Packed with practical, step-by-step instructions, Foot Orthotics in Therapy and Sport will help even the most reluctant sports clinician master the art of creating orthotics.
The authors--all certified athletic trainers and experts in orthotic fabrication--have written this how-to reference specifically for athletic trainers, physical therapists, sports physicians, and sport podiatrists.
Foot Orthotics in Therapy and Sport features important background information for beginners, outlining the latest theories, approaches, and techniques for fabricating foot orthotics. And for more seasoned fabricators, there is a wealth of new ideas to use in your clinical setting.
With close to 200 photos, drawings, and illustrations of orthotic-making techniques, this one-of-a-kind text shows how to
customize orthotic devices for athletes and patients;
improve the quality of orthotics;
examine the foot and ankle to determine the appropriateness of orthotic therapy;
save time and money by creating orthotics in-house; and
get athletes back in training and competition faster.
Because many of the injuries occurring in the lower extremity can be traced to structural deformities or abnormalities of the foot, Foot Orthotics in Therapy and Sport also gives you an understanding of basic foot biomechanics and how it relates to treatment.
The book's first three chapters review types of orthotics, how they effect the lower extremity, indication and contraindication of orthotic use, the pros and cons surrounding their use, and the latest research on how they work. Subsequent chapters
explain how to perform a clinical and biomechanical examination of the foot and ankle to determine if orthotic therapy should be used;
outline the materials and procedures for making negative casts and positive molds;
list the materials needed to make soft, semirigid, and rigid orthotics;
provide step-by-step instructions for fabricating and modifying orthotics in-house;
discuss how to adapt orthotics to special orthopedic conditions and common athletic injuries; and
offer instructions and illustrations for using commercial orthotic systems.
Whether you're just starting out or you're a seasoned sports clinician, Foot Orthotics in Therapy and Sport presents easy, hands-on instructions for making state-of-the-art orthotics.
AUDIENCE
Reference for athletic training clinicians, sports physicians, physical therapists, and sports podiatrists.
CONTENTS
Foreword
Preface
Acknowledgments
Chapter 1. Introduction to Orthotic Therapy
Definition of Orthotic Devices Indications for Use of Orthotic Devices Parts of an Orthotic Types of Orthotic Devices Fabrication of Orthotic Devices Summary References
Chapter 2. Relation of Foot Biomechanics to Lower Extremity Pathology
Pronation and Supination Effect on the Midtarsal Joint Gait Cycle Causes of Abnormal Pronation and Supination Effects of Subtalar Pronation and Supination on the Distal Segments of the Lower Extremity Effects on the Tibia Lower Extremity Rotation and Its Effect on the Knee Knee Injuries Lower Leg Injuries Foot Injuries Summary References
Chapter 3. Orthotic and Related Research
Early Orthotic Recommendations Recent Literature Summary References
Chapter 4. Biomechanical Examination
Clinical Examination Objective Examination Determining Neutral Subtalar Joint Position Forefoot Evaluation Examination of the First Ray Ankle Joint Dorsiflexion Weightbearing Measurements Gait Analysis Stages of Gait Shoe Wear Pattern Summary References
Chapter 5. Casting and Molds
Making a Negative Cast Making a Positive Mold Summary References
Chapter 6. Equipment and Materials
Terminology Materials Choice of Material Covers Equipment Costs Summary References
Chapter 7. In-Office Fabrication of Semirigid Orthotics
General Fabrication Technique Modifications for Specific Concerns Summary References
Chapter 8. Rigid Orthotics
Having a Laboratory Manufacture the Orthotic Manufacturing the Orthotic In-House Summary References
Chapter 9. Orthotics for Special Conditions
The Rheumatoid Foot Turf Toe Sesamoiditis Metatarsalgia Interdigital Neuromas Plantar Fasciitis Summary References
Chapter 10. Orthotic Systems
Orthofeet Foot Technology Amfit Summary
Chapter 11. Practical Concerns of the Patient
The Orthotic Appointment Break-In Patient Expectations Longevity Patient Questions Problems and Solutions Advice to Runners Summary References
Index
ABOUT THE AUTHOR
Skip Hunter, PT, ATC, is director of sports medicine for the Clemson Sports Medicine and Rehabilitation Center in Clemson, South Carolina. Before joining the Clemson center, he was director of sports medicine at The Charlotte Sports Medicine Center. In addition, Hunter spent eight years as a football trainer for the University of North Carolina at Chapel Hill--three years as an assistant and five years as head trainer. In 1989 and 1991, he also served as trainer for the United States Soccer Program.
Hunter teaches continuing education courses throughout the country and has had articles published in a variety of publications including The National Athletic Trainers Journal, The Physician and Sportsmedicine, The Journal of Orthopedics and Sports Physical Therapy, and The Journal of the American Physical Therapy Association.
Hunter is a member of the National Athletic Trainers Association (NATA) and the sports medicine section of the American Physical Therapy Association (APTA).
Michael G. Dolan, MA, ATC, CSCS, is an associate professor of sports medicine and exercise sciences at Canisius College in Buffalo, New York. He has taught both the theory and the practice of orthotic fabrication to hundreds of students and clinicians, and has been making his own orthotics since 1983. In addition to his work in foot orthotics, Dolan conducts research on edema control at the University of Buffalo.
Dolan is a column editor for the journal Athletic Therapy Today. He has written several abstracts for the National Athletic Trainers Association (NATA) and is a periodic reviewer for the association's journal. He also serves on NATA's evaluation team for program accreditation and belongs to NATA's New York State chapter, where he acts as chair of the scholarship committee.
John M. Davis, PT, ATC, is a licensed physical therapist and athletic trainer at the University of North Carolina at Chapel Hill (UNC), where he has worked for the Division of Sports Medicine since 1975. He has served as athletic trainer and physical therapist for the UNC men's basketball team since 1977.
Davis is a contributing author to Therapeutic Modalities in Sports Medicine and Rehabilitation Techniques in Sports Medicine, both edited by William Prentice. He has also published articles in the National Athletic Trainers Journal and the Journal of Orthopedics and Sports Physical Therapy. Davis is a member of the NATA and the sports medicine section of the APTA.
WORDS OF PRAISE
"...a well-prepared and professional approach to the topic. The authors present the topic in a clear but detailed manner. This approach allows athletic training clinicians to apply the procedures in their daily practice. I find the text to be a valuable addition to my professional library."
Bob Moore, PhD, PT, ATC
Professor, Athletic Training, Pre-Physical Therapy Specializaton, Exercise and Nutrition Science Department, San Diego State University
"This is a unique book on this topic as it combines both the scientific basis of orthotics and very practical chapters on fabrication and material. It is thorough and reads easily. I believe it will be very well received by practitioners."
Lyle J. Micheli, MD, FACSM
Director, Division of Sports Medicine, Boston Children's Hospital
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