Duchetto (2024) Can Foot Orthoses Benefit Symptomatic Runners? Mechanistic and Clinical Insights Through a Scoping Review

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Summary

This episode explores the role of insoles and orthotics in running, discussing their purpose, historical context, and current research findings.

Matthew Boyd delves into how orthotics are used to improve alignment and prevent injuries, the shift in professional attitudes towards their use, and the latest evidence regarding their effectiveness for various running-related injuries.

He emphasizes that while orthotics can be beneficial for specific conditions, their prophylactic use is not supported by current research.

Takeaways

• Insoles and orthotics are used interchangeably in running.


• Historically, orthotics were prescribed prophylactically for flat feet.


• Current research questions the effectiveness of prophylactic orthotic use.


• Orthotics can help reduce knee and shin pain in runners.


• Custom orthotics may not be significantly more effective than off-the-shelf options.


• Orthotics should be part of a comprehensive rehabilitation strategy.


• Runners can wean off orthotics if they no longer need them.


• The effectiveness of orthotics varies by individual and condition.


• Orthotics are not a silver bullet for injury prevention.


• Health professionals' attitudes towards orthotics have evolved over time.