Evidence for orthotic treatment of the lateral ankle

Warning

Footwear / FW adaptation / advice

Interventional Studies

van der Zwaard, B.C., Poppe, E., Vanwanseele, B., van der Horst, H.E. and Elders, P.J., 2014. Development and evaluation of a leaflet containing shoe advice: a randomized controlled trial. Family practice, 31(3), pp.267-272.
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Observational Studies

Foster, A., Blanchette, M.G., Chou, Y.C. and Powers, C.M., 2012. The influence of heel height on frontal plane ankle biomechanics: implications for lateral ankle sprains. Foot & ankle international, 33(1), pp.64-69.
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Kerr, R., Arnold, G.P., Drew, T.S., Cochrane, L.A. and Abboud, R.J., 2009. Shoes influence lower limb muscle activity and may predispose the wearer to lateral ankle ligament injury. Journal of orthopaedic research, 27(3), pp.318-324.
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Mündermann, A., Nigg, B.M., Stefanyshyn, D.J. and Humble, R.N., 2002. Development of a reliable method to assess footwear comfort during running. Gait & posture, 16(1), pp.38-45.
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Terrier, P., Luthi, F. and Dériaz, O., 2013. Do orthopaedic shoes improve local dynamic stability of gait? An observational study in patients with chronic foot and ankle injuries. BMC musculoskeletal disorders, 14(1), p.94.
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Insole

Meta-Analyses

Konstantinos Tsikopoulos, M.D., Konstantinos Sidiropoulos, M.D., Dimitrios Kitridis, M.D., Dimitrios Metaxiotis, M.D. and Ali, A., 2019. Do External Supports Improve Dynamic Balance in Patients with Chronic Ankle Instability? A Network Meta-analysis.
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Mills, K., Blanch, P., Chapman, A.R., McPoil, T.G. and Vicenzino, B., 2010. Foot orthoses and gait: a systematic review and meta-analysis of literature pertaining to potential mechanisms. British journal of sports medicine, 44(14), pp.1035-1046.
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Interventional Studies

Baur, H., Hirschmüller, A., Müller, S. and Mayer, F., 2011. Neuromuscular activity of the peroneal muscle after foot orthoses therapy in runners. Medicine and science in sports and exercise, 43(8), pp.1500-1506.
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Hamlyn, C., Docherty, C.L. and Klossner, J., 2012. Orthotic intervention and postural stability in participants with functional ankle instability after an accommodation period. Journal of athletic training, 47(2), pp.130-135.
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Observational Studies

Aimkosa, R., Xu, Z., Orth, D., Adams, R., Lyu, J. and Han, J., 2024. Effects of textured insoles on dynamic balance and ankle muscle activity in soccer players with and without chronic ankle instability. Journal of sports medicine and physical fitness.
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Barr, L., Munro, N., Watters, K., McCaig, R., Richards, J. and Chapman, G.J., 2024. The effectiveness of custom hard-shell 3D-printed foot orthoses in a cohort of patients who did not respond to treatment with custom ethylene-vinyl-acetate (EVA) foot orthoses. The Foot, 61, p.102142.
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Dingenen, B., Peeraer, L., Deschamps, K., Fieuws, S., Janssens, L. and Staes, F., 2015. Muscle-activation onset times with shoes and foot orthoses in participants with chronic ankle instability. Journal of athletic training, 50(7), pp.688-696.
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LoPiccolo, M., Chilvers, M. and Graham, B., 2010. Effectiveness of the cavus foot orthosis. Journal of surgical orthopaedic advances, 19(3), pp.166-169.
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McKeon, P.O., Stein, A.J., Ingersoll, C.D. and Hertel, J., 2012. Altered plantar-receptor stimulation impairs postural control in those with chronic ankle instability. Journal of sport rehabilitation, 21(1), pp.1-6.
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Mündermann, A., Nigg, B.M., Stefanyshyn, D.J. and Humble, R.N., 2002. Development of a reliable method to assess footwear comfort during running. Gait & posture, 16(1), pp.38-45.
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Murley, G.S. and Bird, A.R., 2006. The effect of three levels of foot orthotic wedging on the surface electromyographic activity of selected lower limb muscles during gait. Clinical Biomechanics, 21(10), pp.1074-1080.
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Sesma, A.R., Mattacola, C.G., Uhl, T.L., Nitz, A.J. and McKeon, P.O., 2008. Effect of foot orthotics on single-and double-limb dynamic balance tasks in patients with chronic ankle instability. Foot & ankle specialist, 1(6), pp.330-337.
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Tang, Y., Li, X., Li, Y., Liang, P., Guo, X., Zhang, C. and Kong, P.W., 2023. Effects of textured insoles and elastic braces on dynamic stability in patients with functional ankle instability. Journal of Foot and Ankle Research, 16(1), p.59.
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Narrative Literature Reviews

