Influence of Foot Orthotics Upon Duration of Effects of Spinal Manipulation in Chronic Back Pain Patients: A Randomized Clinical Trial

Shoe Orthotics for the Treatment of Chronic Low Back Pain: A Randomized Controlled Trial

“…A similar small-scale study compared chiropractic plus orthotics versus chiropractic plus sham orthotics. 64 The results demonstrated that both groups improved, but there were no significant differences between the groups in terms of pain or disability, indicating that the orthotics did not add to the treatment benefit. The authors in this study commented that future trials should include subjects who wear orthotics in a weight-bearing capacity each day because lack of such wear may have affected their outcomes.…”

“…There are several small-scale or lower-quality studies investigating the use of shoe orthotics for the treatment of LBP demonstrating mixed results. 11,[50][51][52][56][57][58][59][60] Likewise, the studies that included chiropractic care along with shoe orthotics demonstrated trends toward improvement of LBP and/or lower extremity symptoms [61][62][63][64] ; however, there was some variability in outcomes.…”

Custom-Made Foot Orthoses as Non-Specific Chronic Low Back Pain and Pronated Foot Treatment

“…There is a lack of evidence to support the use of insoles as a therapy to improve the disability of CLBP [ 1 , 8 , 12 , 13 , 14 , 20 ]. According to some clinical observations, foot hyperpronation malalignment of the lower extremity and foot may induce structural and biomechanical deficits in the standing position and gait.…”

“…Excessive foot pronation has been recognized as being linked to CLBP and may cause malalignment of the lower extremity (decreased range of ankle inversion, knee flexion range and higher knee and hip internal rotation) [ 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 ]. CLBP is considered a risk factor in sports-specific pathologies such as patellofemoral pain, medial tibial stress syndrome, etc.…”

“…Foot pronation is evaluated with the foot posture index (FPI) [ 16 ] in relation to being a condition that causes kinematics changes in the lower extremity and increases the pelvic tilt, tension of the back muscles and lumbar hyperlordosis [ 17 , 18 , 19 , 20 , 21 , 22 ]. There is a lack of evidence on the effect of the custom-made foot orthoses in subjects suffering from CLBP and pronated foot to improve this syndrome by normalizing the foot posture [ 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 ].…”