Evidence-Based Orthotic Therapy in Sports Medicine

  • Paul R. Scherer


The medical literature is very specific in its documentation of the effectiveness of custom orthoses in the treatment of certain clinical pathologies of the lower extremity in sports. This chapter will site, review, and evaluate evidence-based articles in the medical literature that document the success or failure of orthoses in clinical trials or patient-based experiments.


Orthotic anecdotal information Orthotic evidence-based information Orthotics in medical literature Mechanical benefits of orthoses Orthotics and sports medicine Plantar fasciitis Functional hallux limitus Tarsal tunnel syndrome Knee pain 


  1. 1.
    Fixx J. The complete book of running. New York: Random House Inc.; 1977.Google Scholar
  2. 2.
    Hlavac HF. The foot book: advice for athletes. Mountain View: World Publications; 1977.Google Scholar
  3. 3.
    Frederick EC, Hagy JL, Mann RA. The prediction vertical impact force during running. J Biomech. 1981;14:498.CrossRefGoogle Scholar
  4. 4.
    Frederick EC, Clarke TE, Hamill CL. The effect of running shoe design on shock attenuation. In: Frederick EC, editor. Sport shoes and playing surfaces. Champaign: Human Kinetic; 1984. p. 190–8.Google Scholar
  5. 5.
    McKenzie DC, Clement DB, Taunton JE. Running shoes, orthotics and injuries. Sports Med. 1985;2:334–47.CrossRefPubMedGoogle Scholar
  6. 6.
    Gross ML, Davlin LB, Evanski PM. Effectiveness of orthotic shoe inserts in the long-distance runner. Am J Sports Med. 1991;19(4):409–12.CrossRefPubMedGoogle Scholar
  7. 7.
    Kysgikn J, Wiklander J. Injuries in runners. Am J Sports Med. 1987;15:158–71.Google Scholar
  8. 8.
    Sheehan GA. An overview of overuse syndromes in distance runners. Ann N Y Acad Sci. 1977;301:877–80.CrossRefPubMedGoogle Scholar
  9. 9.
    Scherer PR, Waters LL. How to address mechanically-induced subcalcaneal pain. Pod Today. 2006;19(11):78.Google Scholar
  10. 10.
    Hicks JH. The mechanics of the foot. II. The plantar aponeurosis and the arch. J Anat. 1954;88(1):25–30.PubMedPubMedCentralGoogle Scholar
  11. 11.
    Scherer PR. Heel spur syndrome. J Am Podiatr Med Assoc. 1988;81(2):68.CrossRefGoogle Scholar
  12. 12.
    Kogler GF, Veer FB, Solomonidis SE, et al. The influence of medial and lateral placement of orthotic wedges on loading of the plantar aponeurosis. J Bone Joint Surg Am. 1999;81(10):1403.CrossRefPubMedGoogle Scholar
  13. 13.
    Schepsis AA, Leach RE, et al. Plantar fasciitis: etiology, treatment surgical results and review of literature. Clin Orthop Relat Res. 1991;266:185–95.Google Scholar
  14. 14.
    Pfeffer G, Bacchetti P, Deland J, et al. Comparison of custom and prefabricated orthoses in the initial treatment of proximal plantar fasciitis. Foot Ankle Int. 1999;20(4):214.CrossRefPubMedGoogle Scholar
  15. 15.
    Richie DH. Foot Ankle Q. 2006;18(2):10.Google Scholar
  16. 16.
    Lynch DM, Goforth WP, Martin JE, et al. Conservative treatment of plantar fasciitis. J Am Podiatr Med Assoc. 1998;88(8):375.CrossRefPubMedGoogle Scholar
  17. 17.
    Martin JE, Hosch JC, Goforth WP, et al. Mechanical treatment of plantar fasciitis. J Am Podiatr Med Assoc. 2001;91(2):55.CrossRefPubMedGoogle Scholar
  18. 18.
    Langdorf KB, Keenan AM, Herbert RD. Effectiveness of foot orthoses to treat plantar fasciitis. Arch Intern Med. 2006;166:1305.CrossRefGoogle Scholar
  19. 19.
    Roos E, Engstrom M, Soderberg B. Foot orthoses for the treatment of plantar fasciitis. Foot Ankle Int. 2006;27(8):606.CrossRefPubMedGoogle Scholar
  20. 20.
    Lee SY, McKeon P, et al. Does the use of orthoses improve self-reported pain and function measures in patients with plantar fasciitis? A meta-analysis. Phys Ther Sport. 2009;10(1):12–8.CrossRefPubMedGoogle Scholar
  21. 21.
    Hawke F, Burns J, et al. Custom-made foot orthoses for the treatment of foot pain. Cochrane Database Syst Rev. 2008;16:CD006801.Google Scholar
  22. 22.
    Wrobel JS, Fleischer AE, et al.: A randomized controlled trial of custom foot orthoses for the treatment of plantar heel pain: a return to spontaneous physical activity. In press.Google Scholar
  23. 23.
    Scherer PR, Sanders J, Eldredge D, et al. Effect of functional foot orthoses on the first metatarsophalangeal joint dorsiflexion in stance and gait. J Am Podiatr Med Assoc. 2006;96(6):474.CrossRefPubMedGoogle Scholar
  24. 24.
    Whitaker JM, Augustus K, Ishii S. Effect of low dye strap on pronation sensitive mechanical attributes of the foot. J Am Podiatr Med Assoc. 2003;93:118.CrossRefPubMedGoogle Scholar
  25. 25.
    Grady JF, Axe TM, Zager EJ, et al. A retropective analysis of 772 patients with hallux limiuts. J Am Podiatr Med Assoc. 2002;92:102.CrossRefPubMedGoogle Scholar
  26. 26.
    Apple DF. End stage running problems. Clin Sports Med. 1985;4(4):657–70.PubMedGoogle Scholar
  27. 27.
    Keck C. The tarsal tunnel syndrome. J Bone Joint Surg Am. 1962;44:180.CrossRefGoogle Scholar
  28. 28.
    Trepman E, Kadel NJ, Chisholm K, et al. Effect of foot and ankle position on tarsal tunnel compartment pressure. Foot Ankle Int. 1999;20(11):721.CrossRefPubMedGoogle Scholar
  29. 29.
    Labib SA, Gould JS, Rodrigues-del-Rio FA, et al. Heel pain triad (HPT). Foot Ankle Int. 2002;23(3):212.CrossRefPubMedGoogle Scholar
  30. 30.
    Kinoshita M, Okuda R, Morikawa J, et al. The dorsiflexion-eversion test for diagnosis of tarsal tunnel syndrome. J Bone Joint Surg Am. 2001;83A:1835.CrossRefGoogle Scholar
  31. 31.
    Saxena A, Haddad J. The effect of foot orthoses on patellofemoral pain syndrome. J Am Podiatr Med Assoc. 2003;93:264–71.CrossRefPubMedGoogle Scholar
  32. 32.
    Stackhouse CL, Davis IM, Hamill J. Orthotic intervention in forefoot and rearfoot strike running patterns. Clin Bomech. 2004;19:64–70.CrossRefGoogle Scholar
  33. 33.
    Rubin R, Menz H. Use of laterally wedged custom foot orthoses to reduce pain associated with medial knee osteoarthrisis: a preliminary investigation. J Am Podiatr Med Assoc. 2005;95:347–52.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Western University School of Podiatric MedicinePomonaUSA
  2. 2.ProLab OrthoticsNapaUSA

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