Hi all!
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First time posting here, so not sure if there are any rules I need to follow.
I am a Podiatry student in my last year, and I have an assignment on an orthotics prescription based on a case study we have found throughout the year. We need to be able to justify our prescription, with personal critique on what we could have done better/different and why, if, it did not work as intended.
The case is a middle-aged woman with pes cavus feet, pronation throughout gait, and an abductory twist on her symptomatic side, gastroc weakness (4/5 muscle strength testing on dorsiflexion), manual supination resistance test 5/5.
Me and the podiatrist I was shadowing provided her with some prefabricated orthotics to which we added contralateral posting (rearfoot varus post, and a lateral forefoot wedge). This is what I would have done, even if they had not suggested this prescription, but I can't find any reason for why when looking through our teaching material. I have tried searching the internet and my uni library, but everything I found was studies on valgus forefoot wedging, and not much, if any, information on valgus forefoot + varus rearfoot.
I have read a number of threads on here getting close to an answer, I believe, but nothing concrete... If there is anyone out there who can help, either by linking an article that explains it and that can be used as justification, or willing to explain how/why it may help this lady, that would be greatly appreciated!
Cheers and thanks!
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