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British Journal of Sports Medicine 2001;35:4-5; doi:10.1136/bjsm.35.1.4
Copyright © 2001 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine.
Br J Sports Med 2001; 35:4-5
© 2001 the British Journal of Sports Medicine

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A biomechanical perspective: do foot orthoses work?

B Heiderscheit1, J Hamill2, D Tiberio3

1 Osteopathic Medical Center, Des Moines University, Des Moines, Iowa, USA
2 University of Massachusetts jhamill@excsci.umass.edu
3 University of Connecticut

Foot orthoses have become an integral part of the treatment of injuries of the foot, ankle, and lower extremity. From a biomechanical perspective, they offer a means of resolving symptoms by placing the foot and the lower extremity in a more advantageous position thus altering applied tissue stresses. Ample evidence exists, based on subjective pain relief and symptom resolution, to support the continued use of these devices. However, scientific evidence to confirm these observations is equivocal.

Research findings

If there is a biomechanical basis for patient improvement, one of many possible kinematic or kinetic parameters should be altered by foot orthoses. Increased magnitude of the pronation angle and increased pronation velocity have been postulated as risk factors for lower extremity injury. A number of investigations have shown the potential of an orthosis with an external medial post to decrease the magnitude of pronation.1 Not unexpectedly, a decrease in tibial internal rotation has . . . [Full text of this article]


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This article has been cited by other articles:

  • Joseph, M., Tiberio, D., Baird, J. L., Trojian, T. H., Anderson, J. M., Kraemer, W. J., Maresh, C. M. (2008). Knee Valgus During Drop Jumps in National Collegiate Athletic Association Division I Female Athletes: The Effect of a Medial Post. Am J Sports Med 36: 285-289 [Abstract] [Full Text]  

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