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Gepubliceerd in: Journal of Foot and Ankle Research 1/2012

Open Access 01-12-2012 | Poster presentation

Design, development and biomechanical evaluation of a prefabricated anti pronation foot orthosis

Auteurs: Rachel Majumdar, Philip Laxton, Anna Thuesen, Christopher Nester, Barry Richards

Gepubliceerd in: Journal of Foot and Ankle Research | bijlage 1/2012

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Background

Custom made foot orthoses remain the ‘gold standard’ because the orthotic geometry is tailored to each patient’s foot. However, due to their reduced cost, in some contexts there has been an increasing preference for prefabricated orthoses. Research has failed to identify major differences between the two types of orthosis [14]. This project aimed to design, develop and evaluate a new anti-pronation foot orthosis. The project was initiated following observations that many prefabricated orthoses failed to incorporate the design principles used in custom made orthoses and the lack of evidence for the effect of prefabricated orthoses on foot pronation.

Materials and method

The project comprised three stages. In stage 1 (definition of problem) professional, patient, consumer and retail opinions of existing foot orthoses was sought through unstructured interviews. This produced a technical specification for the new orthosis. In stage 2 (development of orthosis), 80 foot casts were rationalised through observation of cast shape and testing of prototype orthoses to identify a ‘model’ foot shape. Bespoke orthotic materials were formulated and tested to compare durability and stiffness to existing orthosis materials. In stage 3 (evaluation), rearfoot inversion/eversion was measured in 30 people walking and running, in a standard shoe, with and without the orthosis. Marker triads were attached to the heel via a shoe aperture, and to the leg.

Results

The orthotic is illustrated in Figure 1 & 2. Maximum rearfoot eversion was reduced (Figure 3 and 4) in both walking (reduced by 3.4°, SD3.5°) and running (by 2.2°, SD2.8°)(p<0.001). The walking reduction is larger than reported by Mills (2.12°) [5] following meta analysis of the literature, but like other reports the orthotic effect was highly person specific.

Conclusion

The project produced a foot orthosis with evidence of: its design and development process; its material properties compared to existing orthotic materials; its effect on foot pronation.

Acknowledgements

This work was funded under the UK Government “Knowledge Transfer Partnership” scheme, supporting transfer of knowledge from Universities to industry.
Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution License ( https://​creativecommons.​org/​licenses/​by/​2.​0 ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Literatuur
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Metagegevens
Titel
Design, development and biomechanical evaluation of a prefabricated anti pronation foot orthosis
Auteurs
Rachel Majumdar
Philip Laxton
Anna Thuesen
Christopher Nester
Barry Richards
Publicatiedatum
01-12-2012
Uitgeverij
BioMed Central
Gepubliceerd in
Journal of Foot and Ankle Research / Uitgave bijlage 1/2012
Elektronisch ISSN: 1757-1146
DOI
https://doi.org/10.1186/1757-1146-5-S1-P22

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