Emerging Trends In Research With Orthoses And Biomechanics

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Guest Clinical Editor: Cherri Choate, DPM

   The research of Redmond, et al., is effective in showing the mechanism of action for orthoses on plantar pressure and gait, points out Dr. Burns.11 He also references two “very exciting” studies of biomechanics by Nester and Sheehan.12,13

Dr. Burns is a National Health and Medical Research Council (NHMRC) Australian Clinical Research Fellow at the Institute for Neuromuscular Research at The Children’s Hospital at Westmead in Australia. He is also a Conjoint Senior Lecturer in the Discipline of Paediatrics and Child Health, Faculty of Medicine at the University of Sydney in Australia.

Dr. Choate is an Assistant Professor in the Department of Applied Biomechanics at the California School of Podiatric Medicine at Samuel Merritt University.
Dr. Davis is a Director of Research at Drayer Physical Therapy Institute. She is a Professor in the Department of Physical Therapy at the University of Delaware. Dr. Davis is a Fellow of the American College of Sports Medicine.

Dr. Nester is the Director of the Centre for Rehabilitation and Human Performance Research at the University of Salford in the United Kingdom.

To get information on reprints or access the archives, visit www.podiatrytoday.com.


1. Mickle KJ, Steele JR, Munro BJ. Does excess mass affect plantar pressure in young children? Int J Pediatr Obes 1(3):83-8, 2006.
2. Mickle KJ, Steele JR, Munro BJ. The feet of overweight and obese children: are they flat or fat? Obesity 14(11):1949-53, 2006.
3. Powell M, et al. Efficacy of custom foot orthoses in improving pain and functional status in children with juvenile idiopathic arthritis: a randomized trial. J Rheumatol 2005;32(5):943-50.
4. Evans AM. The flat-footed child—to treat or not to treat. What is the clinician to do? J Am Podiatr Med Assoc 98(5):386-393, 2008.
5. Selby-Silverstein L, Hillstrom HJ, Palisano RJ. The effect of foot orthoses on standing foot posture and gait of young children with Down’s Syndrome. NeuroRehabilitation 2001, 16(3):183-93
6. Stacoff A, Reinschmidt C, Nigg BM, van den Bogert AJ, Lundberg A, Denoth J, Stüssi E. Effects of foot orthoses on skeletal motion during running. Clin Biomech (Bristol, Avon). 2000 Jan;15(1):54-64.
7. Woodburn J, Barker S, Helliwell PS. A randomized controlled trial of foot orthoses in rheumatoid arthritis. J Rheumatol 2002 Jul;29(7):1377-83.
8. Landorf KB, Keenan A, Herbert RD. Effectiveness of foot orthoses to treat plantar fasciitis: a randomized trial. Arch Intern Med 2006;166 (12):1305–10.
9. Woodburn J, Helliwell PS, Barker S. Changes in 3D joint kinematics support the continuous use of orthoses in the management of painful rearfoot deformity in rheumatoid arthritis. J Rheumatol 2003 Nov;30(11):2356-64.
10. Burns J, Crosbie J, Hunt A, Ouvrier R. The effect of pes cavus on foot pain and plantar pressure. Clin Biomech (Bristol, Avon) 2005 Nov;20(9):877-82.
11. Redmond A, Lumb PSB, Landorf K. Effect of cast and noncast foot orthoses on plantar pressure and force during normal gait. JAPMA 90(9):441-449, 2000.
12. Nester CJ, Liu AM, Ward E, Howard D, Cocheba J, Derrick T, Patterson P. In vitro study of foot kinematics using a dynamic walking cadaver model. J Biomech 2007;40(9):1927-37
13. Sheehan FT, Seisler AR, Siegel KL. In vivo talocrural and subtalar kinematics: a non-invasive 3D dynamic MRI study. Foot Ankle Int 2007 Mar;28(3):323-35.

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