Article

Foot orthoses have been applied for the management of lower limb
disorders, mainly for those who develop foot pain. The Central Stabilizer Element
(CSE) is a new element that contains the midfoot laterally when a plantar insole
is manufactured. OBJECTIVES: To determine the effect on foot pain of adding the
Central Stabilizer Element during the manufacturing process of foot orthosis, and
to describe the proportions of Central Stabilizer Element in terms of width and
length of this element. STUDY DESIGN: A clinical study. METHODS: A sample
comprising 130 patients (57 males and 73 females) with foot pain was recruited
for this study, with the patients having supinated, neutral, pronated and
overpronated feet. All the patients received a custom-made foot orthosis with the
Central Stabilizer Element. The Central Stabilizer Element was made of resins of
polyvinyl chloride, and is a device insert in foot orthosis that contains the
midfoot laterally to control pronation and supination movements. Perceived
patient's foot pain was collected using a Visual Analog Scale at baseline, 15, 60
and 90 days after treatment. RESULTS: A statistically significant decrease was
found after foot orthosis application at all times in all foot types. There was a
statistically significant correlation between all the ratio proportions according
to foot posture (Foot Posture Index scores), except for heel length proportion.
CONCLUSIONS: The Central Stabilizer Element, applied at midfoot level of a
custom-made foot orthoses through a directly mould technique, can reduce foot
pain, when a previous foot posture status is considered. CLINICAL RELEVANCE: The
Central Stabilizer Element can be of interest for those professionals who are
involved in the manufacturing process of foot orthosis, throughout the control of
an excesive pronated or a supinated foot condition that is provoking foot pain.
CI - (c) The International Society for Prosthetics and Orthotics 2014.

Langue : ANGLAIS