Introduction: Postural stability disorders are one of the most important problems in ankle instability patients, which has been reported to be associated with mechanoreceptors damage. Textured shoe insert, by affecting the feet plantar skin, may improve postural stability. The aim of this study was a systematic review of studies that have investigated the impact of textured shoe insert on postural stability in ankle instability. Methods: A systematic search was performed with the search queries that were constructed using medical subject headings in the Web of Science, Scopus, and PubMed databases. Title, abstract, and full-text review were done for article selection. Population, intervention, comparison, and outcomes data were extracted and analyzed narratively. Results: A semicircular textured shoe insert led to decreased time required for postural stabilization and a reduction in the area of the postural sway ellipse. Furthermore, personalized inserts featuring textured surfaces and elevated ridges exhibited improvements in various clinical assessments of postural stability, including the star excursion balance, single-leg hop, and single-leg stance evaluations, resulting in increased reach distance capabilities and decreased errors. Discussion: Shoe inserts designed with textured patterns have shown notable enhancements in postural stability for ankle instability. These results may be due to changes in spatiotemporal variables of sensory inputs.