Influence Of Insoles In The Dynamic And Static Stability Of People With Transtibial Amputation: A Systematic Review
DOI: https://doi.org/10.56885/LAOE0204
Élise Mahe-Duverger DE podologie, Yannick Mullie PhD, DO, Carole Puil PhD and
Virginie Blanchette PhD DPM
Abstract: Introduction: Although one of the main goals of the limb preservation team is to prevent amputations, they are sometimes unavoidable. Amputations, particularly major amputations above the ankle, are a major public health concern and represent a heavy health burden due to their impact on the physical and mental health and quality of life of those affected. With the loss of static and dynamic stability, people with major amputations may require orthopedic support such as foot orthoses. Current literature in the field is sparse and guidelines are lacking. Objective: To increase the level of evidence-based knowledge and consider professional recommendations, a systematic review was conducted to investigate the influence of foot orthoses in people with transtibial amputation. Method: A search strategy based on the PICO (population, interventions, comparator, outcomes) question was carried out in the public databases PubMed, Cochrane and PEDRO using keywords alone or combined such as ‘leg amputation’, ‘rehabilitation’, ‘gait’, ‘balance’ and ‘insole’. Results: Of the 1856 potential manuscript identified, only two were included in this review. In people with unilateral transtibial amputation using prosthetics, data have demonstrated that rigid orthoses can improve stability. Conclusion: Rigid orthoses may play a role in the control of balance in people with transtibial amputations. Benefits of orthoses for this population is poorly investigated and the literature is too scarce to support recommendations.