Flat foot and conservative treatments in physically active adults. A systematic review
DOI:
https://doi.org/10.24310/riccafd.2022.v11i3.15205Keywords:
planovalgus, physical activity, sport, flat foot exercise, short foot exerciseAbstract
The flat foot term is used to describe any abnormality that causes the collapse of the medial longitudinal arch of the foot, when it is symptomatic it conditions the degree, type and quality of physical activity practiced an adult. We propose to review the existing conservative treatments for flat foot in young adults and of middle-aged. A systematic review of the published scientific literature on flat foot and conservative treatments was carried out. For its preparation, the guidelines of the PRISMA declaration have been followed. The conservative treatments used for flat foot are applied unique or in combination, these include strengthening exercises, stretching, wear orthotics devices, taping application, footwear modification and electrical stimulation. Conservative treatment studies in young adults and of middle-aged with symptomatic flat foot are required to evaluate the short- and long-term effect of protocols current in populations with different levels of physical condition.
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Abousayed MM, Alley MC, Shakked R, Rosenbaum AJ. Adult-Acquired Flatfoot Deformity: Etiology, Diagnosis, and Management. JBJS Rev. 2017 Aug;5(8):e7. https://doi.org/10.2106/JBJS.RVW.16.00116
McCormack AP, Ching RP, Sangeorzan BJ. Biomechanics of procedures used in adult flatfoot deformity. Foot Ankle Clin. 2001 Mar;6(1):15-23, v. https://doi.org/10.1016/s1083-7515(03)00072-x
Tang CYK, Ng KH, Lai J. Adult flatfoot. BMJ. 2020 Feb 24;368:m295. https://doi.org/10.1136/bmj.m295
Van Boerum DH, Sangeorzan BJ. Biomechanics and pathophysiology of flat foot. Foot Ankle Clin. 2003 Sep;8(3):419-30. https://doi.org/10.1016/s1083-7515(03)00084-6
Toullec E. Adult flatfoot. Orthop Traumatol Surg Res. 2015 Feb;101(1 Suppl):S11-7. Disponible en: https://doi.org/10.1016/j.otsr.2014.07.030
Dyal CM, Feder J, Deland JT, Thompson FM. Pes planus in patients with posterior tibial tendon insufficiency: asymptomatic versus symptomatic foot. Foot Ankle Int. 1997 Feb;18(2):85-8. https://doi.org/10.1177/107110079701800208
Nielsen MD, Dodson EE, Shadrick DL, Catanzariti AR, Mendicino RW, Malay DS. Nonoperative care for the treatment of adult-acquired flatfoot deformity. J Foot Ankle Surg. 2011 May-Jun;50(3):311-4. https://doi.org/10.1053/j.jfas.2011.02.002
Yale JF. The conservative treatment of adult flexible flatfoot. Clin Podiatr Med Surg. 1989 Jul;6(3):555-60.
Suits JM, Oliver GD. Bilateral tarsal coalition in a National Collegiate Athletic Association Division I basketball player: a case report. J Athl Train. 2012 Nov-Dec;47(6):724-9. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3499897/
Yuill EA, Macintyre IG. Posterior tibialis tendonopathy in an adolescent soccer player: a case report. J Can Chiropr Assoc. 2010 Dec;54(4):293-300. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2989403/
Sánchez-Rodríguez R, Valle-Estévez S, Fraile-García PA, Martínez-Nova A, Gómez-Martín B, Escamilla-Martínez E. Modification of Pronated Foot Posture after a Program of Therapeutic Exercises. Int J Environ Res Public Health. 2020 Nov 13;17(22):8406. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7697388/
Sheikh Taha AM, Feldman DS. Painful Flexible Flatfoot. Foot Ankle Clin. 2015 Dec;20(4):693-704. https://doi.org/10.1016/j.fcl.2015.07.011
Alvarez RG, Marini A, Schmitt C, Saltzman CL. Stage I and II posterior tibial tendon dysfunction treated by a structured nonoperative management protocol: an orthosis and exercise program. Foot Ankle Int. 2006 Jan;27(1):2-8. https://doi.org/10.1177/107110070602700102
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021 Mar 29;372:n71. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8005924/
Page MJ, Moher D, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, McKenzie JE (b). PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ. 2021 Mar 29;372:n160. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8005925/
Shea BJ, Reeves BC, Wells G, Thuku M, Hamel C, Moran J, Moher D, Tugwell P, Welch V, Kristjansson E, Henry DA. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ. 2017 Sep 21;358:j4008. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5833365/
