Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.66224/jrums
fa
jalali
1404
9
1
gregorian
2025
12
1
24
9
online
1
fulltext
fa
تأثیر نحوه ساخت کفی طبی پا بر کینماتیک مچ پا و پا در افراد دارای کف پای صاف: مرور نظاممند و فراتحلیل
The Effect of Foot Orthosis Fabrication Methods on Foot and Ankle Joint Kinematics in People with Flat Feet: A Systematic Review and Meta-Analysis
توانبخشي و فيزيوتراپي
Rehabilitation
مقاله مروري
Review Article
<span style="font-size:10pt"><span style="line-height:110%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">چکیده</span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><a name="_Hlk113374001"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">زمینه و هدف:</span></span></span></b></a> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">با وجود مطالعات متعدد درباره اثرات کفیهای طبی پا بر کینماتیک اندام تحتانی، نتایج گزارش شده در افراد دارای کف پای صاف متناقض بوده و بهویژه در </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">ارتباط با نقش نحوه ساخت کفی (کفی پیشساخته در مقایسه با کفی سفارشی) شواهد کافی در دسترس نیست. بنابراین، این مرور نظاممند و فراتحلیل با هدف تعیین تأثیر نوع ساخت کفیهای پا بر کینماتیک مفصلهای پا و مچپا حین راه رفتن در بزرگسالان دارای کف پای صاف انجام گرفت.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">مواد و روشها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> پایگاههای داده </span></span></span>Scopus<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">، </span></span></span>PubMed<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">، </span></span></span>EMBASE<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">، </span></span></span>PEDro<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> و </span></span></span>CENTRAL<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> از ابتدا تا آوریل ۲۰۲5 بهصورت نظاممند جستجو شدند. منابع خاکستری از گوگل اسکالر، ساینس دایرکت، </span></span></span>Clinicaltrial.gov<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">، </span></span></span>PROQUEST<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> و فهرست منابع مقالات وارد شده نیز بررسی گردیدند.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">یافتهها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> پس از بررسی 19 مطالعه وارد فراتحلیل شدند. بر اساس نتایج فراتحلیل، در شرایط کفی اوج اورژن عقبپا (001/0></span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">)، دامنه حرکتی عقبپا در صفحه فرونتال (030/0=</span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">)، اوج اورژن مچپا (001/0></span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">) کمتر و اوج دورسیفلکشن مچپا (002/0=</span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">) بیشتر از شرایط کنترل بود. تحلیل زیرگروهها بر اساس روش ساخت کفی نشان داد که در کفی سفارشی بهطور معناداری اوج اینورژن عقبپا (009/0=</span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">)، اوج دورسیفلکشن مچپا (007/0=</span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">) و دامنه حرکتی عقبپا در صفحه فرونتال (001/0></span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">) بیشتر و در کفیهای پیشساخته اوج اورژن مچپا (001/0></span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">) کمتر از شرایط کنترل بود.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">نتیجهگیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> تفاوت بین کفیهای سفارشی و پیشساخته، مانند افزایش اوج اینورژن عقبپا و دورسیفلکشن مچپا در نمونههای سفارشی، بر اهمیت طراحی اختصاصی در اصلاح هدفمند حرکات پا تأکید میکند.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">واژههای کلیدی:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> کفی طبی، پای پرونیت، گامبرداری، بیومکانیک</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:1.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""></span></span></span></b></span></span></span></span></span><br>
<b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">ارجاع:</span></span></span></b> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">اسماعیلی ع، جعفرنژادگرو اع. تأثیر نحوه ساخت کفی طبی پا بر کینماتیک مچ پا و پا در افراد دارای کف پای صاف: مرور نظاممند و فراتحلیل. <i>مجله دانشگاه علوم پزشکی رفسنجان</i>، سال 1404، دوره 24، شماره 9، صفحات: </span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">880-851.</span></span></span>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:140%">Background and Objectives: </span></span></b></a><span style="font-size:9.0pt"><span style="line-height:140%">Despite numerous studies on the effects of foot orthoses on lower limb kinematics, findings in individuals with flat feet remain inconsistent. In particular, the influence of fabrication methods (custom-made vs. prefabricated) is not fully understood. This systematic review and meta-analysis aimed to determine the effects of different fabrication methods of foot orthoses on foot and ankle kinematics during walking in adults with flat feet.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Materials and Methods:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Five electronic databases (Scopus, PubMed, EMBASE, PEDro, and CENTRAL) were systematically searched from inception to April 2025. Grey literature sources, including Google Scholar, ScienceDirect, Clinicaltrial.gov, PROQUEST, and the reference lists of the included studies were also reviewed.