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Foot and Ankle Clinics Jun 2001Custom-made orthotic devices are beneficial as preoperative and postoperative modalities. The decision to institute conservative treatment such as casting and orthotic... (Review)
Review
Custom-made orthotic devices are beneficial as preoperative and postoperative modalities. The decision to institute conservative treatment such as casting and orthotic appliances depends largely on the pathologic condition the patient presents with, the overall medical and social status of the patient, and the desired results the physician wants to achieve. Orthoses, prostheses, and bracing have evolved from tedious and labor-intensive leather and metal components to technically advanced plastics, composites, and computer-generated efficient and patient-friendly modalities. With the incorporation of human biomechanics and engineering as well as the introduction of human performance laboratories and the shared knowledge from these disciplines, the field of orthoses and prostheses continues to expand for the benefit of those who must rely on man-made devices to augment daily living activities.
Topics: Ankle; Braces; Computers; Construction Materials; Foot; Humans; Orthotic Devices; Plastics; Shoes; Tendon Injuries; Tendons
PubMed: 11488057
DOI: 10.1016/s1083-7515(03)00097-4 -
Sports Medicine (Auckland, N.Z.) Jan 2015Orthotic devices such as foot orthoses, splints, taping and bracing are recommended for Achilles tendinopathy (AT). This systematic review was conducted to review the... (Review)
Review
Orthotic devices such as foot orthoses, splints, taping and bracing are recommended for Achilles tendinopathy (AT). This systematic review was conducted to review the current evidence for the effectiveness of orthotic devices for the treatment of mid-portion or insertional AT. Electronic bibliographic databases (MEDLINE, EMBASE, Current Contents, CINAHL and SPORTDiscus) were searched in May 2014. The methodological quality of included studies was evaluated using the Quality Index. Where possible, effects were determined using standardised mean differences. The strength of evidence for each intervention was determined according to the quality and number of studies. Twelve studies satisfied the inclusion criteria; nine studies investigated mid-portion AT, whilst three studies did not distinguish between mid-portion and insertional pathology. Weak evidence showed that foot orthoses were equivalent to physical therapy, and equivalent to no treatment. Very weak evidence supported the use of adhesive taping alone or when combined with foot orthoses. Moderate evidence showed that the AirHeelâ„¢ brace was as effective as a calf muscle eccentric exercise programme, and weak evidence showed that this intervention was not beneficial when added to a calf muscle eccentric exercise programme. Weak evidence showed that an ankle joint dorsiflexion night splint was equally effective to a calf muscle eccentric exercise programme, and strong evidence showed that this intervention was not beneficial when added to a calf muscle eccentric exercise programme. These findings may aid clinical decision making in the context of AT, however further high-quality studies are required.
Topics: Achilles Tendon; Athletic Tape; Braces; Foot Orthoses; Humans; Orthotic Devices; Splints; Tendinopathy
PubMed: 25108348
DOI: 10.1007/s40279-014-0237-z -
Foot and Ankle Clinics Jun 2001Orthotic devices are an effective method of treating degenerative arthrosis of the foot and ankle. When combined with appropriate medications and activity modifications,... (Review)
Review
Orthotic devices are an effective method of treating degenerative arthrosis of the foot and ankle. When combined with appropriate medications and activity modifications, operative intervention may be postponed or rendered unnecessary. A thorough comprehension of relevant anatomy, biomechanics, and available devices is crucial to maximize the benefits of this modality.
Topics: Ankle Joint; Biomechanical Phenomena; Braces; Humans; Orthotic Devices; Osteoarthritis; Tarsal Joints
PubMed: 11488059
DOI: 10.1016/s1083-7515(03)00099-8 -
British Journal of Sports Medicine Jun 2012The aim of the study is to determine "the additional effect of... function" for patellofemoral pain syndrome (PFPS). The additional effect of orthotic devices over... (Review)
Review
The aim of the study is to determine "the additional effect of... function" for patellofemoral pain syndrome (PFPS). The additional effect of orthotic devices over exercise therapy on pain and function. A systematic literature search was conducted in MEDLINE, CINAHL, EMBASE, Cochrane and PEDro. Randomised controlled trials and controlled clinical trials of patients diagnosed with PFPS evaluating a clinically relevant outcome were included. Treatment had to include exercise therapy combined with orthotics, compared with an identical exercise programme with or without sham orthotics. Data were summarised using a best evidence synthesis. Eight trials fulfilled the inclusion criteria, of which three had a low risk of bias. There is moderate evidence for no additive effectiveness of knee braces to exercise therapy on pain (effect sizes (ES) varied from -0.14 to 0.04) and conflicting evidence on function (ES -0.33). There is moderate evidence for no difference between knee braces and exercise therapy versus placebo knee braces and exercise therapy on pain and function (ES -0.1-0.10). More studies of high methodological quality are needed to draw definitive conclusions.
Topics: Adolescent; Adult; Athletic Tape; Bias; Braces; Combined Modality Therapy; Controlled Clinical Trials as Topic; Exercise Therapy; Female; Humans; Male; Middle Aged; Orthotic Devices; Patellofemoral Pain Syndrome; Young Adult
PubMed: 21402565
DOI: 10.1136/bjsm.2010.080218 -
Journal of the American Podiatric... 2010Orthotic devices are used to help children progressively acquire a more physiologic walking pattern.
