Discretion in choosing a joint size and designing an appropriate orthosis should be used by the orthotist in all cases. We would reference and support the approach described by Lunsford and agree that successful orthotic management requires a clear understanding of the condition being treated and a realistic plan to address the biomechanical deficits presented.
For optimal orthotic management, the mechicanical demands to be placed upon the orthosis for any given treatment must be understood prior to material selection.
The selection of the correct materials is often the difference between success and failure and we believe that the orthotist is trained and the best qualified to match the characteristics of the material to the biomechanical and functional needs of the patient.
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