Prevention of Stress Fractures Using Custom Biomechanical Shoe Orthoses

Finestone, Aharon S.; Giladi, Michael; Elad, Hadar; Salmon, Asher; Mendelson, Stephen; Eldad, Arieh; Milgrom, Charles

doi:10.1097/00003086-199903000-00022

Cited by 86 publications

(112 citation statements)

References 24 publications

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“…Subjects are male active duty military personnel serving in the Army, Naval Academy, and Marines. Age was generally consistent in the five studies, with a range of 18.5-20.0 years [14,26,27]. The median duration of follow-up was 13 weeks in the four studies that included this information.…”

Section: Methodsmentioning

confidence: 65%

“…Of the resulting 17 manuscripts, six reviews and one "Comment" paper were eliminated. Five of the remaining ten studies met the inclusion criteria [14,24,[26][27][28]. Two authors used the same data, but only one (Milgrom et al) was included in the review [24,28].…”

Section: Methodsmentioning

confidence: 99%

“…Because the methodology was unclear, whether or not they evaluated their subjects for fractures at other locations is unknown. For this reason, the data from this study were included only in the tibia subgroup analysis [14].…”

Section: Methodsmentioning

confidence: 99%

“…Previous studies have investigation whether insoles lower stress fracture incidence by improving foot biomechanics, lessening fatigue of the lower extremities, and attenuating impact better than a conventional military boot or training shoe [14][15][16]. Because the military boot is designed to protect the foot from blunt trauma and to protect the ankle from inversion injury, the standard boot is particularly amenable to the insertion of insoles to prevent lower extremity stress fractures in military recruits.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Does Shoe Insole Modification Prevent Stress Fractures? A Systematic Review

Snyder

DeAngelis

Koester

et al. 2009

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Stress fractures can be debilitating in athletes and military personnel. Insoles may lower stress fracture rates by improving biomechanics, lessening fatigue, and attenuating impact. The objective of this study was to systematically review the best evidence on the use of insoles as a method of stress fracture prevention in a highrisk population. Using MEDLINE, Cochrane, Current Controlled Trials, UK National Research Register, ScienceDirect, CINAHL, and EMBASE, a review of randomized (level I) and quasi-randomized (level II) controlled trials was performed using an insole as the intervention and stress fracture incidence as the primary outcome measure. Five trials were included, and a random effects model was used to generate a summary estimate and an overall odds ratio. One study found a significant reduction in overall stress fracture incidence using a semirigid insole, while four studies found no overall reduction in military personnel. However, when the data are pooled, orthotic use was beneficial. When stratified by site, there was a reduction in femoral and tibial stress fracture incidence. Shoe insoles may reduce the overall femoral and tibial stress fracture incidence during military training. It is unclear if the use of insoles would prevent stress fractures in athletes. Additional studies are necessary to determine the efficacy of insoles in an athletic population.

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Section: Methodsmentioning

confidence: 65%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Does Shoe Insole Modification Prevent Stress Fractures? A Systematic Review

Snyder

DeAngelis

Koester

et al. 2009

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

View full text Add to dashboard Cite

show abstract

“…acute triage, follow-up consultations, chronic disease management) or the quality of the advice given by telephone in comparison with faceto-face consulting. 7 Recent systematic reviews 8,9 have shown that most studies comparing face-to-face consulting to telephone consultation have used purely observational methods. However, observational methods suffer from difficulty in eliminating systematic bias.…”

mentioning

confidence: 99%

Unresolved questions in telephone consulting

McKinstry

Sheikh

2006

Journal of the Royal Society of Medicine

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Prevention of Sports Injuries

Aaltonen

Karjalainen²,

Heinonen³

et al. 2007

Arch Intern Med

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ncreased participation in sports has led to more sports injuries. Evidence-based methods to prevent sports injuries are needed. A systematic review was conducted of the effects of randomized controlled interventions to prevent sports injuries. A systematic search was performed of various databases and the reference lists of articles and reviews. Two reviewers independently extracted the data and assessed the methodological quality of the included trials. Thirty-two trials (24 931 participants) met the inclusion criteria. We found evidence of the preventive effect of 3 types of injury prevention interventions. In 5 trials including 6 different comparisons (2446 participants), custom-made or prefabricated insoles reduced lower limb injuries compared with no insoles in military recruits (risk reduction Ն50% in 4 comparisons). All 7 studies investigating external joint supports (10 300 participants) showed a tendency to prevent ankle, wrist, or knee injuries (risk reduction Ն50% in 5 studies). All 6 multi-intervention training programs (2809 participants) were effective in preventing sports injuries (risk reduction Ն50% in 5 studies). Various interventions may prevent sports injuries. A decreased risk of sports injuries was associated with the use of insoles, external joint supports, and multi-intervention training programs. More high-quality randomized controlled trials in different sports and populations are needed.

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Prevention of Stress Fractures Using Custom Biomechanical Shoe Orthoses

Cited by 86 publications

References 24 publications

Does Shoe Insole Modification Prevent Stress Fractures? A Systematic Review

Does Shoe Insole Modification Prevent Stress Fractures? A Systematic Review

Unresolved questions in telephone consulting

Prevention of Sports Injuries

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