A comparison of over-the-counter foot orthotics on multi-segment foot biomechanics

Over-the-counter orthoses are a cost-effective alternative to custom-made devices. We demonstrated that three commonly used over-the-counter devices influence foot kinematics and plantar fascia strain differently. Clinicians can use these results to provide more tailored treatment options for their patients.

Go out project

Go out project

Background

Over-the-counter foot orthoses are a cost-effective alternative to custom-made devices. However, few studies have compared over-the-counter devices and most biomechanical research involving orthoses has focused on rearfoot biomechanics.

Objectives

To determine changes in multi-segment foot biomechanics during shod walking in three commercially available over-the-counter devices: SOLE, SuperFeet and Powerstep when compared to no orthotic.

Study design

Repeated measures, cross-sectional study.

Methods

Retroreflective markers were placed on the right limb of 18 participants representing forefoot, midfoot, rearfoot and shank segments. Three-dimensional kinematics were recorded using an eight-camera motion capture system while participants walked on a treadmill and the order of condition was randomized between four conditions: SOLE, SuperFeet, Powerstep and no orthotic.

Results

All over-the-counter devices exhibited significant decreases in plantar fascia strain compared to no orthotic and only Powerstep exhibited significant decreases in peak rearfoot eversion. Medial longitudinal arch deformation was not reduced for any over-the-counter device.

Conclusion

Different over-the-counter devices exhibited specific alterations in rearfoot kinematics and all reduced plantar fascia strain by varying amounts. These over-the-counter-specific kinematic changes should be taken into consideration when recommending these devices as a treatment option.

Clinical relevance

Over-the-counter orthoses are a cost-effective alternative to custom-made devices. We demonstrated that three commonly used over-the-counter devices influence foot kinematics and plantar fascia strain differently. Clinicians can use these results to provide more tailored treatment options for their patients.

  References

A comparison of different over-the-counter foot orthotic devices on multi-segment foot biomechanics, Ferber R, Hettinga BA. Prosthet Orthot Int. 2016 Dec;40(6):675-681. doi: 10.1177/0309364615584660. Epub 2015 May 26. Full text

  Further reading

Custom-made foot orthoses: an analysis of prescription characteristics from an Australian commercial orthotic laboratory, Menz HB, Allan JJ, Bonanno DR, Landorf KB, Murley GS. J Foot Ankle Res. 2017 Jun 7;10:23. doi: 10.1186/s13047-017-0204-7. Full text

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