The SHIFT Project 19(3) - The Orthotic Paradox in Plantar Fasciopathy
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The SHIFT Project 19(3) - The Orthotic Paradox in Plantar Fasciopathy
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概要
Presentation 3 in the 4 parts series on plantar fasciopathy advocates for a kinetic approach to the orhtotic management of plantar fasciopathy, shifting the focus from foot alignment to the distribution of forces. Traditional orthoses based on the Root and alligned paradigms prioritize correcting motion and posture, yet the published research ambigiously demonstrated that tissue strain is driven by ground reaction forces and lever arms -- M=Fxd. Specific legacy orthotic modifications, such as forefoot varus posting, may unintentionally increase tension on the plantar fascia by elevating pressure under the medial forefoot. The presenters concludes that effective orthotic design must prioritize modulating external moments rather than simply aiming for geometric symmetry. Consequently, clinical success depends on repositioning force rather than merely repositioning the foot itself.