The SHIFT Project 17 - Effect Of Foot Orthoses On The Knee, Hip, and Back
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The SHIFT Project 17 - Effect Of Foot Orthoses On The Knee, Hip, and Back
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This review challenges the traditional belief that foot orthoses function by correcting the alignment and movement patterns of the knees, hips, and spine. Research indicates that while these devices are clinically beneficial, they produce negligible changes in the actual kinematics, or joint angles, of the proximal joints and torso. Instead, the evidence suggests that orthoses act primarily as kinetic modulators, altering the internal forces and pressure distribution across the lower limbs. These findings also suggest that visual gait analysis may be an unreliable method for evaluating orthotic success because the most significant changes occur in loading patterns rather than visible motion. Consequently, the presenters advocate for a paradigm shift in clinical practice, moving away from a focus on skeletal positioning toward a better understanding of force management. This transition reconciles historical theories with modern data to provide a more accurate mechanical explanation for how foot inserts alleviate musculoskeletal pain in the proximal joints.
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