Evidence for foot orthoses for adults with flatfoot: a systematic review

Abstract Background Flatfoot is characterised by the falling of the medial longitudinal arch, eversion of the hindfoot and abduction of the loaded forefoot. Furthermore, flatfoot leads to a variety of musculoskeletal symptoms in the lower extremity, such as knee or hip pain. The standard conservativ...

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Autores principales:	Minettchen Herchenröder, Denise Wilfling, Jost Steinhäuser
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Foot orthoses Shoe inserts Orthotic devices Orthotic insoles Pes planus Flatfoot Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/5817820be88b42519435960fe1f36b76
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spelling	oai:doaj.org-article:5817820be88b42519435960fe1f36b762021-12-05T12:04:11ZEvidence for foot orthoses for adults with flatfoot: a systematic review10.1186/s13047-021-00499-z1757-1146https://doaj.org/article/5817820be88b42519435960fe1f36b762021-11-01T00:00:00Zhttps://doi.org/10.1186/s13047-021-00499-zhttps://doaj.org/toc/1757-1146Abstract Background Flatfoot is characterised by the falling of the medial longitudinal arch, eversion of the hindfoot and abduction of the loaded forefoot. Furthermore, flatfoot leads to a variety of musculoskeletal symptoms in the lower extremity, such as knee or hip pain. The standard conservative treatment for flatfoot deformity is exercise therapy or treatment with foot orthoses. Foot orthoses are prescribed for various foot complaints. However, the evidence for the provision of foot orthoses is inconsistent. The aim of this systematic review is to synthesize the evidence of foot orthoses for adults with flatfoot. Methods A computerized search was conducted in August 2021, using the databases PubMed, Scopus, Pedro, Cochrane Library, and the Cochrane Central Register of Controlled Trials. Intervention studies of any design investigating the effects of foot orthoses were included, apart from case studies. Two independent reviewers assessed all search results to identify eligible studies and to assess their methodological quality. Results A total of 110 studies were identified through the database search. 12 studies met the inclusion criteria and were included in the review. These studies investigated prefabricated and custom-made foot orthoses, evaluating stance and plantar pressure during gait. The sample sizes of the identified studies ranged from 8 to 80. In most of the studies, the methodological quality was low and a lack of information was frequently detected. Conclusion There is a lack of evidence on the effect of foot orthoses for flatfoot in adults. This review illustrates the importance of conducting randomized controlled trials and the comprehensive development of guidelines for the prescription of foot orthoses. Given the weak evidence available, the common prescription of foot orthoses is somewhat surprising.Minettchen HerchenröderDenise WilflingJost SteinhäuserBMCarticleFoot orthosesShoe insertsOrthotic devicesOrthotic insolesPes planusFlatfootDiseases of the musculoskeletal systemRC925-935ENJournal of Foot and Ankle Research, Vol 14, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Foot orthoses Shoe inserts Orthotic devices Orthotic insoles Pes planus Flatfoot Diseases of the musculoskeletal system RC925-935
spellingShingle	Foot orthoses Shoe inserts Orthotic devices Orthotic insoles Pes planus Flatfoot Diseases of the musculoskeletal system RC925-935 Minettchen Herchenröder Denise Wilfling Jost Steinhäuser Evidence for foot orthoses for adults with flatfoot: a systematic review
description	Abstract Background Flatfoot is characterised by the falling of the medial longitudinal arch, eversion of the hindfoot and abduction of the loaded forefoot. Furthermore, flatfoot leads to a variety of musculoskeletal symptoms in the lower extremity, such as knee or hip pain. The standard conservative treatment for flatfoot deformity is exercise therapy or treatment with foot orthoses. Foot orthoses are prescribed for various foot complaints. However, the evidence for the provision of foot orthoses is inconsistent. The aim of this systematic review is to synthesize the evidence of foot orthoses for adults with flatfoot. Methods A computerized search was conducted in August 2021, using the databases PubMed, Scopus, Pedro, Cochrane Library, and the Cochrane Central Register of Controlled Trials. Intervention studies of any design investigating the effects of foot orthoses were included, apart from case studies. Two independent reviewers assessed all search results to identify eligible studies and to assess their methodological quality. Results A total of 110 studies were identified through the database search. 12 studies met the inclusion criteria and were included in the review. These studies investigated prefabricated and custom-made foot orthoses, evaluating stance and plantar pressure during gait. The sample sizes of the identified studies ranged from 8 to 80. In most of the studies, the methodological quality was low and a lack of information was frequently detected. Conclusion There is a lack of evidence on the effect of foot orthoses for flatfoot in adults. This review illustrates the importance of conducting randomized controlled trials and the comprehensive development of guidelines for the prescription of foot orthoses. Given the weak evidence available, the common prescription of foot orthoses is somewhat surprising.
format	article
author	Minettchen Herchenröder Denise Wilfling Jost Steinhäuser
author_facet	Minettchen Herchenröder Denise Wilfling Jost Steinhäuser
author_sort	Minettchen Herchenröder
title	Evidence for foot orthoses for adults with flatfoot: a systematic review
title_short	Evidence for foot orthoses for adults with flatfoot: a systematic review
title_full	Evidence for foot orthoses for adults with flatfoot: a systematic review
title_fullStr	Evidence for foot orthoses for adults with flatfoot: a systematic review
title_full_unstemmed	Evidence for foot orthoses for adults with flatfoot: a systematic review
title_sort	evidence for foot orthoses for adults with flatfoot: a systematic review
publisher	BMC
publishDate	2021
url	https://doaj.org/article/5817820be88b42519435960fe1f36b76
work_keys_str_mv	AT minettchenherchenroder evidenceforfootorthosesforadultswithflatfootasystematicreview AT denisewilfling evidenceforfootorthosesforadultswithflatfootasystematicreview AT joststeinhauser evidenceforfootorthosesforadultswithflatfootasystematicreview
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Evidence for foot orthoses for adults with flatfoot: a systematic review

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