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This paper that Kevin and I contributed to recently has now been published:
Kevin A. Kirby, Simon K. Spooner, Paul R. Scherer, and John M. Schuberth
Foot Orthoses
Foot Ankle Spec October 2012 5: 334-343
and is available to download here: http://fas.sagepub.com/content/5/5/334.full
For the purposes of the paper we were asked to answer a series of questions, these were:
1) Many have suggested that over the counter (OTC) foot orthoses are “just as good” as custom foot orthoses (CFO) for treating most common ailments of the foot and lower extremity. What are the advantages and disadvantages of OTC and custom foot orthoses (CFO)?
2) What foot and lower extremity pathologies do you believe can be treated effectively with an OTC foot orthosis and what pathologies are best treated with CFO?
3) Does the obvious cost differential between OTC and CFO create the potential for over utilization of CFO or do you feel that CFO are underutilized by the medical profession as a whole for the effective treatment of many foot and lower extremity pathologies?
4) There is an increase in alternative theories on foot and lower extremity biomechanics and foot orthosis therapy over the past 2decades. Why do you believe these newer theories have evolved and which theories do you believe currently show the most promise?
5) In the United States, there seems to have been a growing disinterest in biomechanics and a growing interest in surgery over recent years. Why do you believe that is the case and is this also the case in other countries as well? How do you think that this relative lack of interest and education in biomechanics affects the methods by which our patients are treated for mechanically based foot and lower extremity pathologies?
6) Even though foot orthoses have been studied by scientific methods such as force plates, pressure mats, 3D motion analysis, and computer modeling techniques such as inverse dynamics and finite element analysis, the ability to place any sort of “placebo” device into the shoe of a research subject that not only has no mechanical effect on the foot but is also indistinguishable by the subject from a foot orthosis is nearly impossible. What type of scientific research studies need to be done in the near future to give us better insight as to how well foot orthoses work at healing injuries, how foot orthoses mechanically function to produce their therapeutic effects, and as to what orthosis modifications work best for each pathologic condition?
7) What do you see as future directions for foot orthosis technologies, including the 3D imaging of the foot, manufacturing methods of the orthoses, and possible new foot orthosis technologies that we may be seeing within the next few decades?
I've read the answers we gave, but what answers would you have given?:drinks
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Lower Limb Mechanical Properties: Determining Factors and Implications for Performance
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