Addendum to Episode 15 in the Shift Project - Dani, et. al. tap in a nail
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概要
A review of a 2025 study on foot orthoses by Dani, et. al. demonstrates that these devices function as kinetic modulators rather than tools for motion control. While aggressive orthotic designs failed to significantly alter joint alignment or skeletal positioning, they successfully reduced ankle joint moments and redistributed physical loads. This research indicates a clear dissociation between how a foot moves and the internal forces it experiences during strenuous activities. Consequently, the traditional focus on kinematic correction is challenged by evidence that orthoses primarily work by altering force transmission. These findings should encourage clinicians to prioritize load management over the visual straightening of the foot. Orthotic efficacy should be measured by the reduction of tissue stress rather than the achievement of specific postural changes.