Evaluation method and how to fit footwear we have done in clinical practice

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  • 治療上の工夫—臨床現場におけるフットウェア適合と評価—
  • 治療上の工夫 : 臨床現場におけるフットウェア適合と評価
  • チリョウ ジョウ ノ クフウ : リンショウ ゲンバ ニ オケル フットウェア テキゴウ ト ヒョウカ

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Abstract

Foot orthosis (footwear) plays a big part in foot treatment and effects preventively. Prevention of recurrence is expected with orthotic therapy, which is developed for protection of affected area such as symptomatic improvement. How-to select an optimum orhosis is considered not only the therapeutic strategy but also ADL of the patient such as activity, age, gender, and rehabilitation. It is required to prescribe a foot orthosis ideally for usage environment; the point of view, materials and form of the foot orthosis in consideration of depressurization etc. should be selected individual carefully. The effect of orthosis should be objectively checked, and it is desirable to provide a foot orthosis which has certificated evidences to the user. Contrary to this optimum theory, orthosis is prescribed under the present conditions of the user and the materials are usually selected by CPOs based on their individual experiences; the effect is actually judged in many cases subjectively by user only. In the concept of limb salvage, there is the necessity to renew current approach at orthotic therapy. In accordance with mentioned theory, a foot orthosis should be prescribed individually and tested objectively before it will be provided to each user. Regarding to renewal approach, optimal conformity such as evaluation method how they actually go is reported.

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