Mousavi

et al. 2024

Preprint

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Foot orthoses (FO) are frequently used medical devices to correct lower limbs malalignment in the form of excessive foot pronation. This systematic review with meta-analysis aimed to investigate the effects of short-term FO application on walking kinematics and kinetics in adults aged ≥18 years with excessive foot pronation. Five electronic databases (MEDLINE, Scopus, PubMed, EMBASE, and Cochrane Central Register of Controlled Trials [CENTRAL]) were systematically searched from inception to January 2024. According to the PICOS approach, the eligibility criteria were: (P) healthy participants with pronated feet, (I) short-term FO interventions (one session), (C) other walking conditions (e.g., barefoot, only shoe, fake foot orthosis), (O) lower limbs kinematics (e.g., rearfoot eversion) and kinetics (e.g., knee joint moments) during walking, and (S) case-control studies, cross-sectional studies, randomized control trials, cohort studies, and case series designs. The modified version of the Downs and Black checklist was used to assess the methodological quality. Between-group standardized mean differences (SMDs) with 95% confidence intervals (CI) were computed using a random-effects model to elucidate the effects of short-term FO compared to controls. Statistical significance was set at p<0.05. The heterogeneity between studies was assessed using the I2 index. Twenty-two studies were identified and meta-analyzed. Overall, the methodological quality of the included studies was moderate, with 15 studies achieving high-quality and the remaining seven moderate quality. For kinematics, the meta-analysis showed significant effects of short-term FO application during walking on peak rearfoot eversion (nine studies: moderate SMDs=0.66, 95% CI 0.34 to 0.99), peak ankle dorsiflexion (five studies: small SMDs=-0.33, 95% CI -0.54 to -0.12), and eversion (seven studies: moderate SMDs=0.58, 95% CI 0.27 to 0.90). Concerning kinetics, the meta-analysis indicated significant effects of short-term FO application on the peak ankle eversion moment (five studies: small SMDs=0.38, 95% CI 0.17 to 0.59) and the peak knee adduction (six studies: small SMDs=-0.30, 95% CI -0.50 to -0.10). Study heterogeneity ranged from I² = 0-87%. Our meta-analysis showed significant effects of short-term FO application on the rearfoot eversion angle during walking in adults aged ≥18 years. Accordingly, the wearing of FOs can be recommended for adults with foot malalignment. However, between study heterogeneity was high for selected outcome parameters (e.g., peak ankle eversion). Therefore, more high-quality research is needed to elucidate the effects of short-term FO application on walking kinematics and kinetics as well as lower limbs muscular activation. Registration number: The protocol for this systematic review with meta-analysis was registered with PROSPERO on November, 17th 2023 (Project: https://www.crd.york.ac.uk/prospero/#myprospero, ID: CRD42023480039).

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Efficacy of pharmacological and non-pharmacological therapies on pain intensity and disability for plantar fasciitis: a systematic review and meta-analysis

Lourenço,

Campos,

Maia

et al. 2023

Br J Sports Med

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ObjectiveTo investigate the effects of pharmacological and non-pharmacological therapies on pain intensity and disability for plantar fasciitis.DesignSystematic review of randomised controlled trials (RCTs).Data sourcesAMED, MEDLINE, PEDro, Cochrane, SPORTDiscus, CINAHL, EMBASE and PsycINFO without language or date restrictions up to 3 February 2023.Eligibility criteriaRCTs that evaluated the efficacy of any pharmacological and non-pharmacological therapies compared with control (placebo, sham, waiting list or no intervention) on pain intensity and disability in people with plantar fasciitis. Two reviewers independently screened eligible trials, extracted data, assessed the methodological quality of included trials and assessed the certainty of the evidence using the Grading of Recommendations, Assessment, Development and Evaluations framework. Mean differences (MDs) with 95% CIs were reported.ResultsSeventeen different therapies investigated in 28 trials were included in the quantitative analysis. For non-pharmacological therapies, moderate certainty evidence showed short-term effects of customised orthoses on pain intensity when compared with control (MD of −12.0 points (95% CI −17.1 to −7.0) on a 0–100 scale). Low certainty evidence showed short-term effects of taping on pain intensity (−21.3 (95% CI −38.6 to −4.0)). Long-term effects and effects on disability are still uncertain. For pharmacological therapies, low to very low quality evidence from few trials with small samples was inconclusive and supports that high-quality trials are needed.ConclusionsModerate-quality and low-quality evidence demonstrates customised orthoses and taping, respectively, reduce pain intensity in the short term in patients with plantar fasciitis.PROSPERO registration numberCRD42021224416.

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An exploration of the effects of prefabricated and customized insoles on lower limb kinetics and kinematics during walking, stepping up and down tasks: A time series analysis

Cited by 3 publications

References 43 publications

Pilot Study: Effect of Morton’s Extension on the Subtalar Joint Forces in Subjects with Excessive Foot Pronation

Pilot Study: Effect of Morton’s Extension on the Subtalar Joint Forces in Subjects with Excessive Foot Pronation

Effects of short-term foot orthoses application on walking kinematics and kinetics in adults with pronated feet: A systematic review with meta-analysis

Efficacy of pharmacological and non-pharmacological therapies on pain intensity and disability for plantar fasciitis: a systematic review and meta-analysis

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