Orthotic insoles do not prevent physical stress-induced low back pain | Semantic Scholar (2024)

The effect of cushioning insoles on low back pain and lower extremity pain in a group of factory workers was to lower low backPain, foot pain, and knee pain by 37%, and kneePain by 38% (p < .001).

There is insufficient evidence to support the use of insoles or foot orthoses as either a treatment for LBP or in the prevention of LBP, and the small number, moderate methodological quality and the high heterogeneity of the available trials reduce the strength of current findings.

The addition of a short education program on active management to usual care in primary care leads to small but consistent improvements in disability, pain, and quality of life.

Foot orthoses were found to be effective for preventing overall injuries and stress fractures but not soft-tissue injuries, while shock-absorbing insoles were not found for preventing any injury.

The current evidence suggests that exercise alone or in combination with education is effective for preventing low back pain, and other interventions, including education alone, back belts, and shoe insoles do not appear to prevent LBP.

Exercise alone and exercise combined with education can prevent episodes of LBP and LBP-related absenteeism and ranked all prevention strategies with surface under the cumulative ranking curve (SUCRA) analysis.

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There is limited evidence that insoles alleviate back pain or adversely shift the pain to the lower extremities, including low quality studies with heterogeneous interventions and outcome measures, poor blinding and poor reporting.

It is demonstrated that the low back pain decreased significantly after the use of real insoles compared to placebo ones, and other variables such as gender, age, number of offspring, work seniority, smoking, previous use of insoles and previous medication were not found.

It is evident that LBP is associated with other health problems as well, indicating that its background may be multifactorial, and longitudinal cohort studies are urgently needed to enhance understanding of adolescent risk indicators of LBP.

If a foot orthosis is being dispensed as prophylaxis for overuse injuries in an active, healthy population, there is little justification for prescribing semirigid biomechanical orthoses, whose cost is high and without an advantage in comfort or a reduction in stress fractures, ankle sprains, and foot problems.

Frequent or radiating low back symptoms, chronicLow back disorders, back-related work absenteeism, and having clinical findings in the low back predicted inpatient hospital care for low back disorders.

There is insufficient evidence to determine the effectiveness of stretching exercises for major lower limb muscle groups in reducing lower limb soft-tissue running injuries, and generalisability of the results may be limited by the intensive nature of military training.

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