Eficácia do uso de palmilhas biomecânicas para a correção cinemática do padrão de pronação excessiva da articulação subtalar
DOI:
https://doi.org/10.33233/fb.v9i4.1723Abstract
A presença do padrão de pronação excessiva da articulação subtalar (PPEAS) tem sido relacionada com o desenvolvimento de patologias ortopédicas nos membros inferiores. As palmilhas biomecânicas são frequentemente utilizadas com o objetivo de corrigir esse padrão. Entretanto, não existe um consenso sobre a eficácia dessas palmilhas para esse fim. O objetivo do estudo foi realizar uma revisão sistemática da literatura sobre a eficácia de palmilhas biomecânicas para corrigir parâmetros cinemáticos do PPEAS. Para a avaliação da qualidade das evidências utilizou-se a escala PEDro. 86% das modificações cinemáticas alcançadas com o uso das palmilhas, nos estudos incluídos, foram a favor da correção do PPEAS e apenas 14% pioraram esse padrão. Isso sugere que as palmilhas são eficazes para corrigir algumas das disfunções relacionadas ao PPEAS e que a correção desse padrão pode depender da associação do uso dessas órteses com a modificação de outras disfunções apresentadas por um paciente.
Palavras-chave: palmilhas biomecânicas, pronação excessiva, cinemática, articulação subtalar.
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