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Author: Cherri Choate, DPM Created: 6/20/2009
Orthotic therapy blog

By Cherri Choate, DPM on 2/24/2010


con-sult-ant ((kən sult′'nt):  
one who is called on for professional or technical advice or opinions

Responsibilities of the Prolab Consultants:
1)  Discuss a challenge case
2)  Give a non-judgmental opinion on a biomechanical scenario
3)  Keep abreast of current trends, technologies and ideas in ...

By Cherri Choate, DPM on 2/17/2010
 
As we start the 21st Century, life expectancy is continuing to increase.  Infact, here are a few statistics provided by efmoody.com:
              "The number of people 60 or older will grow to nearly 2 billion in 2050, for the first time in rec ...
By Cherri Choate, DPM on 2/10/2010

We often receive requests for "flexible"  or "soft" functional orthoses.  For shell material choices we can use either plastazote or polypropylene.  In most cases I prefer the use of polypropylene.   When I hear "flexible" I think of less control, so there are a number of ways to create a more flexible orthotic.
  1)  Choose the most flexible shell
           The most flexible polypropylene we use at ProLab is the 1/8" VF device (black or natural)
  2)  LImit the control of the device
      & ...

By Cherri Choate, DPM on 2/3/2010

Among the many questions surrounding the pediatric flat foot, is the possible whole body affects of the pathology.  The discussion regarding when and if to treat will become more clear as we have more evidence to help formulate an answer.  An article by Lin from the Journal of Pediatric Orthopedics in 2001, evaluated children with flat feet to determine if their activity levels were different than children wtihout flat feet.  The designation of "flat foot" was based on longitudinal arch height.  Interestingly, they found that the younger children tended to have a higher propensity for flat feet.  In addition they found that the presence of flat feet correlated with lower performance of certain ...

By Cherri Choate, DPM on 1/27/2010

About a month ago, I tried on a popular "rocker soled" shoe for the first time.  Although I did not purchase it, I started wondering about our professional approach to shoe trends.  Since most shoes are not a medical product, there is not a mandate for any supporting medical research.  Yet, we include shoes as part of our treatment regimen for patients on a daily basis.  Many trends come and go quickly, but some get a foothold in the market and become permanent options.
To saitisfy my curiousity, I would like to know what your current opinions are regarding the rocker type of shoes that are now on the market?  A few studies have been completed, but I am interested in personal expeiernce.   If you have a moment to write a quick Blog in ...

By Cherri Choate, DPM on 1/20/2010
As our population ages, and remains active, foot health will become more complex.  The term "geriatric" leads one to image an elderly patient who is sitting by the window in their easy chair, but in many cases this image is far from the truth.  Attempts to formulate a "geriatric" orthotic would be challenging due to the variability of this population.  What can be discussed are a few consideration due to the natural process of body aging.  Three common changes with age include poor balance, diminished sensation and decreased fat pad.  Addressing each of these as you consider an orthotic for a patient later in years may include the following considerations:
     1)  Balance-  Decreased ...
By Cherri Choate, DPM on 1/13/2010

Over the holidays, many people spend a great deal of time standing in their kitchens, usually in socks or slippers.  As a result there are a lot of sore feet, ankles, knees, hips and backs following all the festivities.  This is an opportune time to recommend that patients with patholgy need to invest in a shoe/orthotic combination that is dedicated to the indoor areas of their home.  The best received shoe recommendations are those that are easy to slip on and off, so some type of "clog" like shoes or mule would would great.  My personal recommendation is the Merrell Jungle or Encore line, but many other brands, including Keen, have similar types of shoes.  The important qualities for the shoes include a removable insole, deep toe box, th ...
By Cherri Choate, DPM on 1/6/2010

     As we all know, research topics seem to go through phases.  We are currently in a phase that is well overdue:  Pediatric Biomechanics.  At Prolab, we are certainly focusing more energy on effective, evidence based treatment options for pediatric foot pathology. I have mentioned Peditric Flat Foot in a previous blog and I will likely mention it again in the near future.  As research is published we should begin to build a treatment protocol based on medical evidence.  One such article was published in 2001 in N ...

By Cherri Choate, DPM on 12/30/2009
As we look forward toward a new year, most of us are already placing vacation and CME dates on our calendars.  Although we strive to keep you updated on current research regarding Biomechanics of the lower extremities, CME programs can also be very inspiring and enlightening.  The Prolab site has a complete listing of the progrmas where we are participating, but here are a few to consider:
  
By Cherri Choate, DPM on 12/23/2009
Due to the manufacturing process of the CAD CAM system vs. the vacuum press, only the vacuum pressed devices can be made with a sweet spot.  All the Pathology Specific Orthotics that need a sweet spot, or other type of intrinsic accommodation, will be made by the vacuum formed method.  The other instrinsic accommodations include: medial/lateral flanges, plantar fascia grooves and EVA arch fill.    If you want to include any of these in the orthotic order, the vacuum formed device is your only choice. 

In addition, only Vacuum Formed devices can be heat adjusted.  The most common adjustment include expansion of sweet spot and raising/lowering of arch height.  CD devices can not be heat adjusted, so they are not as flexible when patient fit is an issue.
&l ...
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