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By Larry Huppin, DPM on 1/16/2012 9:44 AM
  Research suggests foot orthoses can affect frontal and transverse plane motion in proximal joints during landing from a jump. This could help decrease the risk of anterior cruciate ligament injury, especially in female athletes.

A recent article in Lower Extremity Review looked at this subject in detail. We are recommending this article to all ProLab clients

Some of the article highlights include: 
In the May issue of the Journal of Applied Biomechanics (JAB), researchers from East Carolina University (ECU) in Greenville, SC, reported that gender and foot orthoses affect frontal plane hip motion during landing from a vertical jump.

“Foot orthotic devices are able to change hip motion in the frontal
By Larry Huppin, DPM on 1/12/2012 9:29 AM
I consulted with a ProLab client today regarding a patient with pain at the calcaneal cuboid joint. He apparently has a fairly stable foot with mild eversion of the heel in stance. Pain is achy with activity and there is a little pain to palpation dorsolaterally. Radiographs were negative.

He does not have an exact diagnosis, but if nothing else, he is certainly having some calcaneal cuboid arthralgia. In a way, it doesn’t really matter what the exact diagnosis is. For patients with chronic pain in the area of the calcaneal cuboid joint we have a fairly straightforward goal of treatment, regardless of the underlying etiology. Our goal is to minimize motion of the calcaneal cuboid joint and to transfer pressure from the lateral column to the medial column. 

The following is the prescription that we recommended for this patient:
By Larry Huppin, DPM on 1/9/2012 7:43 AM
As do most orthotic labs, we offer a number of different choices for dress shoes. Over the years I have tried many different devices including the graphite dress orthotics, the Holethotic and the Cobra orthotic. A few years ago I was most commonly using the graphite dress. I have now, however, migrated to using the Cobra almost exclusively for women’s dress shoes.

The Cobra offers a number of advantages in women’s dress shoes. The first is that it is simply smaller than any of the other devices. In addition, unlike any of the other orthoses, it is flexible in the heel with the ability to bend in the sagittal plane. This allows it to easily adapt to different heel heights. So, not only does it fit into flats, but my patients can wear it in heels. It can even be used fairly easily in four, five, and six-inch heels.
By Dianne Mitchell on 1/4/2012 5:20 PM
As I reviewed prescriptions sent into the lab, I came across one issue several times - doctors asking for accommodations on their orthotics, but no marks on the casts indicating the specific locations. It is very important that the casts are marked for accurate accommodation location.

A simple technique is to mark the area with something that will transfer to the plaster. Use lipstick or betadine solution applied to the specific region of the foot with a Q-tip. This will then transfer to your mold. Improve the accuracy of placement for your accommodations with this simple technique - your patients will appreciate it!
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