Evidence for Custom Foot Orthoses in Clinical Practice with Prof Gabriel Moisan
Audio is streamed directly from the publisher (media.transistor.fm) as published in their RSS feed. Play Podcasts does not host this file. Rights-holders can request removal through the copyright & takedown page.
Show Notes
In this episode of the Foot and Ankle podcast, host Alex Murray talks with Professor Gabriel Moisan to explore the complexities of custom foot orthotics and the underlying research.
They discuss the mechanisms of how orthotics work, the variability in patient responses, and the importance of individualized treatment plans. Gabriel shares insights from his clinical practice, emphasizing the need for a bottom-up approach in research, figuring out the how and why foot orthoses work, before if they work clinically for specific conditions and patient and the potential for predicting patient responses to orthotics.
They also delve into the complexities of foot orthotic design and management, particularly:
- Individualised orthoses prescription based on the condition, patient population and task to inform the design,
- The importance and impact of casting techniques,
- The balance between prefabricated and custom solutions,
- The evolving role of technology such as 3D printing.
- The lack of research to guide the complete orthotic prescription and therefore
- The need to customise the device after prescription to find the optimum prescription for each patient
You can find Gabriel Moisan and his work here:
https://www.researchgate.net/profile/Gabriel-Moisan
https://www.linkedin.com/in/gabriel-moisan-a382aaa7/
Chapters
00:00 Introduction to the episode
03:14 Gabriel Moisan's Journey in Podiatry
05:15 Understanding the Mechanisms of Foot Orthotics
10:05 Variability in Patient Responses to Orthotics
17:55 The Need for Individualized Orthotic Solutions
23:40 Predicting Patient Responses to Foot Orthotics
29:56 Clinical Approaches to Orthotic Prescription
36:15 Patient-Centered Care in Orthotic Treatment
42:26 Understanding Neurodivergence in Patient Management
46:52 The Importance of Task-Specific Orthotic Design
51:14 Casting Techniques and Their Impact on Orthotic Effectiveness
55:35 The Future of 3D Printing in Orthotic Design
59:32 Navigating Clinical Experimentation and Patient Communication
01:03:16 Ethics in Custom Orthotic Prescriptions
01:07:47 The Role of Prefabricated Orthotics in Treatment
01:13:38 Long-Term Use of Foot Orthotics: When Is It Necessary?
01:18:21 Embracing Uncertainty in Clinical Practice
01:23:04 The Need for Continued Research in Foot Orthotics