Year 2020 / Volume 31 / Number 1

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Original Papers

Study of the effectiveness of foot orthoses in frequent foot pathologies

Rev. Esp. Pod. 2020; 31(1): 16-23 / DOI: 10.20986/revesppod.2020.1557/2020

Isabel María Arias Martín, Amanda Páez Tudela, Yolanda Molina Salas, Pedro V. Munuera-Martínez


ABSTRACT

Introduction: This study aims at checking the effectiveness of the foot orthotics used in the Podiatry Clinical Area of the University of Seville to treat the most frequent foot pathologies.
Patients and methods: It has made a data collection from the medical histories of treated patients by the Orthopaedics and Biomechanics Service of this Centre. The most frequently diagnosed pathologies, and the most frequently foot orthoses employed, were estimated. The association between the alterations treated, the type of orthotic prescribed and other variables recorded in the study, was calculated by means of the Odds Ratio. Also, the level of improvement reported by the patients after the application of the orthotic treatment was reported.
Results: The most prevalent foot diseases diagnoses were the flat-valgus foot, the valgus foot, the cavus-valgus foot, the cavus foot and the varus foot. Moreover, can also said that the use of a custom-made foot orthoses significantly improve the symptoms of these disorders.
Conclusions: The stratified foot insole was the most used for the treatment of these pathologies. The polypropylene was the most chosen material for made the shell of orthoses, and the most common elements used were a shock absorber top cover and a medial or lateral external heel post.



RESUMEN

Introducción: El objetivo del estudio es comprobar la efectividad de las ortesis plantares prescritas en el Área Clínica de Podología de la Universidad de Sevilla para las patologías más frecuentes en el pie.
Pacientes y métodos: Se ha realizado una recopilación de los datos que aparecían en historias clínicas de pacientes atendidos en el Servicio de Ortopodología y Biomecánica de este centro. Se estimó cuáles fueron las patologías más frecuentemente diagnosticadas y cuáles las ortesis más frecuentemente prescritas. La asociación entre la patología tratada, el tipo de ortesis plantar prescrita y otras variables recopiladas se calculó mediante la Odds Ratio (OR). También se comprobó el nivel de mejoría que los pacientes manifestaron en las revisiones posteriores a la entrega del tratamiento.
Resultados: Las patologías diagnosticadas con mayor prevalencia en este servicio fueron las siguientes: el pie plano-valgo, el pie valgo, el pie cavo-valgo, el pie cavo y el pie varo. Además, se puede confirmar que el uso de un soporte plantar a medida produjo una mejora significativa de la sintomatología que originan estas alteraciones en los pacientes que la padecen.
Conclusiones: Como conclusiones, destacar que el tipo de ortesis plantar más usada para el tratamiento de todas ellas fue la estratificada, que el polipropileno fue el material elegido con mayor frecuencia como cuerpo de las ortesis, y que el uso de una cubierta amortiguadora y de un posteado interno o externo de talón fueron los elementos más comúnmente utilizados en dichos tratamientos.


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Instrucciones para citar

Arias Martín I, Páez Tudela A, Molina Salas Y, Munuera-Martínez P. Study of the effectiveness of foot orthoses in frequent foot pathologies. Rev Esp Pod 2020; 31(1): 16-23 / DOI: 1020986/revesppod20201557/2020


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Recibido: 17/01/2020

Aceptado: 03/03/2020

Prepublicado: 23/04/2020

Publicado: 15/06/2020

Tiempo de revisión del artículo: 42 días

Tiempo de prepublicación: 97 días

Tiempo de edición del artículo: 150 días


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2024 Revista Española de Podología
ISSN: 0210-1238   e-ISSN: 2695-463X

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