BACKGROUND
Orthotic devices are used to help children progressively acquire a more physiologic walking pattern.
METHODS
To determine the effect of an orthotic device with an out-toeing wedge along with a physiologic shoe as treatment for in-toed gait, angle of gait was measured in 48 children aged 3 to 14 years with in-toed gait. The following comparisons were made: angle of gait in children unshod versus children shod without treatment, angle of gait in children shod without treatment versus children shod plus orthoses, and angle of gait in children unshod versus children shod plus orthoses.
RESULTS
Using a correctly fitting shoe increased the angle of gait in a nonsignificant manner, but a significant increase was revealed in the comparison of the angle of gait in children unshod versus children under treatment. The results showed that the behavior in boys and girls was similar to that in the total sample. Regarding side, the corrective effect of the orthotic device was similar in the two feet. However, the data showed a greater corrective effect of the shoe in the right foot.
CONCLUSIONS
Orthotic devices with out-toeing wedge combined with correctly fitting shoes, as well as shoes alone, are useful tools in the treatment of in-toed gait in children.
Topics: Equipment Design; Female; Gait; Humans; Male; Orthotic Devices
PubMed: 21084533
DOI: 10.7547/1000472 -
Prosthetics and Orthotics International Oct 2022
Topics: Humans; Orthotic Devices; Prostheses and Implants
PubMed: 36215055
DOI: 10.1097/PXR.0000000000000186 -
International Journal of Orthopaedic... Feb 2016
Topics: Diffusion of Innovation; History, 19th Century; History, 20th Century; History, 21st Century; Humans; Orthopedic Equipment; Orthotic Devices
PubMed: 26725018
DOI: 10.1016/j.ijotn.2015.12.001 -
Journal of Bodywork and Movement... Oct 2015Alongside the positive effects of use of orthotic devices for the lower extremities (ODLE) and orthopedic shoes, complaints and criticism by users possibly lead to... (Review)
Review
BACKGROUND
Alongside the positive effects of use of orthotic devices for the lower extremities (ODLE) and orthopedic shoes, complaints and criticism by users possibly lead to non-compliance.
OBJECTIVE
The purpose is to determine the compliance of patients wearing an ODLE or orthopedic shoes and to describe the main reasons for using and not using.
METHODS
Different online databases were searched for articles about patients' compliance with regard to an ODLE or orthopedic shoes. A methodological quality control was conducted.
RESULTS
Ten studies (1576 patients) were included. The data revealed between 6 and 80% not users. Several reasons for not using the orthotic device were described (e.g. pain, discomfort and cosmetically unacceptable).
CONCLUSIONS
The high percentage of patients who are not wearing the prescribed orthotic devices leads to a high financial loss for society and a waste of therapeutic effort. These results should be taken into account during the design, construction and selection process of orthotic devices.
Topics: Female; Foot; Humans; Male; Orthotic Devices; Patient Compliance; Shoes
PubMed: 26592234
DOI: 10.1016/j.jbmt.2015.06.008 -
Journal of the American Podiatric... Jan 1997When patients present with problems for which existing devices are not adequate, research is stimulated. However, new methods and devices must improve on the older... (Comparative Study)
Comparative Study
When patients present with problems for which existing devices are not adequate, research is stimulated. However, new methods and devices must improve on the older versions and should not result in variation that is less effective than the original versions. Variants less effective than the originals will be discussed with illustrative examples. Orthoses, prostheses, and pressure-reduction techniques for the diabetic foot will be considered.
Topics: Amputation, Surgical; Ankle; Artificial Limbs; Child; Diabetic Foot; Equipment Design; Evaluation Studies as Topic; Foot; Humans; Orthotic Devices
PubMed: 9009545
DOI: 10.7547/87507315-87-1-23 -
Prosthetics and Orthotics International Dec 2020There is a long history of prosthetic and orthotic services helping to mitigate the impact of physical impairment by restoring function, and enabling and equipping the... (Review)
Review
There is a long history of prosthetic and orthotic services helping to mitigate the impact of physical impairment by restoring function, and enabling and equipping the user. The training of health professionals who design, fit, and maintain prosthetic and orthotic devices has evolved over the centuries, reflecting an increase in knowledge, technology, understanding, and social attitudes in each era. Improvements in pedagogical thinking and biomechanical understanding, as well as the advent of new integrated technologies, have driven the profession over the past 50 years to modernize, evolve training and service delivery models in line with new attitudes toward clients, and search for new ways to improve users' quality of life. In this narrative review, the authors examined the evolution of prosthetic and orthotic education, the impact of changing educational techniques and technologies, and the impact of the International Society for Prosthetics and Orthotics in that process. Through conversations with experts and review of peer-reviewed literature, accreditation documents, and the International Society for Prosthetics and Orthotics records and databases, the authors identified three areas of change in prosthetics and orthotics education over the past 50 years: (1) prosthetic/orthotic curriculum content, (2) pedagogy and course delivery, and (3) internships/residencies. This narrative review is a snapshot of a growing profession and we can only speculate where the next 50 years will lead us as we strive to serve patients, ever placing their needs and aspirations at the center of this professional service.
Topics: Clinical Competence; Communication; Curriculum; Evidence-Based Medicine; Health Personnel; History, 20th Century; History, 21st Century; Humans; Orthotic Devices; Prostheses and Implants
PubMed: 33164659
DOI: 10.1177/0309364620968644