The Effect of Foot Orthosis Use in Reducing Pain in Patients with Plantar Fasciitis: A Meta-Analysis

Abstract

Background: Plantar fasciitis is an inflammatory problem that occurs in the foot area that causes pain. Its prevalence rates range from 4% to 7% in the elderly population, 8% in athletes and up to 25% in runners. One of the treatments used to reduce the degree of pain is the use of foot orthosis. A number of related articles stated that the use of foot orthosis can reduce the degree of pain in plantar fasciitis patients. The purpose of this study was to estimate the magnitude of the effect of using foot orthosis on pain reduction in plantar fasciitis patients by conducting a meta-analysis on the same number of articles. Subjects and Method: The meta-analysis was carried out by systematically reviewing the same number of articles from PubMed, Science Direct, and Google Scholar. By using the search keywords "foot orthosis" OR "FO" AND "custom foot orthosis" AND "foot pain" AND "plantar fasciitis" AND "plantar fasciopathy" AND "effect foot orthosis for plantar fasciitis" AND "treatment for plantar fasciitis" A "randomized controlled trial". The intervention given was the use of a foot orthosis with a comparison without using a foot orthosis with the study subject of plantar fasciitis patients. The study outcome was pain reduction. The article used is a full text article with a randomized controlled trial design that reports the value of the effect size (mean and standard deviations). Articles were collected using the PRISMA flow chart and analyzed using the Review Manager 5.3 application with random effect models. Results: A meta-analysis of 7 randomized controlled trial studies from Brazil, Virginia, Turkey, Germany, China, and Australia suggested that the use of foot orthosis was -0.54 times better at reducing pain in plantar fasciitis patients compared to those without foot orthosis (ES= -0.54; 95% CI -1.11 to 0.03; p= 0.06). Heterogeneity I2= 82%. Conclusion: Foot orthosis reduces pain in plantar fasciitis patients compared to those without foot orthosis Keywords: Plantar fasciitis, pain, foot orthosis Correspondence: Atika Febri Anggriani, Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: atikaanggriani07@gmail.com. Mobile : 085728794960