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No high level evidence supported the use of foot orthoses for flexible pes planus. Across the included studies, 59 relevant outcome measures were reported with 17 calculated as statistically significant large or medium effects observed with use of foot orthoses compared to the no orthoses condition (SMD range 1.13 to -4.11).
Pes 7 trial#
Of the 2,211 articles identified by the searches, 13 studies met the inclusion criteria two were randomised controlled trials, one was a controlled trial and 10 were repeated measure studies. Outcomes of interest were foot pain, rearfoot kinematics, foot kinetics and physical function. MethodsĮlectronic databases (Medline, CINAHL, Cochrane, Web of science, SportDiscus, Embase) were systematically searched in June 2013 for randomised controlled, controlled clinical and repeated measure trials where participants had identified flexible pes planus using a validated and reliable measure of pes planus and the intervention was a rigid or semi-rigid orthoses with the comparison being a no-orthoses (shoes alone or flat non-posted insert) condition. This systematic review aimed to critically appraise the evidence for the use of foot orthoses for flexible pes planus in adults.
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Foot orthoses are widely used in the management of flexible pes planus, yet the evidence to support this intervention has not been clearly defined.