Nuestra compañera Podóloga Isabel Gómez Jurado ha publicado el artículo “Orthotic treatment for stage I and II posterior tibial tendon
dysfunction (flat foot): A systematic review
“, en la publicación Clinical Rehabilitatión.

 Orthotic treatment for stage I and II posterior tibial tendon dysfunction (flat foot): A systematic review

 Isabel Gómez-Jurado , José María Juárez-Jiménez and Pedro V Munuera-Martínez.

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Objective: To investigate whether orthotic treatment is effective for the treatment of posterior tibial
tendon dysfunction stages I and II (flat foot).

Data Sources: Five databases (PubMed, Scopus, PEDro, SPORTDiscus and The Cochrane Library) were
searched for potential RCTs from their inception until August 2020.

Review Methods: Only randomised controlled trials (RCT) that included subjects diagnosed with
posterior tibial dysfunction in the initial stage and treated with orthotic treatments were selected. The
outcomes assessed were whatever symptom related to posterior tibial tendon dysfunction stage I and II.
Included RCTs were appraised using the Cochrane collaboration risk of bias tool.

Results: Four RCT articles and 186 subjects were included. 75% were at high risk of bias for blinding
of participants and personnel. Three different types of conservative treatment were used in the studies:
foot/ankle-foot orthoses, footwear and stretching /strengthening exercises. Foot orthoses, together
with exercise programmes, seemed to improve the effect of orthotic treatment. Foot orthoses with
personalised internal longitudinal arch support were more effective than flat insoles or standard treatments
in reducing pain.

Conclusions: The use of orthotic treatment may be effective in reducing pain in the early stages of
posterior tibial tendon dysfunction. Further research is needed into individualised orthotic treatment and
high-intensity monitored exercise programmes.