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J Sport Rehabil. 2015 Feb;24(1):68-71. doi: 10-1123/jsr.2013-0036. Epub 2013 Aug 12.

The effectiveness of foot orthotics in improving postural control in individuals with chronic ankle instability: a critically appraised topic.

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1
Steadman Clinic, Vail, CO.

Abstract

CLINICAL SCENARIO:

Chronic ankle instability (CAI) is a condition commonly experienced by physically active individuals. It has been suggested that foot orthotics may increase a CAI patient's postural control.

CLINICAL QUESTION:

For patients with CAI, is there evidence to suggest that an orthotic intervention will help improve postural control?

SUMMARY OF KEY FINDINGS:

The literature was searched for studies of level 2 evidence or higher that investigated the effects of foot orthotics on postural control in patients with CAI. The search of the literature produced 5 possible studies for inclusion; 2 studies met the inclusion criteria and were included. One randomized controlled trial and 1 outcomes study were included. Foot orthotics appear to be effective at improving postural control in patients with CAI.

CLINICAL BOTTOM LINE:

There is moderate evidence to support the use of foot orthotics in the treatment of CAI to help improve postural control.

STRENGTH OF RECOMMENDATION:

There is grade B evidence that foot orthotics help improve postural control in people with CAI. The Centre of Evidence Based Medicine recommends a grade of B for level 2 evidence with consistent findings.

PMID:
23945848
DOI:
10-1123/jsr.2013-0036
[Indexed for MEDLINE]

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