Unique Orthotic Strategies for Low-Volume Footwear
Unique orthotic strategies for low-volume footwear The low-volume shoes “Orthotics are all about alignment.” Anecdotally, many practitioners prefer full- worn by cyclists, figure length orthoses for treating foot-related injuries skaters, and others can or pain, but low-profile shoes—designed for anything from rock climbing to dance—of- make orthotic manage- ten don’t allow for a full-length solution. So, ment of these patients practitioners working with such cases have to challenging. So, lower ex- get creative—using tape, felt, or super-thin rigid inserts—to find ways to support feet and align tremity practitioners have joints. had to develop creative The challenges differ from one type of shoe to the next. strategies for achieving the desired biomechanical ef- Cleated sports On the face of it, cleats may seem an easy fit for fects while working within foot orthoses. Roomier than many other athletic a limited space. footwear (ie, cycling shoes, figure skates, or dance shoes), cleats present their own unique By Jill R. Dorson challenges, particularly when athletes have a Manolo Blahniks, soccer cleats, and an elegant preference for cleats that are too small. It is well new pair of figure skates might seem to have known among clinicians that both soccer players little in common. But—whether it’s stylish high and football kickers, for example, wear their heels, cleats that allow an athlete to truly to cleats extra-tight to improve feel on the ball. feel the ball, or a boot balanced atop a narrow Multiple studies1-3 have shown cleats are Therapy Faculty Clinic in Hillsborough, recently blade—form-fitting shoes do a job on the feet.
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