A Question The Foot Orthotics Industry Seems To Ignore.
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Current research and development into foot orthoses focuses heavily on technological advancements, while systematically ignoring whether patients can actually wear the prescribed devices. Although manufacturers promote 3D scanning, additive production methods, large data sets, and AI-assisted design as superior methods, there is a distinct lack of evidence proving these high-tech tools improve long-term patient adherence and clinical outcomes. Studies frequently prioritize easy-to-measure metrics like plantar pressure or pain reduction, yet they rarely track abandonment rates or daily usage hours. This omission is critical because even the most sophisticated orthotic provides zero therapeutic benefit if it remains in the drawer due to discomfort or shoe incompatibility. This podcast argues that the industry must shift its focus toward objective adherence tracking to validate its marketing claims with patient-centered evidence. Ultimately, the credibility of the field depends on understanding the human factors that lead to the consistent use or rejection of these "advanced" medical devices.