Plantar Orthoses and Orthopedic Insoles in Clinical Practice (literature review)

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Abstract

Objectives

To collect data on the use of plantar orthoses in the scientific literature and describe the benefits found in the treatment of various conditions.

Methods

Literature review following the “Center of Reviews and Dissemination guidance for undertaking reviews in health care” using the Medline database.

Results

A total of 74 articles were screened, including 61 clinical trials and 13 literature reviews.

Conclusion

The use of plantar orthoses can offer various benefits as a complementary treatment in various healthcare areas. The mechanisms of action that justify the results of orthoses include biomechanical and postural alterations, alteration and distribution of plantar pressure, impact absorption through soft materials, and peripheral nerve stimulation. The type of orthosis used is related to the etiology of the condition to be treated, and the success of its use is related to the correct choice of plantar orthosis. While there is a large number of articles in the literature on the use of plantar orthoses in cases of osteoarthritis, diabetic feet, and stress fractures, there is a lack of studies related to more common pathologies in clinical practice such as Morton’s neuroma and plantar fasciitis.