Nonsurgical treatment of adult acquired flat foot deformity

Elftman, Nancy

doi:10.1016/s1083-7515(03)00119-0

Cited by 19 publications

(18 citation statements)

References 7 publications

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“…This agrees with other clinical data that identify excessive HF eversion as a common clinical sign of stage II PTTD. 1,9,20 Further, these data suggest that strategies to limit hindfoot eversion and forefoot abduction show the greatest promise in decreasing PT Length . Orthoses such as the Arizona Brace and the University of California Biomechanics Laboratory (UCBL) may provide control for excessive HF eversion when the HF is in contact with the floor.…”

Section: Discussionmentioning

confidence: 81%

Comparison of Changes in Posterior Tibialis Muscle Length Between Subjects With Posterior Tibial Tendon Dysfunction and Healthy Controls During Walking

Neville

Flemister²,

Tome³

et al. 2007

J Orthop Sports Phys Ther

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The greater PTLength, as determined from foot kinematics, suggests that the PT musculotendon is lengthened in subjects with stage II PTTD, compared to healthy controls. The amount of lengthening is not dependent on the phase of gait; however, different foot kinematics contribute to PTLength across the stance phase. Targeting these foot kinematics may limit lengthening of the PT musculotendon. Subjects with excessive PT lengthening experience a decrease in function.

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Section: Discussionmentioning

confidence: 81%

Comparison of Changes in Posterior Tibialis Muscle Length Between Subjects With Posterior Tibial Tendon Dysfunction and Healthy Controls During Walking

Neville

Flemister²,

Tome³

et al. 2007

J Orthop Sports Phys Ther

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“…If the foot structure is destroyed, as in flatfeet, surgical treatment6 ) and conservative treatment, e.g., physical therapy, exercise, and orthoses, are available. Foot orthosis therapy is frequently prescribed to rebuild partial foot structure7, 8 ) .…”

Section: Introductionmentioning

confidence: 99%

Standing Balance on the Ground —The Influence of Flatfeet and Insoles

et al. 2013

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[Purpose] The aim of this study was to determine whether insoles change standing balance on the ground in normal and flat-footed subjects. [Subjects] Twenty subjects with flatfeet and 20 subjects with normal feet were included in this study. [Methods] Body sway was evaluated based on the center of pressure while subjects stood on the ground. Body sway was measured during upright standing with the feet 10 cm apart for 30 seconds. The total locus length and the area of body sway were then measured using a zebris system. Measurements were made under three sets of conditions: using BMZ insoles, which supported the cuboid; using Superfeet insoles, which supported the medial longitudinal arch; and with no insoles. [Results] The 3 insole conditions were compared. On level ground, the total locus length for the Superfeet insole was significantly less than those for the BMZ insole and no insole. [Conclusion] On level ground, Superfeet feet insoles were effective in stabilizing standing balance in both flat-footed and normal-footed subjects.

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“…Numerous clinical guidelines recommend the use of orthoses for the conservative management of PTTD 7,11,15,19,29,34. These guidelines are not based on controlled trials comparing orthoses but, rather, on observational studies and theory.…”

mentioning

confidence: 99%