What is the evidence for custom-made foot orthoses for foot pain?
AMSTAR Rating
Summary
Patient Population:
– 1332 patients in 11 trials (482 in custom foot orthoses vs 850 in another intervention/no intervention); 72.5% female
– Ages 12.7 to 63 years
– Etiologies of foot pain included: plantar fasciitis, RA, JIA, pes cavus, hallux valgus
Intervention:
– Custom foot orthosis defined as contoured, removable, in shoe device that is moulded from an impression of the foot and fabricated to prescribed specifications.
Comparison:
– Sham orthoses, no intervenion, standardized interventions given to all participants, prefabricated foot orthoses, combined manipulation, stretching, night splints, surgery
Outcome:
– Follow up between 1 week and 3 years
– Good evidence for custom foot orthoses for Painful pes cavus and Rheumatoid Arthritis patients with rearfoot pain
– Unclear if effective for plantar fasciitis or metatarsophalangeal joint pain in RA compared to control
– Improves pain for Hallux valgus up to 6 months, but Surgery more effective at 6-12 months
– Non-custom orthoses equally as effective in JIA (may lack power to detect difference)
– Custom orthoses were safe in all studies
Outcomes Assessed
- Benefit
- Harm
- Inconclusive
Pes Cavus
Pain up to 3 months
Rheumatoid Arthritis
Rear foot pain
MTP joint pain
Juvenile Idiopathic Arthritis
Pain up to 3 months
Plantar fasciitis
Pain v. controls
Hallux Valgus
Pain up to 6 months
Compared to Surgery
Relevant Clinical Info
Inclusions: RCT and controlled clinical trials evaluating custom foot orthoses for any type of foot pain
Outcomes:
Primary – Change in level of pain
Secondary – Disability or functional ability (health related QOL, participant satisfaction with intervention, adverse events, compliance)
Participant Information
of participants
Female
the sample size was 1332
their were 11 studies used.
