Effects of customized orthoses on foot morphology and pressure in patients with accessory navicular syndrome.

IF 2.2 3区医学 Q2 ORTHOPEDICS

BMC Musculoskeletal Disorders Pub Date : 2025-05-17 DOI:10.1186/s12891-025-08689-7

Xiaopeng Pu, Wenwen Xing, Zishen Cheng, Yantao Wang, Yuqing Wang, Yaxing Zhang, Liangliang Jiang, Bin Liu, Qiangjun Kang

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引用次数: 0

Abstract

Objective: This study aimed to assess the effects of customized orthoses on foot morphology and plantar pressure in professional athletes with accessory navicular syndrome (ANS) over a 12-month period, compared to conventional insoles.

Methods: In this randomized controlled study, 54 pro athletes with medial foot pain, diagnosed with ANS, joined after 3-month training. Split into two groups: custom orthotics (intervention) or regular insoles (control). Evaluated at 3, 6, 12 months on foot structure (arch, navicular, etc.) and function (pressure, force-time integral, VAS pain). Found significant improvements in intervention group's foot shape, pressure distribution, and pain reduction compared to controls.

Results: Compared to the control group, the intervention group showed significant increases in arch angle and arch height across all assessment intervals (P < 0.05). Additionally, heel eversion angle and navicular prominence distance significantly decreased in the intervention group compared to controls (P < 0.05). Pressure and force-time integral values at the first metatarsal head, medial arch, and medial heel significantly decreased, while lateral arch loading increased in the intervention group (P < 0.05). VAS scores for foot pain significantly decreased in the intervention group compared to controls (P < 0.05).

Conclusion: Customized orthoses effectively improved foot morphology and reduced plantar pressure in professional athletes with ANS compared to conventional insoles. These findings suggest that customized orthotic intervention provides faster and more significant pain relief for patients with ANS-related medial arch collapse.

Trial registration: Chinese Clinical Trial Registry (ChiCTR2500100238; Retrospectively registered on 04/07/2025).

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定制矫形器对副舟骨综合征患者足部形态和压力的影响。

目的：本研究旨在评估定制矫形器对患有副舟骨综合征（ANS）的专业运动员在12个月期间的足部形态和足底压力的影响，并与传统鞋垫进行比较。方法：在这项随机对照研究中，54名诊断为ANS的内侧足部疼痛的职业运动员在训练3个月后加入。分为两组：定制矫形器（干预）或常规鞋垫（对照组）。在3、6、12个月评估足部结构（足弓、舟骨等）和功能（压力、力-时间积分、VAS疼痛）。发现与对照组相比，干预组的足形、压力分布和疼痛减轻有显著改善。结果：与对照组相比，干预组在所有评估间隔内的足弓角度和足弓高度均显著增加(P)。结论：与常规鞋垫相比，定制矫形器有效改善了ANS专业运动员的足部形态，降低了足底压力。这些研究结果表明，定制矫形干预可以更快、更显著地缓解与ans相关的内弓塌陷患者的疼痛。试验注册：中国临床试验注册中心(ChiCTR2500100238；追溯注册日期为2025年7月4日)。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Musculoskeletal Disorders 医学-风湿病学

CiteScore

3.80

自引率

8.70%

发文量

1017

审稿时长

3-6 weeks

期刊介绍： BMC Musculoskeletal Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of musculoskeletal disorders, as well as related molecular genetics, pathophysiology, and epidemiology. The scope of the Journal covers research into rheumatic diseases where the primary focus relates specifically to a component(s) of the musculoskeletal system.