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Effects of a range of 6 prefabricated orthotic insole designs on plantar pressure in a healthy population: A randomized, open-label crossover investigation

Stephanie Cooper, Jennifer Hanning, Carol Hegarty, Christian Generalis, Adam Smith, Tanya Hall, Chelsea Starbuck Orcid Logo, Jean Francois Kaux, Cedric Schwartz, Carolyn Buckley

Prosthetics and Orthotics International

Swansea University Author: Chelsea Starbuck Orcid Logo

  • Accepted Manuscript under embargo until: 14th September 2024

Abstract

Objective: This investigation aimed to evaluate and directly compare the effects of a range of 6 different commercially available prefabricated orthotic insole designs on plantar pressure in healthy individuals. Methods: This was a single-center, randomized, open-label, crossover investigation. In-s...

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Published in: Prosthetics and Orthotics International
ISSN: 0309-3646 1746-1553
Published: Lippincott, Williams & Wilkins
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa64576
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Abstract: Objective: This investigation aimed to evaluate and directly compare the effects of a range of 6 different commercially available prefabricated orthotic insole designs on plantar pressure in healthy individuals. Methods: This was a single-center, randomized, open-label, crossover investigation. In-shoe dynamic pressure (F-scan) was investigated in 24 healthy subjects with normal foot posture, wearing standard shoes alone and in combination with 6 different orthotic insoles, consecutively, measured on a single day. The biomechanical impact of each insole was determined by the statistical significance of changes from baseline measurements (standard shoe alone). Results: Insoles with heel cups and medial arch geometries consistently increased contact area at medial arch and whole-foot regions and reduced both plantar peak pressure (PP) and pressure time integral at medial arch and heel regions. Conclusions: This investigation has aided in further understanding the mode of action of prefabricated insoles in a healthy population. The insoles in this study redistributed plantar pressure at key regions of the foot, based on design features common to prefabricated insoles. Prefabricated orthotic insoles represent an easily accessible means of reducing lower-body musculoskeletal stress for those who spend prolonged periods of time on their feet.
Keywords: Orthotic insoles, prefabricated insoles, foot orthoses, biomechanics, plantar pressure, pressure redistribution
College: Faculty of Science and Engineering