The biopsychosocial-digital continuum of foot orthosis practice and research: the VALUATOR model

Deschamps, K., Nester, C., Newton, V. et al. The biopsychosocial-digital continuum of foot orthosis practice and research: the VALUATOR model. J Foot Ankle Res14, 25 (2021). https://doi.org/10.1186/s13047-021-00468-6

biopsychosocial-digital

The Value Based Foot Orthosis Practice (VALUATOR) model puts forward three pillars in foot orthotic design practice: 1) geometric features, 2) material properties and 3) visual properties.

Those which are most closely related to foot orthosis practice include:

Communicating the clinical objectives of orthosis practice including the functional effects or the overall feeling that one may expect when wearing the foot orthoses.

Patient-centred approach, with an opportunity to select a specific material or visual aspects of an orthosis (e.g. colour).

Environmental setting, including use of apparently “state-of-the art” technologies (e.g. 3D scanners, pressure analysis) that impact on the perception of expertise, professionalism and value, which in turn, may affect the patients view, expectations and response (e.g. better adherence). Psychophysical factors of the orthosis including the value placed on sensations and perceived comfort. Evidence from Enclothed Cognition Theory suggests that physical and visual properties may influence human performance.

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