Foot orthotics in the treatment of lower limb conditions: A musculoskeletal physiotherapy perspective

Vicenzino, B (2004) Foot orthotics in the treatment of lower limb conditions: A musculoskeletal physiotherapy perspective. Manual Therapy, 9 4: 185-196. doi:10.1016/j.math.2004.08.003


Author Vicenzino, B
Title Foot orthotics in the treatment of lower limb conditions: A musculoskeletal physiotherapy perspective
Journal name Manual Therapy   Check publisher's open access policy
ISSN 1356-689X
ISBN 1356-689x
Publication date 2004-01-01
Sub-type Article (original research)
DOI 10.1016/j.math.2004.08.003
Volume 9
Issue 4
Start page 185
End page 196
Total pages 12
Editor A. Moore
G. Jull
Place of publication UK
Publisher Churchill Livingstone
Language eng
Subject C1
321024 Rehabilitation and Therapy - Occupational and Physical
730303 Occupational, speech and physiotherapy
Abstract Orthotic therapy is frequently advocated for the treatment Of musculoskeletal pain and injury of the lower limb. The clinical efficacy, mechanical effects, and Underlying mechanism of the action of foot orthotics has not been Conclusively determined making it difficult for practitioners to agree on a reliable and valid clinical approach to their application and indeed even their fabrication. This problem is compounded by evidence suggesting that the most commonly used approach for orthotic prescription, the (Biomechanical Evaluation of the Foot. Vol. 1. Clinical Biomechanics Corporation, Los Angeles, 1971) approach, has poor validity and many of the associated clinical measurements of that approach lack adequate levels of reliability. This paper proposes a new approach that is based on two key elements. One is the identification, verification and quantification of physical tasks that serve as client specific outcome measures. The second is the application of specific physical manipulations during the performance of these physical tasks. The physical manipulations are selected on the basis of motion dysfunction and their immediate effects on the client specific outcome measures serve as the basis to making an informed decision on the propriety of using orthotics in individual clients. The motion dysfunction also guides the type of orthotic that is applied. Practical case examples as well Lis generic and specific guidelines to the application of this clinical assessment process and orthotics are provided in this paper. (C) 2004 Published by Elsevier Ltd.
Keyword Patellofemoral Pain Syndrome
Orthoses
Exercise
Prescription
Position
Arch
Rehabilitation
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2005 Higher Education Research Data Collection
School of Health and Rehabilitation Sciences Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 25 times in Thomson Reuters Web of Science Article | Citations
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Created: Wed, 15 Aug 2007, 15:02:17 EST