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Results:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Nineteen studies met the eligibility criteria and were included. The pooled results indicated that foot orthoses significantly reduced peak rearfoot eversion (p<0.001), rearfoot range of motion in the frontal plane (p=0.030), and peak ankle eversion (p=0.0003), while increasing peak ankle dorsiflexion (p=0.002) compared with the control conditions. Subgroup analyses showed that custom-made orthoses were associated with significantly greater peak rearfoot inversion (p=0.009), peak ankle dorsiflexion (p=0.007), and frontal plane rearfoot range of motion (p=0.003). In contrast, prefabricated orthoses significantly reduced peak ankle eversion (p<0.001).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Conclusions:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Differences between custom-made and prefabricated orthoses, such as increased peak rearfoot inversion and ankle dorsiflexion in custom-made designs, highlight the importance of individualized fabrication in optimizing foot motion correction for adults with flat feet.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Keywords: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Insoles, Pronated feet, Gait, Biomechanics</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><span style="font-size:9.0pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Funding: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">This study did not have any funds</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Conflict of interest: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">None declared.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Ethical Considerations (Code of Ethics): </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Not applicable.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Authors Contributions: </span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Conceptualization: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Ali Esmaeili, AmirAli Jafarnezhadgero<b><sup> </sup></b></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Methodology: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Ali Esmaeili, AmirAli Jafarnezhadgero<b><sup> </sup></b></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Data collection: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Ali Esmaeili</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Formal analysis: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Ali Esmaeili, AmirAli Jafarnezhadgero<b><sup> </sup></b></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Supervision: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Ali Esmaeili, AmirAli Jafarnezhadgero<b><sup> </sup></b></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Project administration: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Ali Esmaeili, AmirAli Jafarnezhadgero<b><sup> </sup></b></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Writing - original draft: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">Ali Esmaeili</span></span></span></span></span></span></span><br>
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<div><span style="font-size:10pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:8.0pt"><span style="line-height:150%">Citation:</span></span></b> <span style="font-size:8.0pt"><span style="line-height:150%">Esmaeili A, Jafarnezhadgero AA. The Effect of Foot Orthosis Fabrication Methods on Foot and Ankle Joint Kinematics in People with Flat Feet: A Systematic Review and Meta-Analysis</span></span><span style="font-size:8.0pt"><span style="line-height:150%">. <i>J Rafsanjan</i> <i>Univ Med Sci</i> 2025; 24 (9): 851-80. [Farsi]</span></span><span style="font-size:8.0pt"><span style="line-height:150%"></span></span></span></span></span></div>
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</v:textbox> <w:wrap anchorx="margin"> </w:wrap></v:roundrect><b><span style="font-size:9.0pt"><span style="line-height:135%">Writing - review and editing: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">Ali Esmaeili, AmirAli Jafarnezhadgero<b><sup> </sup></b></span></span><span style="font-size:9.0pt"><span style="line-height:135%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><span style="font-size:9.0pt"><span style="line-height:135%"></span></span></span></span></span></span></span><br>
کفی طبی, پای پرونیت, گامبرداری, بیومکانیک
Insoles, Pronated feet, Gait, Biomechanics
851
880
http://journal.rums.ac.ir/browse.php?a_code=A-10-3488-26&slc_lang=fa&sid=1
Ali
Esmaeili
علی
اسماعیلی
alismaeelisky76@gmail.com
6900319475328460061948
6900319475328460061948
No
University of Mohaghegh Ardabili
دانشگاه محقق اردبیلی
Amirali
Jafarnezhadgero
امیرعلی
جعفرنژادگرو
amiralijafarnezhad@gmail.com
6900319475328460061949
6900319475328460061949
Yes
University of Mohaghegh Ardabili
دانشگاه محقق اردبیلی