Rearfoot Posts: Big Kinematic Claims, Small Kinematic Effects
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This first podcast in the series on the validity of foot orthotic prescription options examines the discrepancy between the clinical prescription of rearfoot posts and their actual biomechanical effects. While these orthotic modifications are traditionally intended to control heel eversion and overall foot pronation, research indicates that the kinematic corrections are often small, patient specific, and unpredicatble and-- most importantly-- do not match the specific angles prescribed. Instead of predictably realigning the skeleton, rearfoot posts appear to function primarily by redistributing plantar pressure and altering joint moments. The sources emphasize that while a statistical, small dose-response exists at the group level, individual results remain highly unpredictable and lack scientific validation for precise clinical targets. Consequently, the text argues that digital manufacturing precision should not be mistaken for clinical predictability in patient outcomes. Ultimately, rearfoot posting is better understood as a kinetic tool for force modulation rather than a reliable method for angular skeletal correction.