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Title: Recent Advances in Orthotic Therapy: Improving Clinical Outcomes with a Pathology-Specific Approach

Author: Paul R. Scherer, DPM, MS
Publisher: Lower Extremity Review LLC; Number of pages: 175
Reviewed by: Charles W. Kuffel, CPO, FAAOP

Paul R. Scherer, DPM, MS, and his contributors have written a well-reasoned text on the use of lower limb orthoses, primarily arch supports, to treat bony and soft tissue pathologies.

The initial chapter focuses on obtaining impressions, mold modifications, rearfoot posting, and other techniques and extensions. Chapter one provides a clear and concise breakdown of the various aspects of pathology-specific prescription writing. This will help the orthotist or other healthcare professional provide arch supports that meet the specific needs of the patient while incorporating the recommendations of the prescribing professional.

Chapter two provides introductory mechanical classification of adult-acquired flatfoot pathologies and subsequent management options and techniques. Classifying adult-acquired flatfoot from stage I to stage III provides the orthotist or other qualified healthcare professional insight into the pathological foot position, as well as potential management techniques. This chapter provides specific treatment techniques through the use of arch supports and ankle foot orthoses to address the specific needs of the patient. This chapter, as with all chapters of this text, concludes with various orthotic recommendations, which include modification techniques, material selection, and fabrication specifications.

The following chapters address orthotic recommendations for various foot and ankle pathologies commonly seen by healthcare professionals. Each chapter provides a well-written and well-presented approach to the management of specific pathologies. All chapters conclude with an orthotic recommendation section which provides particularly helpful information and an algorithm approach to providing treatment for these pathologies.

In summary: Recent Advances in Orthotic Therapy: Improving Clinical Outcomes with a Pathology-Specific Approach by Paul R. Scherer provides a clear and concise description of techniques and options to orthotically manage lower limb pathologies through the use of arch supports and low-level ankle foot orthoses. The text is particularly helpful in aligning the specific requirements of the prescribing professional with the needs of the patient. This text is an appropriate educational addition for orthotists, prosthetists, or other healthcare professionals who are tasked with prescribing arch supports or caring for those requiring arch supports.

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