Effectiveness of custom-made foot orthoses for treating forefoot pain: a systematic review

Purpose Pain in and around the metatarsal heads, the metatarsal phalangeal joints and the surrounding soft tissues is called metatarsalgia. Non-operative treatment of metatarsalgia includes foot orthoses. Foot orthoses may be classified as standard or custom-made. A systematic review was carried out...

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Authors: Arias-Martín, Isabel, Reina Bueno, María, Munuera Martínez, Pedro Vicente
Format: article
Status:Versión aceptada para publicación
Publication Date:2018
Country:España
Institution:Universidad de Sevilla (US)
Repository:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/160938
Online Access:https://hdl.handle.net/11441/160938
https://doi.org/10.1007/s00264-018-3817-y
Access Level:Open access
Keyword:Pain
Foot
Forefoot
Foot orthoses
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spelling Effectiveness of custom-made foot orthoses for treating forefoot pain: a systematic reviewArias-Martín, IsabelReina Bueno, MaríaMunuera Martínez, Pedro VicentePainFootForefootFoot orthosesPurpose Pain in and around the metatarsal heads, the metatarsal phalangeal joints and the surrounding soft tissues is called metatarsalgia. Non-operative treatment of metatarsalgia includes foot orthoses. Foot orthoses may be classified as standard or custom-made. A systematic review was carried out to determine whether custom-made foot orthoses are effective for treating forefoot pain. Methods The MEDLINE, CINAHL, The Cochrane Library and PEDro databases were searched for relevant articles reporting patients undergoing treatment for forefoot pain by means of custom-made foot orthoses. Two reviewers independently reviewed all titles and abstracts and extracted the available data. The study eligibility criteria were randomised controlled clinical trials that included participants with forefoot pain treated with custom-made foot orthoses and that reported levels of forefoot pain after the use of orthoses. The data consisted of patient demographics, pathologies related to forefoot pain, type of foot orthoses used, follow-up period and clinical outcomes. Results Nine studies were selected which had a total of 487 participants. The pathologies evaluated were rheumatoid arthritis, hallux abductus valgus and isolated and secondary metatarsalgia. The use of custom-made foot orthoses was the intervention that exerted the most significant reduction of the level of pain in the forefoot in most of the studies. Conclusions The use of custom-made foot orthoses improved the level of forefoot pain in rheumatoid arthritis, hallux abductus valgus and secondary metatarsalgia as it increases sole pressures.SpringerPodología2018info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/160938https://doi.org/10.1007/s00264-018-3817-yreponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésInternational Orthopaedics, 42 (8), 1865-1875.https://link.springer.com/article/10.1007/s00264-018-3817-yinfo:eu-repo/semantics/openAccessoai:idus.us.es:11441/1609382026-06-17T12:51:07Z
dc.title.none.fl_str_mv Effectiveness of custom-made foot orthoses for treating forefoot pain: a systematic review
title Effectiveness of custom-made foot orthoses for treating forefoot pain: a systematic review
spellingShingle Effectiveness of custom-made foot orthoses for treating forefoot pain: a systematic review
Arias-Martín, Isabel
Pain
Foot
Forefoot
Foot orthoses
title_short Effectiveness of custom-made foot orthoses for treating forefoot pain: a systematic review
title_full Effectiveness of custom-made foot orthoses for treating forefoot pain: a systematic review
title_fullStr Effectiveness of custom-made foot orthoses for treating forefoot pain: a systematic review
title_full_unstemmed Effectiveness of custom-made foot orthoses for treating forefoot pain: a systematic review
title_sort Effectiveness of custom-made foot orthoses for treating forefoot pain: a systematic review
dc.creator.none.fl_str_mv Arias-Martín, Isabel
Reina Bueno, María
Munuera Martínez, Pedro Vicente
author Arias-Martín, Isabel
author_facet Arias-Martín, Isabel
Reina Bueno, María
Munuera Martínez, Pedro Vicente
author_role author
author2 Reina Bueno, María
Munuera Martínez, Pedro Vicente
author2_role author
author
dc.contributor.none.fl_str_mv Podología
dc.subject.none.fl_str_mv Pain
Foot
Forefoot
Foot orthoses
topic Pain
Foot
Forefoot
Foot orthoses
description Purpose Pain in and around the metatarsal heads, the metatarsal phalangeal joints and the surrounding soft tissues is called metatarsalgia. Non-operative treatment of metatarsalgia includes foot orthoses. Foot orthoses may be classified as standard or custom-made. A systematic review was carried out to determine whether custom-made foot orthoses are effective for treating forefoot pain. Methods The MEDLINE, CINAHL, The Cochrane Library and PEDro databases were searched for relevant articles reporting patients undergoing treatment for forefoot pain by means of custom-made foot orthoses. Two reviewers independently reviewed all titles and abstracts and extracted the available data. The study eligibility criteria were randomised controlled clinical trials that included participants with forefoot pain treated with custom-made foot orthoses and that reported levels of forefoot pain after the use of orthoses. The data consisted of patient demographics, pathologies related to forefoot pain, type of foot orthoses used, follow-up period and clinical outcomes. Results Nine studies were selected which had a total of 487 participants. The pathologies evaluated were rheumatoid arthritis, hallux abductus valgus and isolated and secondary metatarsalgia. The use of custom-made foot orthoses was the intervention that exerted the most significant reduction of the level of pain in the forefoot in most of the studies. Conclusions The use of custom-made foot orthoses improved the level of forefoot pain in rheumatoid arthritis, hallux abductus valgus and secondary metatarsalgia as it increases sole pressures.
publishDate 2018
dc.date.none.fl_str_mv 2018
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
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dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/160938
https://doi.org/10.1007/s00264-018-3817-y
url https://hdl.handle.net/11441/160938
https://doi.org/10.1007/s00264-018-3817-y
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv International Orthopaedics, 42 (8), 1865-1875.
https://link.springer.com/article/10.1007/s00264-018-3817-y
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
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application/pdf
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
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