Foot orthoses for adults with flexible pes planus: a systematic review

Abstract

BackgroundFoot orthoses are widely used in the management of flexible pes planus, yet the evidence to support this intervention has not been clearly defined. This systematic review aimed to critically appraise the evidence for the use of foot orthoses for flexible pes planus in adults.MethodsElectronic databases (Medline, CINAHL, Cochrane, Web of science, SportDiscus, Embase) were systematically searched in June 2013 for randomised controlled, controlled clinical and repeated measure trials where participants had identified flexible pes planus using a validated and reliable measure of pes planus and the intervention was a rigid or semi-rigid orthoses with the comparison being a no-orthoses (shoes alone or flat non-posted insert) condition. Outcomes of interest were foot pain, rearfoot kinematics, foot kinetics and physical function.ResultsOf the 2,211 articles identified by the searches, 13 studies met the inclusion criteria; two were randomised controlled trials, one was a controlled trial and 10 were repeated measure studies. Across the included studies, 59 relevant outcome measures were reported with 17 calculated as statistically significant large or medium effects observed with use of foot orthoses compared to the no orthoses condition (SMD range 1.13 to -4.11).ConclusionsNo high level evidence supported the use of foot orthoses for flexible pes planus. There is good to moderate level evidence that foot orthoses improve physical function (medial-lateral sway in standing (level II) and energy cost during walking (level III)). There is low level evidence (level IV) that foot orthoses improve pain, reduce rearfoot eversion, alter loading and impact forces; and reduce rearfoot inversion and eversion moments in flexible pes planus. Well-designed randomised controlled trials that include appropriate sample sizes, clinical cohorts and involve a measure of symptom change are required to determine the efficacy of foot orthoses to manage adult flexible pes planus.

Child with a Lower Extremity Trouble

“…Ark destekli ayakkabılar verilebilir fakat deformiteye faydası yoktur. [44] BMI indeks ile FPP arasında ilişki nedeniyle olgulara kilo vermesi önerilmelidir. [45] 1.…”

Are Biomechanical Features of the Foot and Ankle Related to Lumbopelvic Motor Control?

“…Excessive pronation of the foot has been shown to cause medial component injuries in the knee, internal rotation of the hip, and thereby it has been shown to increase femoral anteversion angle and lumbar lordosis, and deteriorate lumbopelvic alignment, resulting in lower back pain, and lumbopelvic instability. [11][12][13][14][15][16][17] JAPMA Article In Press This article has been reviewed and accepted for publication. Please note that it has not been copyedited, proofread, or typeset and is not a final version.…”

Pes Planusun Alt Ekstremi̇te Bi̇yomekani̇ği̇ne Ve Fonksi̇yonelli̇ğe Etki̇si̇

“…On sekiz yaş üzerindeki bireylerde ayak problemi görülme oranının % 24, 18-45 yaş arası bireylerde ayak ağrısı görülme sıklığının % 10 civarında olduğu bildirilmiştir (2,3). Toplum içerisinde görülme sıklığının % 2 ile % 23 arasında olduğu bildirilen pes planus, medial longitudinal arkın (MLA) kronik olarak yüksekliğini kaybettiği durumları tanımlar (4)(5)(6). Pes planusla ilişkili en önemli problem, ayakta duruş ve yürüyüşte ayağın aşırı pronasyonudur.…”