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Orthotics for the fighting force.

Steven E Braverman¹

¹Physical Medicine and Rehabilitation Service, Moncrief Army Community Hospital, Fort Jackson, South Carolina, USA.

Physical Medicine and Rehabilitation Clinics of North America

|March 7, 2002

Summary

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Military physiatrists use orthotics differently in wartime, focusing on return-to-duty care. More research is needed on orthotic efficacy for prevention and pain control in soldiers.

Area of Science:

Orthotics and Rehabilitation Medicine
Military Medicine
Biomechanics

Background:

Physiatrists utilize orthotics similarly in civilian and military settings during peacetime.
Wartime necessitates a shift in focus for orthotic interventions towards a return-to-duty scope of care, often limiting their use.
The application of orthoses in military training and deployment environments presents unique challenges and considerations.

Purpose of the Study:

To discuss the application of orthotics within the military context, particularly during wartime and deployment.
To emphasize orthotic devices that facilitate soldiers' return to duty.
To highlight the need for improved efficacy data regarding orthotic devices for prevention and pain management.

Main Methods:

Review of current practices in military physiatry regarding orthotic use.

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Emphasis on orthoses designed for return-to-duty scenarios.

Identification of knowledge gaps in orthotic efficacy data.

Main Results:

Orthotic use in wartime is primarily geared towards enabling soldiers to return to duty.
There is a significant lack of efficacy data for many common orthotic devices, especially concerning prevention and pain control.
Successful orthotic outcomes depend on understanding patient limitations and employing a team-based approach.

Conclusions:

Effective orthotic prescription in military settings requires a comprehensive understanding of patient biomechanics and functional limitations.
A multidisciplinary team approach is crucial for optimizing orthotic outcomes.
Future trends and evidence-based efficacy studies are essential for advancing the use of orthoses in military rehabilitation.