Effect of foot orthotics on exercise induced leg pain

NewsBot · Oct 18, 2012

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The effect of foot orthotic use on exercise related leg pain in cross country athletes.
Reinking MF, Hayes AM, Austin TM.
Phys Ther Sport. 2012 Nov;13(4):214-8.

OBJECTIVES:
The purposes of this research were to (1) investigate the effect of foot orthotic use on exercise related leg pain (ERLP) in cross-country (XC) athletes, and (2) determine if an association between foot type and foot orthotic use exists.

DESIGN:
Prospective cohort design.

SETTING:
High schools and colleges in a Midwestern metropolitan region.

PARTICIPANTS:
213 high school and college XC athletes (107 male, 106 female).

MATERIALS/METHODS:
Participants were seen before the fall XC season for classification of foot type, visual orthotic inspection, and questionnaire completion regarding foot orthotic use and ERLP. Statistical analysis of relationships (chi-square) was conducted.

RESULTS:
37 of the 213 XC athletes (17.4%) used foot orthotics; 31 of the 37 athletes using foot orthotics (83.8%) reported a history of ERLP. Of these 31 athletes, 17 (54.8%) were using orthotics for ERLP and 15 reported a decrease in ERLP with orthotic use. Fourteen athletes were using orthotics for a reason other than ERLP and only 2 reported a decrease in ERLP with orthotic use. Athletes using orthotics included all three foot types (pronated, neutral, supinated) with no relationship between orthotic use and foot type.

CONCLUSION:
One-sixth of the XC athletes used foot orthotics and most using orthotics for ERLP reported a decrease in ERLP symptoms. The majority of athletes using orthotics for reasons other than ERLP reported no change in ERLP symptoms. There was no association between foot type and orthotic use.
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NewsBot · May 28, 2013

From latest LER:
Medial shin pain in runners: Evidence for orthosis use

Admin2 · May 28, 2013

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NewsBot · Aug 9, 2018

Arch-support foot-orthoses normalize dynamic in-shoe foot pressure distribution in medial tibial stress syndrome.
Naderi A, Degens H, Sakinepoor A
Eur J Sport Sci. 2018 Aug 7:1-11.

Excessive foot pronation during gait is a risk factor in medial tibial stress syndrome (MTSS). Arch-support foot-orthoses are commonly used to manage overpronation, but it is unknown whether it is effective to manage MTSS. The present study investigated the effects of bilateral foot orthoses during running on dynamic foot-pressure distribution patterns in recreational runners with MTSS. Fifty novice (started within the last 4 months) runners diagnosed with MTSS (20.7 ± 2.2 years; 71.1 ± 8.6 kg; 1.78 ± 0.07 m; mean ± SD) and 50 anthropometrically-matched healthy novice runners (21.9 ± 2.4 years; 71.4 ± 8.8 kg; 1.73 ± 0.07 m) participated in this study. The dynamic foot-pressure distribution during running with and without bilateral arch-support foot-orthoses was measured using pedobarography. MTSS novice runners have more medially directed pressures during the touchdown phase of the forefoot flat (p = 0.009) and heel off (p = 0.009), and a lateral pressure distribution during forefoot push-off phase (p = 0.007) during running than healthy runners. When using the arch-support foot-orthoses the foot-pressure distribution during all phases was not significantly different from that seen in participants without MTSS. These findings indicate that during running the medial shift of foot pressures during the loading response phase and the lateral shift during the propulsion phase of foot roll-over in MTSS are effectively corrected by using arch-support foot-orthoses. The use of such arch-support orthoses may thus be an effective tool to normalize foot-pressure distribution patterns during running, indicating the potential to treat and prevent MTSS in recreational runners.
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NewsBot · Apr 3, 2023

Effect of Arch Support on Shin Splints In Recreational Runners :
Cross Sectional Study
Kossi Reddy Priyanka et al
International Journal of Scientific Research in Science and Technology

BACKGROUND - Shin splints is a frequent injury of the lower extremity and
one of the most common causes of exertional leg pain in athletes. The purpose
of this study was to find the effectiveness of arch support on shin splints in
recreational runners.
METHOD - 30 recreational runners (15 male, 15 female) with shin splints
during running were included in this study through simple random sampling.
Each subject ran 1 km at their comfortable pace without the use of arch support
for the 1st week, readings of foot and ankle disability index (FADI), numeric
pain rating scales (NPRS) and time were recorded as a pre reading on 7th day and
the same was done after the completion of 2nd week of running with arch
support as post readings on 14th day. Both pre and post readings of FADI, NPRS
and Time of all the 30 subjects were compared.
RESULT – After analysis, the study showed significant result between pre and
post mean value of foot and ankle disability index (FADI) i.e. (p < 0.05) and
non-significant results on numeric pain rating scales (NPRS) and time i.e. (p >
0.05).
CONCLUSION – The arch support does not reduce shin splints in recreational
runners. however, it is effective in decreasing the foot and ankle disability but
ineffective in reducing pain and time.
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Craig Payne · Apr 3, 2023

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But there was only one group .... no controls ...

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