Deu, R.S., Coslick, A.M. and Dreher, G., 2022. Tendinopathies of the Foot and Ankle. American family physician, 105(5), pp.479-486.
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Richie Jr, D.H., 2007. Effects of foot orthoses on patients with chronic ankle instability. Journal of the American Podiatric Medical Association, 97(1), pp.19-30.
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AFO / Ankle brace

Meta-Analyses

Konstantinos Tsikopoulos, M.D., Konstantinos Sidiropoulos, M.D., Dimitrios Kitridis, M.D., Dimitrios Metaxiotis, M.D. and Ali, A., 2019. Do External Supports Improve Dynamic Balance in Patients with Chronic Ankle Instability? A Network Meta-analysis.
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Raymond, J., Nicholson, L.L., Hiller, C.E. and Refshauge, K.M., 2012. The effect of ankle taping or bracing on proprioception in functional ankle instability: a systematic review and meta-analysis. Journal of Science and Medicine in Sport, 15(5), pp.386-392.
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Tsikopoulos, K., Sidiropoulos, K., Kitridis, D., Metaxiotis, D. and Ali, A., 2020. Do external supports improve dynamic balance in patients with chronic ankle instability? A Network meta-analysis. Clinical Orthopaedics and Related Research®, 478(2), pp.359-377.
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Systematic Reviews

Dizon, J.M.R. and Reyes, J.J.B., 2010. A systematic review on the effectiveness of external ankle supports in the prevention of inversion ankle sprains among elite and recreational players. Journal of science and medicine in sport, 13(3), pp.309-317.
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Kemler, E., van de Port, I., Backx, F. and van Dijk, C.N., 2011. A systematic review on the treatment of acute ankle sprain. Sports medicine, 41(3), pp.185-197.
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Interventional Studies

Best, R., Böhle, C., Schiffer, T., Petersen, W., Ellermann, A., Brueggemann, G.P. and Liebau, C., 2015. Early functional outcome of two different orthotic concepts in ankle sprains: a randomized controlled trial. Archives of orthopaedic and trauma surgery, 135(7), pp.993-1001.
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Cooke, M.W., Marsh, J.L., Clark, M., Nakash, R., Jarvis, R.M., Hutton, J.L., Szczepura, A., Wilson, S. and Lamb, S.E., 2009. Treatment of severe ankle sprain: a pragmatic randomised controlled trial comparing the clinical effectiveness and cost-effectiveness of three types of mechanical ankle support with tubular bandage. The CAST trial. Health technology assessment (Winchester, England), 13(13), pp.iii-ix.
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Hadadi, M., Haghighat, F., Mohammadpour, N. and Sobhani, S., 2020. Effects of Kinesiotape vs Soft and Semirigid Ankle Orthoses on Balance in Patients With Chronic Ankle Instability: A Randomized Controlled Trial. Foot & Ankle International, p.1071100720917181.
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Janssen, K.W., Hendriks, M.R., van Mechelen, W. and Verhagen, E., 2014. The cost-effectiveness of measures to prevent recurrent ankle sprains: results of a 3-arm randomized controlled trial. The American journal of sports medicine, 42(7), pp.1534-1541.
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Janssen, K.W., van Mechelen, W. and Verhagen, E.A., 2014. Bracing superior to neuromuscular training for the prevention of self-reported recurrent ankle sprains: a three-arm randomised controlled trial. Br J Sports Med, pp.bjsports-2013.
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Lamb, S.E., Marsh, J.L., Hutton, J.L., Nakash, R., Cooke, M.W. and Collaborative Ankle Support Trial (CAST Group, 2009. Mechanical supports for acute, severe ankle sprain: a pragmatic, multicentre, randomised controlled trial. The Lancet, 373(9663), pp.575-581.
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Prado, M.P., Mendes, A.A.M., Amodio, D.T., Camanho, G.L., Smyth, N.A. and Fernandes, T.D., 2014. A comparative, prospective, and randomized study of two conservative treatment protocols for first-episode lateral ankle ligament injuries. Foot & ankle international, 35(3), pp.201-206.
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Observational Studies

