A Systematic Review on Smart Insole Prototypes: Development and Optimization Pathways

This review synthesizes research on smart insole prototypes and their designs, focusing on those incorporating artificial intelligence (AI) and a wireless communication/transmission system. The main objective of this work is to summarize existing studies, identify key trends, evaluate the performance of these innovative biomechanical tools, and recognize the factors that could lead to optimization. This comprehensive analysis includes studies from PubMed, Scopus, and Web of Science databases and other investigations on the critical themes to consider. It follows strict inclusion and exclusion criteria, ensuring the quality and accuracy of the overview. The findings emphasize significant progress in smart insoles, particularly in AI-enhanced prototypes, while addressing existing challenges and problems. This review helps guide potential future research and define practical application directions. The growing importance of biomechanics, especially on smart insoles, underscores the considerable potential of these innovations to monitor and improve human movement in both clinical and non-clinical settings, promising a future of more effective and personalized health and performance interventions. This protocol was registered with the International Platform of Registered Systematic Review and Meta-Analysis Protocols (INPLASY) on 6 February 2025 and was last updated on 6 February 2025.