Orthotic Insole Use and Patient Satisfaction in an Outpatient Chiropractic Clinic

Manuel A. Duarte, D.C., M.S., D.A.B.C.O., D.A.C.B.S.P, and Jerrilyn A. Cambron, D.C., M.P.H., National University of Health Sciences


The effectiveness of foot orthotics is a controversial and often debated topic. Some authors suggest significant clinical advantages, mainly based on studies with heterogenous samples. However, reviews of the literature assessing the benefit of orthotics for more specific disorders demonstrate equivocal results. Prevention of back and lower extremity disorders through the use of orthotics has also demonstrated equivocal results. Even though data are lacking on specific therapeutic efficacy of foot orthotics, there appears to be a high level of satisfaction with use. However, there are no data on patient satisfaction of foot orthotics in a general population. Furthermore, there are no data on the reasons for use within a chiropractic population. The purpose of this study was to survey the reasons for foot orthotic use and the resultant level of satisfaction within a chiropractic outpatient clinic.


Subjects were randomly sampled from a list of patients who previously purchased Foot Levelers orthotics at a chiropractic teaching clinic. A three-page, IRE-approved survey was either mailed or personally presented to each selected subject. The survey consisted of 19 questions including the subject's chief complaint when_ initially presenting to the clinic, the reason orthotics were recommended, and the subject's overall satisfaction with their orthotics. All patients were fitted for orthotics in the manner described and taught by Foot Levelers, Inc. Prior to use, patients were instructed to wear the orthotics for progressively longer periods of time each day in order for the body to accommodate, until the orthotics could be comfortably worn as needed. Data collected from the survey were collapsed descriptively. Variables significantly associated with level of satisfaction were determined using multivariate modeling.



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