Effectiveness of foot orthoses for Achilles tendinopathy

Are customised foot orthoses effective in the rehabilitation of mid-portion Achilles tendinopathy?

Foot orthoses are a non-surgical intervention that has been recommended in clinical practice guidelines for the treatment of mid-portion Achilles tendinopathy. It has been hypothesised that they may reduce the bending stress by correcting abnormal eversion of the calcaneous in those with excessive pronation, increase rearfoot movement variability, and/or improve proximal musculature activation; thereby reducing Achilles tendon strain. The aim of the current study was to evaluate the effectiveness of customised foot orthoses in chronic mid-portion Achilles tendinopathy.

There was no significant differences between the groups at 3-months, as determined by the Victorian Institute of Sports Assessment-Achilles (VISA-A) questionnaire. These findings suggest that customised foot orthoses are no more effective than sham foot orthoses for reducing symptoms and improving function in people with mid-portion Achilles tendinopathy undergoing an eccentric calf muscle exercise programme. 

> From: Munteanu et al., Br J Sports Med (2014-10-08 06:59:18) (Epub ahead of print). All rights reserved to BMJ Publishing Group Ltd. Click here for the online summary.

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