What can an Evidence Based Practice model tell us about Podiatric Biomechanics?

Rationale
There has been an almost constant debate within podiatry about the evidence for podiatric biomechanics. Podiatric biomechanics theories and effectiveness of functional orthoses have been called into question, as there may be little research evidence to support them (Chevalier & Chocklingham 2012). There are many podiatrists who would argue with this statement and point to evidence that functional orthoses are an effective treatment for musculoskeletal conditions (Collins et al 2006).
Method
This presentation will evaluate the current evidence in podiatric biomechanics through a concept analysis using a conceptual model of an Evidence Based Practice (EBP) approach to clinical practice . Di Censa et al (2005) explain the framework of EBP as the integration into clinical decision making of research evidence, patient preferences, clinical state and circumstances and healthcare resources. Clinical expertise has the central role of balancing these components to achieve the best clinical outcome for the patient.
Analysis
This analysis will look at the evidence by utilising four of the domains of EBP. Research evidence will appraise the evidence for treatment with functional orthoses. Clinical state will assess the evidence for current biomechanics theories. Patient preferences will review the evidence for patient satisfaction with functional orthoses. Healthcare resources will attempt to look at the cost effectiveness of functional orthoses as a treatment.
Discussion
This review will critically discuss the areas of strength in podiatric biomechanics for the profession to build on. It will also highlight the gaps in evidence for research to focus on and add to the current debate within podiatric biomechanics.

References
Chevalier T. Chockingham N. (2012) Effects of foot orthoses: How important is the practitioner? Gait & Posture, 35 (2012) 383–388
Collins N.et al (2006) Lower limb overuse injuries and foot orthoses: A systematic review, Journal of Science and Medicine in Sport Volume 9, Supplement, Pages 32–33
DiCensa A. Guyatt G. Ciliska D. (2005) Evidence Based Nursing: A Guide to Clinical Practice. Mosby