Review article
PREVENTION AND TREATMENT OF OVERUSE INJURIES OF THE FOOT AND ANKLE BY ORTHOPAEDIC INSOLES
Mladen Madarevic
Maja Mirkovic
Tatjana Cicvara-Pecina
Hrvoje Klobucar
Karolina Mahecic
Marko Pecina
Miroslav Jelic
Marko Pecina
Abstract
Overuse injuries of locomotor system on lower
limbs, especially those that are foot related, are common
in athletes and are both diagnostic and therapeutic
problem. The most important external factors causing the
overuse injuries are biomechanic disorders of the lower
limb, particularly foot related biomechanical disorders
that have an impact on its static and dynamic function. The
most important aspect of correcting the biomechanical
disorders of the foot is application of orthopaedic insoles.
Pedobarographic analysis made on electronic platform
while standing and walking is followed by the computer
assisted designing of individual orthopaedic insole made
by robot machine using materials of different hardness.
Orthopaedic insole corrects all the registered
deformations in hindfoot, forefoot or/and midfoot and,
depending upon particular overuse injury, heel elevations,
cavities, or other types of unburdening are made. The
application of orthopaedic insoles in plantar fasciitis,
tendinitis of the flexor hallucis longus, tendinitis and
synovitis of the tibialis anterior, enthesitis of the tibialis
anterior, enthesitis of the peroneus brevis, metatarsalgia,
anterior impigement syndrome of the ankle, overuse
injury of the Achilles tendon, stress fracture of the
metatarsal bones, stress fracture of the tarsal bones and
sesamoiditis, is described. The significance of application
of orthopaedic insoles in treatment of other overuse lower
limb syndromes, such as patellar tendinitis/tendinosis and
iliotibial band friction syndrome, is indicated. Thanks to
the new technology in diagnostics of static and dynamic
disorders of the foot and new technology in producing
orthopaedic insoles using different materials, it is
nowdays possible to prevent and adequately treat many
overuse foot related and lower limb related injuries.
Keywords
foot and ankle; overuse injuries; treatment; orthopaedic insoles
Hrčak ID:
14316
URI
Publication date:
1.7.2007.
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