Custom-Made Foot Orthoses as Non-Specific Chronic Low Back Pain and Pronated Foot Treatment

Excessive foot pronation has been reported as being related to chronic low back pain symptoms and risk factors in sports-specific pathologies. Compensating custom-made foot orthotics treatment has not been entirely explored as an effective therapy for chronic low back pain (CLBP). This study aims to...

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Bibliographic Details
Published in:International journal of environmental research and public health 2021-06, Vol.18 (13), p.6816
Main Authors: Castro-Méndez, Aurora, Palomo-Toucedo, Inmaculada Concepción, Pabón-Carrasco, Manuel, Ramos-Ortega, Javier, Díaz-Mancha, Juan Antonio, Fernández-Seguín, Lourdes María
Format: Article
Language:English
Subjects:
Back pain
Biomechanics
Body mass index
Chronic Pain
Feet
Foot
Foot Orthoses
Humans
Hypotheses
Low back pain
Low Back Pain - therapy
Orthoses
Pain
Pain Measurement
Pathology
Posture
Pronation
Risk analysis
Risk factors
Sample size
Statistical analysis
Womens health
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Summary:Excessive foot pronation has been reported as being related to chronic low back pain symptoms and risk factors in sports-specific pathologies. Compensating custom-made foot orthotics treatment has not been entirely explored as an effective therapy for chronic low back pain (CLBP). This study aims to observe the effects of custom-made foot orthoses, in subjects with foot pronation suffering from CLBP. A total of 101 patients with nonspecific CLBP and a pronated foot posture index (FPI) were studied. They were randomized in two groups: an experimental one ( = 53) used custom-made foot orthotics, and the control group ( = 48) were treated with non-biomechanical effect orthoses. The CLBP was measured using the Oswestry Disability Index (ODI) Questionnaire and a visual analogue scale (VAS), both for lower back pain. The symptoms were evaluated twice, at first when the subject was included in the study, and later, after 4 weeks of treatment. The analysis of outcomes showed a significant decrease in CLBP in the custom-made foot orthoses participants group ( < 0.001 ODI; < 0.001 VAS). These findings suggest that controlling excessive foot pronation by using custom-made foot orthoses may significantly contribute to improving CLBP.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph18136816