The Effect of Foot Orthosis Use in Reducing Pain in Patients with Plantar Fasciitis: A Meta-Analysis

Atika Febri Anggriani, Agus Kristiyanto, Setyo Sri Rahardjo


Background: Plantar fasciitis is an inflamma­tory problem that occurs in the foot area that causes pain. Its prevalence rates range from 4% to 7% in the elderly population, 8% in athletes and up to 25% in runners. One of the treat­ments used to reduce the degree of pain is the use of foot orthosis. A number of related arti­cles stated that the use of foot orthosis can reduce the degree of pain in plantar fasciitis patients. The purpose of this study was to esti­mate the magnitude of the effect of using foot orthosis on pain reduction in plantar fasciitis patients by conducting a meta-analysis on the same number of articles.

Subjects and Method: The meta-analysis was carried out by systematically reviewing the same number of articles from PubMed, Science Direct, and Google Scholar. By using the search keywords "foot orthosis" OR "FO" AND "custom foot orthosis" AND "foot pain" AND "plantar fasciitis" AND "plantar fasciopathy" AND "effect foot orthosis for plantar fasciitis" AND "treatment for plantar fasciitis" A "rando­mized controlled trial". The intervention given was the use of a foot orthosis with a comparison without using a foot orthosis with the study subject of plantar fasciitis patients. The study outcome was pain reduction. The article used is a full text article with a randomized controlled trial design that reports the value of the effect size (mean and standard deviations). Articles were collected using the PRISMA flow chart and analyzed using the Review Manager 5.3 application with random effect models.

Results: A meta-analysis of 7 randomized controlled trial studies from Brazil, Virginia, Turkey, Germany, China, and Australia sug­gested that the use of foot orthosis was -0.54 times better at reducing pain in plantar fasciitis patients compared to those without foot ortho­sis (ES= -0.54; 95% CI -1.11 to 0.03; p= 0.06). Heterogeneity I2= 82%.

Conclusion: Foot orthosis reduces pain in plantar fasciitis patients compared to those without foot orthosis

Keywords: Plantar fasciitis, pain, foot orthosis

Correspondence: Atika Febri Anggriani, Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: atikaanggriani07­@gmail.­com. Mobile : 085728794960

Journal of Epidemiology and Public Health (2020), 05(03): 309-319


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Bishop C, Thewlis D, Hillier S (2018). Custom foot orthoses improve first-step pain in individuals with unilateral plantar fasciopathy: a pragmatic randomised controlled trial. BMC Musculoskelet. Disord, 19(222): 1-11. DOI:

Cozta ARA, Silva HJA, Mendes AAFT, Silva RS, Lins CAA, Souza MC (2019). Effects of insoles adapted in flip-flop sandals in people with plantar fasciopathy: a randomized, double-blind clinical, controlled study. Clin. Rehabil, 1–11. DOI:

Fong DTP, Pang KY, Chung MML, Hung ASL, Chan KM (2012). Evaluation of combined prescription of rocker sole shoes and custom-made foot orthoses for the treatment of plantar fasciitis. Clin Biomech, 27 (1072-1077). DOI:

Goweda, Reda A, dkk (2015). Prevalence and risk factors of plantar fasciitis among patients with heel pain attending primary health care centers of makkah kingdom of saudi arabia. High Inst. Public Health, 2 45(2): 71-75.

Kuswardani, Amanati S, Yudhanto NU (2018). Pengaruh infrared, ultrasound dan terapi latihan pada faciitis plantaris (The effect of infrared, ultrasound and exercise therapy on plantar faciitis). J Physiother, 2 (1): 78-87.

Lunen BV, Cortes N, Andrus T, Wlker M, Pasquale M, Onate J (2011). Immediate effects of a heel pain orthosis and an augmented low-dye taping on plantar pressures and pain in subjects with plantar fasciitis. Clin J sport medicine, 21: (474-479).

Murti B (2018). Prinsip dan metode riset epidemiologi. Edisi V. (Epidemiological research principles and methods. Edition V) Bintang fajar Offset Colomadu, Karanganyar, Jawa Tengah.

Okur SC, Aydin A (2019). Comparison of extracorporeal shock wafe therapy with custom foot orthotics in plantar fasciitis treatment: A prospective randomized one-year follow-up study. J Musculoskeletal Neuronal Interact, 19(2): 178-186.

Oliveira HAV, Jones A, Moreira E, Jennings F, Natour J (2015). Effectiveness of Total Contact Insoles in Patients with Plantar Fasciitis. J Rheumatol, 42(5): 870-878.

Rustanti M, Wahyu SD (2014). Pengaruh penggunaan medial arch support terhadap penurunan derajat nyeri pada kasus plantar fasciitis (The effect of using medial arch support on reducing the degree of pain in cases of plantar fasciitis). J. Phys. Ther. Sci., 3(2): 106-214.

Setyawan, D (2016). Pengaruh penggunaan medial arch support terhadap pengurangan derajat nyeri, keseimbangan statis dan activity of daily living pada pasien plantar faciitis (The effect of using medial arch support on the reduction of pain degrees, static balance and activity of daily living in plantar faciitis patients). J Phys Ther Sci. 1(2): 75-152.

Walther M, Kratschmer B, Verschl J, Vol-kering C, Altenberger S, Kriegelstein S, Hilgers M (2013). Effect of different orthotic concepts as first line treatment of plantar fasciitis. Foot Ankle Surg, 19: 103–107. DOI:

Whittaker GA, Munteanu SE, Menz HB, Tan JM, Rabusin CL, Landorf KBF (2017). Orthoses for plantar heel pain: a systematic review and meta-analysis. Br. J. Sports med, 52: 322–328.

Yucel U, Kucuksen S, Cingos HT, Anliacik E, Ozbek O, Salli A, Ugurlu H (2013). Full-length silicone insoles versus ultrasound-guided corticosteroid injection in the management of plantar fasciitis: A randomized clinical trial. Prosthet Orthot Int, 37: 471. Doi: 10.1177/0309364613478328.


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