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"Orthotics Guide" From A Retired Massage Therapist - The New "Expert" in Foot Orthosis Therapy?

Discussion in 'Biomechanics, Sports and Foot orthoses' started by Kevin Kirby, Jan 29, 2013.


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    Here is an interesting article about foot orthoses. Many of you may enjoy this one. It is written by a retired Canadian massage therapist. I don't think he likes podiatrists very much. I wonder if he and Blaise are friends?

    Orthotics Guide
  2. toomoon

    toomoon Well-Known Member

    These people are all over the internet.. I would very much appreciate Arenees comments on a posting I made on my Facebook page (see below). Please check it out and feel free to comment or get a discussion going. The posting is entitled "Every now and then one reads something on a so called "medical blog" that is so stupid it truly takes ones breathe away."

    Hope to see some PA input!
  3. Craig Payne

    Craig Payne Moderator

    These people would make good candidates for the Enclyopedia of American Loons:

    Notice how they can not cite one piece of research that supports what they are saying. Why is that? Probably because there is none (a couple of anecdotes is NOT evidence)

    Simple facts:
    1. Every single outcome study, patient satisfaction study, RCT etc has shown that foot orthotics work (except one on bunions in kids). Why would any responsible clinician not do what the evidence says?
    2. NONE of those who make these claims have ever published in scientific journal - why can they only get their stuff and views published on their own websites? Why would not a credible medical or scientific journal publish what they are writing?
    3. It is amazing how non-clinicians have very strong opinions on clinical issues!
    4. There arguments are so easy to deconstruct; they use all the the usual trope of argumentative fallacies and are easy fodder ... but they are not worth the time. Fortunatly, no one takes them seriously.
    5. What would you rather do, stick to what the scientific evidence says or listen to the irrational rantings of a loon on a website?
    So a chiropractor argues that orthotics should be banned. Look at all the evidence on how well foot orthotics work and look at all the evidence on how chiropractic does not work. They should be arguing that chiropractic should be banned.... don't figure! At least foot orthotics have not killed anyone and chiropractic has. Should they not clean up there own backyard before they have a go at someone else's?

    They also need to read these books, but I doubt they would understand them:
  4. Paul Bowles

    Paul Bowles Well-Known Member

    There is more evidence for believing in Santa Claus than there is for some of the claims these people make!
  5. CEM

    CEM Active Member

    well he likes Pedorthists (guess he must be a great guy;)) he misses the point completely, the whole point of pedorthics was to give a footwear supply house and orthotic manufacturing option to the podiatrists. For those unfamiliar with the pedorthics thing, in many cases the podiatrist sees the patient and then sends them with prescription to the pedorthist to have a footwear modification made or an orthotic device supplied, unfortunately this leads to some podiatrists thinking that the pedorthist is out to steal their business. Very much not the case, most pods don't sell shoes and again most don't do shoe modifications so the pedorthist can help there, just as the pedorthist doesn't do nail care, surgery or corrective devices without a prescription.

    But hey he is on the internet so it must ALL be true:pigs:
  6. Actually, I think that interspersed within the nonsense there are several good points made here.
  7. David Wedemeyer

    David Wedemeyer Well-Known Member

    Actually a very good point Craig, if it were in fact entirely true. I'm sure there are claims made for conditions where there is no solid evidence in every field though?

    I had this conversation regarding the efficacy of chiropractic some time ago with Simon, where he pointed out that the evidence that it was better than other modalities for spinal pain didn't exist. Since that time a lot of good research has come to my attention. I won't dredge all of it up here, but suffice to say that if we focus on specific spinal conditions such as acute low back pain and tension and migraine headaches, chiropractic stacks up rather nicely over traditional usual care (UC), especially in the acute phase (CHIRO Study).


    Also the American College of Physicians and the American Pain Society released practice guidelines for managing back pain that surprised even me. For acute mechanical LBP that does not respond to UC their ONLY recommendation for acute care is spinal manipulation.

    It goes on to list a number of other modalities for chronic spinal pain but there it is in plain English, there is a reasonable clinical rationale for chiropractic in the health care delivery system for musculoskeletal concerns and it comes from the medical profession.


    As I posted on Simon's Facebook page, please don't attack an entire profession for the horrible disrespect and opinions of a singular, colorful DC. Please don't shoot the messenger either, clinical chiropractic research is finally beginning to progress catch up to the level of other fields and I am hopeful that the result is improved access and care for us all and a choice.

    Best Regards,
  8. Craig Payne

    Craig Payne Moderator

    ...I was being facetious to point out how ridiculous that chiropractor is making his profession look :D
  9. Craig Payne

    Craig Payne Moderator

    I know this is an old thread, but I just noticed someone reading it via the who's online! This reminded me of stuff I have been recently reading about the Dunning Kruger effect:

    Dunning–Kruger effect

    In the field of psychology, the Dunning–Kruger effect is a cognitive bias wherein people of low ability suffer from illusory superiority, mistakenly assessing their cognitive ability as greater than it is. The cognitive bias of illusory superiority derives from the metacognitive inability of low-ability persons to recognize their own ineptitude; without the self-awareness of metacognition, low-ability people cannot objectively evaluate their actual competence or incompetence.[1]

    Conversely, highly competent individuals may erroneously assume that tasks easy for them to perform are also easy for other people to perform, or that other people will have a similar understanding of subjects that they themselves are well-versed in.[2]

    As described by social psychologists David Dunning and Justin Kruger, the cognitive bias of illusory superiority results from an internal illusion in people of low ability and from an external misperception in people of high ability; that is, "the miscalibration of the incompetent stems from an error about the self, whereas the miscalibration of the highly competent stems from an error about others."[1]

    1. ^ a b Kruger, Justin; Dunning, David (1999). "Unskilled and Unaware of It: How Difficulties in Recognizing One's Own Incompetence Lead to Inflated Self-Assessments". Journal of Personality and Social Psychology. American Psychological Association. 77 (6): 1121–1134. CiteSeerX accessible. doi:10.1037/0022-3514.77.6.1121. PMID 10626367. 
    2. ^ Burson, Katherine A.; Larrick, Richard P.; Klayman, Joshua (2006). "Skilled or unskilled, but still unaware of it: How perceptions of difficulty drive miscalibration in relative comparisons". Journal of Personality and Social Psychology. American Psychological Association. 90 (1): 60–77. doi:10.1037/0022-3514.90.1.60. hdl:2027.42/39168. PMID 16448310. 
  10. Rob Kidd

    Rob Kidd Well-Known Member

    Craig, interesting that you relate Dunning Kruger to orthotics and their therapy - and you may well be right. The two areas it becomes apparent in my life are in (non)vaccination and creationism. The number of people that have become "experts" in either of these fields by reading Google and Wiki is frightening - if you didn't laugh, you would cry. Back to me fossils! Rob
  11. Craig Payne

    Craig Payne Moderator

    It is more aimed at those with no clinical experience or clinical understanding or knowledge of the research evidence having strong clinical opinions on foot orthotics based on the University of Google ... go figure!

    eg just now I read a full 2 page article in Run4YL (Australian competitor to Runners World) and the cure for overpronation written up an exercise physiologist ... you just strength the external rotators of the hip .... classic case of Dunning Kruger

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