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Year : 2022  |  Volume : 6  |  Issue : 2  |  Page : 66

Physiotherapy in musculoskeletal Conditions: AB No: 115: A pilot study on the effect of custom made orthotic insoles on plantar peak pressure in athletes

Sri Ramachandra University

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2456-7787.361073

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Purpose: To conduct a complete podiatry assessment in athletes who had complaints of foot, ankle and knee pain. To administer an appropriate custom designed orthotic intervention. To study the effect of custom made insole on the peak plantar pressures of the foot using in shoe insole sensor podiatry assessment. Relevance: Due to the load bearing nature of the knee and foot musculoskeletal injuries are common in knee and foot region. A physiotherapist needs to understand the loads and forces acting on the knee and foot, tissue-healing capacity, surrounding structural compensations and requirements of their sport. Participants: A group of 20 athletes across various sports like shooter, sprinter, cricketer and footballers. Methods: We got informed consent from athletes. These players underwent clinical podiatry assessment, static foot pressure and dynamic foot plantar pressure analysis. We assessed plantar pressure with pre and post custom-made insole. Analysis: The peak pressures and their regions of peak pressures were identified. Dynamic in-shoe assessment with Medilogic software during treadmill activity was done using pressure sensing. insoles. Using the clinical and instrumental data, CAD based design software was used to design the necessary orthotic insole, and manufactured using milling machines. The insole was made out of EVA composite material. Results: Data was analysed using t test. P value: 0, 95% CI, MD- 26.6176, SED- 3.7496. Conclusion: The custom designed orthotic insoles in this study had a significant influence on reducing the peak pressures of the plantar regions of the feet in Athletes. Implication: To design a management plan to efficiently return to sport and minimise the risk for further injury.

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