Effectiveness of foot orthoses for treatment and prevention of lower limb injuries : a review.

Sports Medicine
Patria HumeBenno Nigg

Abstract

Healthcare professionals prescribe foot orthoses (FOs) for treatment and prevention of lower limb injuries, but previous reviews of the effectiveness of FOs have been inconclusive. We have therefore performed a review emphasizing the magnitude of treatment effects to evaluate the clinical effectiveness of FOs in the treatment and prevention of lower limb injuries.Qualifying studies were mainly controlled trials, but some uncontrolled clinical trials of patients with chronic injuries were analysed separately. Injuries included plantar fasciitis, tibial stress fractures and patellofemoral pain syndrome; these were included because of the large treatment costs for these frequent injuries in New Zealand. Outcomes were pain, comfort, function and injury status. Continuous measures were expressed as standardized differences using baseline between-subject standard deviations, and magnitudes were inferred from the intersection of 90% confidence intervals with thresholds of a modified Cohen scale. Effects based on frequencies were expressed as hazard ratios and their magnitudes were inferred from intersection of confidence intervals with a novel scale of thresholds.The effects of FOs for treatment of pain or injury prevention were mostl...Continue Reading

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Citations

Apr 9, 2014·Journal of Foot and Ankle Research·Helen A BanwellDominic Thewlis
Nov 2, 2014·The Journal of Orthopaedic and Sports Physical Therapy·Robroy L MartinChristine M McDonough
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