Barlow, G., Donovan, L., Hart, J.M. and Hertel, J., 2015. Effect of lace-up ankle braces on electromyography measures during walking in adults with chronic ankle instability. Physical Therapy in Sport, 16(1), pp.16-21.
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Eils, E., Demming, C., Kollmeier, G., Thorwesten, L., Völker, K. and Rosenbaum, D., 2002. Comprehensive testing of 10 different ankle braces: evaluation of passive and rapidly induced stability in subjects with chronic ankle instability. Clinical Biomechanics, 17(7), pp.526-535.
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Genthon, N., Bouvat, E., Banihachemi, J.J., Bergeau, J., Abdellaoui, A. and Rougier, P.R., 2010. Lateral ankle sprain alters postural control in bipedal stance: Part 2 sensorial and mechanical effects induced by wearing an ankle orthosis. Scandinavian journal of medicine & science in sports, 20(2), pp.255-261.
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Hosseini, H., Heydari, S., Raesi, R., Hushmandi, K., Payande, A., Gholami, A. and Daneshi, S., 2024. Comparison of spring ankle braces versus splints and casts in treating ankle sprains in patients diagnosed with ankle sprains. BMC Musculoskeletal Disorders, 25(1), p.786.
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Kernozek, T., Durall, C.J., Friske, A. and Mussallem, M., 2008. Ankle bracing, plantar-flexion angle, and ankle muscle latencies during inversion stress in healthy participants. Journal of Athletic Training, 43(1), pp.37-43.
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Kilper, A., Milani, T.L., Schütz, L., Langenhan, R., Reimers, N., Lederer, A.K. and Mitschke, C., 2024. Ankle injury due to supination trauma: Potential factors worsening patient outcome. Journal of Orthopaedics.
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Lee, W.C., Kobayashi, T., Choy, B.T. and Leung, A.K., 2012. Comparison of custom-moulded ankle orthosis with hinged joints and off-the-shelf ankle braces in preventing ankle sprain in lateral cutting movements. Prosthetics and orthotics international, 36(2), pp.190-195.
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Shaw, M.Y., Gribble, P.A. and Frye, J.L., 2008. Ankle bracing, fatigue, and time to stabilization in collegiate volleyball athletes. Journal of Athletic Training, 43(2), pp.164-171.
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Spaulding, S.J., Livingston, L.A. and Hartsell, H.D., 2003. The influence of external orthotic support on the adaptive gait characteristics of individuals with chronically unstable ankles. Gait & posture, 17(2), pp.152-158.
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Tang, Y., Li, X., Li, Y., Liang, P., Guo, X., Zhang, C. and Kong, P.W., 2023. Effects of textured insoles and elastic braces on dynamic stability in patients with functional ankle instability. Journal of Foot and Ankle Research, 16(1), p.59.
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Tang, Y.M., Wu, Z.H., Liao, W.H. and Chan, K.M., 2010. A study of semi‐rigid support on ankle supination sprain kinematics. Scandinavian journal of medicine & science in sports, 20(6), pp.822-826.
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Wikstrom, E.A., Arrigenna, M.A., Tillman, M.D. and Borsa, P.A., 2006. Dynamic postural stability in subjects with braced, functionally unstable ankles. Journal of athletic training, 41(3), p.245.
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Zinder, S.M., Granata, K.P., Shultz, S.J. and Gansneder, B.M., 2009. Ankle bracing and the neuromuscular factors influencing joint stiffness. Journal of athletic training, 44(4), pp.363-369.
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Editorial Information

Last reviewed: 01/12/2024

Next review date: 01/12/2025

Approved By: British Association of Prosthetists and Orthotists (BAPO)

Reviewer name(s): Laura Barr, British Association of Prosthetists and Orthotists (BAPO) Professional Affairs Committee.