absolutely but WHY they have got better or not got better is a different matter!
As long as the product is comfortable and does not induce additional symptoms and helps the symptoms it was originally prescribed for it may be acceptable. The actual product or manufacturing protocol may not be so important.
If say 2 different materials achieve the same mechanical or therapeutic effect then I guess the choice would be down to comfort and convenience.
Once a successful product is achieved then a good question might be 'how much material could be removed without affecting fucntion and therapeutic outcome'?
There are so many variables that may affect function and symptoms which makes pure scientific evaluation very tricky
We need a reproducible evaluation method so that every practitioner can evaluate at least the mechanical function of anyone's product / prescription. If we cannot do that how do we know what is really happenning.
Regards
Bob
ps Craig - you got those specs for your toe flexion measuring device?
-----Original Message-----
From: A group for the academic discussion of current issues in podiatry
[mailto:[log in to unmask]]On Behalf Of Craig Payne
Sent: 07 December 2004 11:25
To: [log in to unmask]
Subject: Re: EVA vs Plastic/Carbon Fibre FFO's: Discuss
The outcome is if the patient gets better or not.
CP
-----Original Message-----
From: A group for the academic discussion of current issues in podiatry on behalf of Fleck, Robert
Sent: Tue 7/12/2004 10:13 PM
To: [log in to unmask]
Subject: Re: EVA vs Plastic/Carbon Fibre FFO's: Discuss
Is the outcome not ultlmately based on the prescription not the product! That is my experience
Bob
-----Original Message-----
From: A group for the academic discussion of current issues in podiatry
[mailto:[log in to unmask]]On Behalf Of Javier Ordoyo
Sent: 07 December 2004 11:11
To: [log in to unmask]
Subject: Re: EVA vs Plastic/Carbon Fibre FFO's: Discuss
Dear All,
I agree with Craig. We performed a study (that it will be published on
december, sorry in Spanish) where we compared EVA insoles vs. Carbon Fiber
Composite insoles. The results were almost the same. The material selecion
will depend on shoes type, activity/ies and other facts except biomechanical
outcomes.
Regards,
Javier Ordoyo
Private Practice
Barcelona -Spain-
-----Mensaje original-----
De: A group for the academic discussion of current issues in podiatry
[mailto:[log in to unmask]] En nombre de Craig Payne
Enviado el: martes, 07 de diciembre de 2004 11:25
Para: [log in to unmask]
Asunto: Re: EVA vs Plastic/Carbon Fibre FFO's: Discuss
>I am having an ongoing discussion with a clinician that believes that a
>total contact EVA insole (amfit, pedcad etc) can achieve anything that
>an FFO can. I disagree.
He is right. All the outcome studies show that, that is the case.
CP
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