An instrument track is a hybrid track containing both a MIDI tack and an audio track. In fact, there is an option to split instrument tracks in the instrument track context menu. When split the instrument track is broken out into its constituent MIDI and audio tracks. There is also an option to create instrument tracks where a synth uses one MIDI track and one audio track.
There are a variety of ways to add synths to a project. In order to have a complete routing for a synth is must either use an instrument track or at least one MIDI track and one audio track. Note: some synths may use multiple MIDI and audio tracks.
As mentioned above when using an instrument track, typically the MIDI data goes in the instrument track. This works because an instrument track exposes the underlying MIDI track input. The instrument track also automatically handles the synth routing to the underlying audio track.
Most soft synth do use MIDI data. That is why there must be an instrument or MIDI track - to pass MIDI data to the synth. The audio generated by the synth may either be played back using audio track portion of the instrument track or a separate audio track.
Some prefer to work only with MIDI/audio tracks. When working with synths with multiple I/Os this is usually the best approach. When the synth is a simple one with a single stereo out, an instrument track is a convenient choice.