A pilot study to assess the effectiveness of orthotic insoles on the reduction of plantar soft tissue strain

Ibrahim, Musab; Hilaly, Rana El; Taher, Mona F.; Morsy, Ahmed

doi:10.1016/j.clinbiomech.2012.09.003

Cited by 21 publications

(14 citation statements)

References 19 publications

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“…In this study, plantar pressure showed statistical difference, similar to studies that agree that insoles reduce pressures 21,22 . These data disagree with Almeida et al 23 , in which there was no significant difference.…”

Section: Discussionsupporting

confidence: 90%

Análise do equilíbrio postural estático e da intensidade das dores musculoesqueléticas após o uso de palmilhas proprioceptivas por militares do serviço ostensivo

Souza

Almeida

et al. 2020

Fisioter. Pesqui.

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RESUMO Para a manutenção do equilíbrio, o organismo utiliza os sistemas visuais, vestibulares e proprioceptivos, que enviam informações para o sistema nervoso central acerca das condições do corpo com o objetivo de estabilizá-lo. Este estudo avaliou o efeito das palmilhas proprioceptivas sobre o equilíbrio postural estático e as dores musculoesqueléticas após dois meses de uso, por meio de uma pesquisa analítica longitudinal com 15 militares saudáveis do sexo masculino com média de idade de 34±7,5 anos. Eles foram submetidos à avaliação do equilíbrio por meio da plataforma Medicapteurs® e pelo protocolo CNT. Não houve diferença estatística para os desvios do corpo e velocidade do centro de pressão. A pressão plantar teve mudança estatisticamente significante para o pé esquerdo e o pé direito correspondendo a p=0,0001 e p=0,0007, respectivamente. Houve redução das médias de dores nos joelhos, pés e calcanhares e diminuição significativa da dor lombar, com p=0,0180. O equilíbrio estático não foi alterado significativamente com o uso das palmilhas proprioceptivas pelos militares, contudo elas proporcionaram melhor redistribuição das pressões plantares e parecem atenuar as dores musculoesqueléticas das extremidades inferiores. Por isso as palmilhas podem ser consideradas para esse grupo uma terapêutica de prevenção contra lesões relacionadas à sua atividade laboral.

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Section: Discussionsupporting

confidence: 90%

Análise do equilíbrio postural estático e da intensidade das dores musculoesqueléticas após o uso de palmilhas proprioceptivas por militares do serviço ostensivo

Souza

Almeida

et al. 2020

Fisioter. Pesqui.

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“…These findings coincide with those of previous studies. Ibrahim et al (2013) noted that in the treatment of people with diabetes, orthotic insoles and pressure-relief shoes reduce plantar pressure loading. Meanwhile, Chang, Liu, Chang, Lee, and Wang (2014) revealed that accommodative insoles significantly reduce the peak pressure, pressure-time integral on the MPJs, and maximal force in older people with metatarsalgia.…”

Section: Discussionmentioning

confidence: 98%

“…For diabetics, orthotic insoles and pressure relief shoes reduce plantar pressure loading (Ibrahim, Hilaly, Taher, & Morsy, 2013;Raspovic, Landorf, Gazarek, & Stark, 2012). In a similar manner, race walkers are at high risk of plantar pressure-related overuse injuries (Palamarchuk, 1980;Song et al, 2013).…”

Section: Introductionmentioning

confidence: 97%

Could Insoles Offload Pressure? An Evaluation of the Effects of Arch-supported Functional Insoles on Plantar Pressure Distribution during Race Walking

Song

et al. 2015

Research in Sports Medicine

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This study investigated the effectiveness of functional insoles on plantar pressure distribution during race walking so as to reduce the high plantar pressure and force on race walkers, who tend to suffer from overuse injury. A total of 20 male race walkers aged 21.19 ± 3.66 years and with a mean height of 178.85 ± 14.07 cm were recruited as participants. Each participant completed a race walking with functional or normal insoles. Plantar pressure insoles were used to collect vertical plantar pressure data. A two-way analysis of variance with a mixed design was used to determine the difference between the two conditions. Results showed that the use of functional insoles reduces the peak pressure and the impulse in the metatarsophalangeal joints and heels and thus suggest that functional insoles reduce the overuse injury risks of these parts. The first ground reaction force peak also decreased. This result suggested that functional insoles reduce the risks of foot and leg injuries.

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“…The present study is focussed on the proposal of a standardised, objective approach for measuring the performance of footwear prescriptions during their test at an outpatient service for Diabetic foot, so as to deliver an objective instrumental support to the clinical decision. Several studies, in fact, have already been published on the topic, where an instrumental approach is implemented and kinetic measurements are taken inside the shoes to test insoles, shoes or both [5][6][7][8][9]; however, an overall agreement is still missing with respect to a replicable, simple, reliable test protocol which, based on few parameters and proper threshold values, may be effective and prompt to be used by clinicians to sustain or rebut their decision.…”

Section: Introductionmentioning

confidence: 99%

Learning from experience: A simple effective protocol to test footwear prescriptions for the Diabetic foot by using the Pedar system

Giacomozzi¹,

Uccioli²

2013

JBiSE

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Adherence of patients to treatment and appropriateness of prescribed footwear are mandatory for successful prevention of Diabetic foot ulceration. In a Public Healthcare Service, footwear approval is under the responsibility of the clinician. In some cases kinetic measurements are taken inside the shoes to support the clinical decision; however, an overall agreement is still missing with respect to a simple, reliable and effective test protocol based on proper threshold values. Authors’ past experiences, specific needs of the Diabetic outpatient service, and suggestions from valuable literature led to an instrumental test protocol based on reference peak pressure (PP) thresholds and gait line (GL) specific for each level of risk. Permission was obtained for one preliminary validation session at the Authors’ outpatient service, during which 11 patients at high/very high risk of ulceration were examined—9 for testing new footwear, 2 for monitoring 12-month-old footwear. The protocol was well accepted by patients and operators, fast and easy to be used. Based on the instrumental, clinical and visual inspection data; 4 new footwear did not pass the test; 5 passed the test but integration or minor changes were requested; the 2 old footwear were found no more effective. As a first positive feedback, after 4 months of wearing the modified prescriptions none of the patients had developed plantar ulcers or signs of tissue damage. Successive data processing proved that in all patients altered PPs and deviated GLs did correlate with alterations of other kinetic parameters. The protocol, which is proved to be sensitive and valuable for the Diabetic foot care, may have a general validity; the delivered specific PP thresholds and reference data, instead, can be reliably used if the test is performed with a calibrated Pedar Insole System and with the wide Insoles in the range UW-YW (EU size 36 - 45).

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A pilot study to assess the effectiveness of orthotic insoles on the reduction of plantar soft tissue strain

Cited by 21 publications

References 19 publications

Análise do equilíbrio postural estático e da intensidade das dores musculoesqueléticas após o uso de palmilhas proprioceptivas por militares do serviço ostensivo

Análise do equilíbrio postural estático e da intensidade das dores musculoesqueléticas após o uso de palmilhas proprioceptivas por militares do serviço ostensivo

Could Insoles Offload Pressure? An Evaluation of the Effects of Arch-supported Functional Insoles on Plantar Pressure Distribution during Race Walking

Learning from experience: A simple effective protocol to test footwear prescriptions for the Diabetic foot by using the Pedar system

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