Inside Insights On Evidence-Based Orthotic Therapy

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Inside Insights On Evidence-Based Orthotic Therapy
Here one can see adult-acquired flatfoot secondary to posterior tibial tendon dysfunction. Lawrence Huppin, DPM, says there are evidence-based prescription recommendations for adult-acquired flatfoot and various other conditions.
Guest Clinical Editor: Lawrence Huppin, DPM

1. Kogler G, Veer FB, Solomonidis, SE. The influence of medial and lateral placement of orthotic wedges on loading of the plantar aponeurosis. J Bone Joint Surg; 1999;81A:1403-1413.
2. Kogler GF, Solomonidis SE, Paul JP: Biomechanics of longitudinal arch support mechanisms in foot orthoses and their effect on plantar aponeurosis strain. Clin Biomech 11:243-251, 1996.
3. McClay-Davis I, Laughton C, Williams, DS. A comparison of four methods of obtaining a negative impression of the foot. J Am Podiatr Med Assoc. 2002 May;92(5):261-8.
4. McPoil TG, Schmit D. Forefoot to Rearfoot Angle–A Comparison of Orthotic Casting Techniques. Phys Ther. 1989 Jun;69(6):448-52.
5. Kinoshita M, et al. The Dorsiflexion-Eversion Test for Diagnosis of Tarsal Tunnel Syndrome. JBJS 83:1835-39, 2001.
6. Labib J, et al. Heel Pain Triad: The Combination of Plantar Fasciitis, Posterior Tibial Tendon Dysfunction and Tarsal Tunnel Syndrome. Foot and Ankle Intl 23(3):212-219, 2002.
7. Trepman M, et al. Effect of Foot and Ankle Position on Tarsal Tunnel Compartment Pressure. Foot and Ankle Intl 20(11):221-26, 1999.
8. Chalmers AC, Busby C. Metatarsalgia and rheumatoid arthritis--a randomized, single blind, sequential trial comparing 2 types of foot orthoses and supportive shoes. J Rheumatol. 2000 Jul;27(7):1643-7.
9. Mueller MJ, Lott DJ, Hastings M. Efficacy and mechanism of orthotic devices to unload metatarsal heads in people with diabetes and a history of plantar ulcers. Phys Ther. 2006 Jun;86(6):833-42.
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Additional References
11. Scherer PR: Heel spur syndrome. Pathomechanics and nonsurgical treatment. J Am Pod Med Assoc 81:68-72, 1991.
12. Sarafian SK: Functional characteristics of the foot and plantar aponeurosis under tibiotalar loading. Foot Ankle 8:4-17, 1987.

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