Unver B, Erdem EU, Akbas E. Effects of Short-Foot Exercises on Foot Posture, Pain, Disability, and Plantar Pressure in Pes Planus. J Sport Rehabil. 2019 Oct 18;29(4):436-440. https://doi.org/10.1123/jsr.2018-0363
Alam F, Raza S, Moiz JA, Bhati P, Anwer S, Alghadir A. Effects of selective strengthening of tibialis posterior and stretching of iliopsoas on navicular drop, dynamic balance, and lower limb muscle activity in pronated feet: A randomized clinical trial. Phys Sportsmed. 2019 Sep;47(3):301-311. https://doi.org/10.1080/00913847.2018.1553466
Jung DY, Koh EK, Kwon OY. Effect of foot orthoses and short-foot exercise on the cross-sectional area of the abductor hallucis muscle in subjects with pes planus: a randomized controlled trial. J Back Musculoskelet Rehabil. 2011;24(4):225-31. https://doi.org/10.3233/BMR-2011-0299
Kulig K, Burnfield JM, Reischl S, Requejo SM, Blanco CE, Thordarson DB. Effect of foot orthoses on tibialis posterior activation in persons with pes planus. Med Sci Sports Exerc. 2005 Jan;37(1):24-9. https://doi.org/10.1249/01.mss.0000150073.30017.46
Yurt Y, ?ener G, Yakut Y. The effect of different foot orthoses on pain and health related quality of life in painful flexible flat foot: a randomized controlled trial. Eur J Phys Rehabil Med. 2019 Feb;55(1):95-102. https://doi.org/10.23736/S1973-9087.18.05108-0
Kim JS, Lee MY. The effect of short foot exercise using visual feedback on the balance and accuracy of knee joint movement in subjects with flexible flatfoot. Medicine (Baltimore). 2020 Mar;99(13):e19260. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220527/
Okamura K, Fukuda K, Oki S, Ono T, Tanaka S, Kanai S. Effects of plantar intrinsic foot muscle strengthening exercise on static and dynamic foot kinematics: A pilot randomized controlled single-blind trial in individuals with pes planus. Gait Posture. 2020 Jan;75:40-45. https://doi.org/10.1016/j.gaitpost.2019.09.030
Namsawang J, Eungpinichpong W, Vichiansiri R, Rattanathongkom S. Effects of the Short Foot Exercise With Neuromuscular Electrical Stimulation on Navicular Height in Flexible Flatfoot in Thailand: A Randomized Controlled Trial. J Prev Med Public Health. 2019 Jul;52(4):250-257. https://doi.org/10.3961/jpmph.19.072
Taspinar O, Kabayel DD, Ozdemir F, Tuna H, Keskin Y, Mercimek OB, Süt N, Yavuz S, Tuna F. Comparing the efficacy of exercise, internal and external shoe modification in pes planus: A clinical and pedobarographic study. J Back Musculoskelet Rehabil. 2017;30(2):255-263. https://doi.org/10.3233/BMR-150399
Franettovich MM, Murley GS, David BS, Bird AR. A comparison of augmented low-Dye taping and ankle bracing on lower limb muscle activity during walking in adults with flat-arched foot posture. J Sci Med Sport. 2012 Jan;15(1):8-13. https://doi.org/10.1016/j.jsams.2011.05.009
Hurd WJ, Kavros SJ, Kaufman KR. Comparative biomechanical effectiveness of over-the-counter devices for individuals with a flexible flatfoot secondary to forefoot varus. Clin J Sport Med. 2010 Nov;20(6):428-35. https://doi.org/10.1097/JSM.0b013e3181fb539f
Jung DY, Koh EK, Kwon OY, Yi CH, Oh JS, Weon JH. Effect of medial arch support on displacement of the myotendinous junction of the gastrocnemius during standing wall stretching. J Orthop Sports Phys Ther. 2009 Dec;39(12):867-74. https://doi.org/10.2519/jospt.2009.3158
Lee KKW, Ling SKK, Yung PSH. Controlled trial to compare the Achilles tendon load during running in flatfeet participants using a customized arch support orthoses vs an orthotic heel lift. BMC Musculoskelet Disord. 2019 Nov 13;20(1):535. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6854722/
Tang SF, Chen CH, Wu CK, Hong WH, Chen KJ, Chen CK. The effects of total contact insole with forefoot medial posting on rearfoot movement and foot pressure distributions in patients with flexible flatfoot. Clin Neurol Neurosurg. 2015 Feb;129 Suppl 1:S8-11. https://doi.org/10.1016/S0303-8467(15)30004-4
Espinosa N, Maurer MA. Stage I and II Posterior Tibial Tendon Dysfunction: Return to Running? Clin Sports Med. 2015 Oct;34(4):761-8. https://doi.org/10.1016/j.csm.2015.06.012
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