Before the First Orthotic
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How much information does an experienced podiatrist actually gather before prescribing the very first orthotic?
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HODA-A™ Clinical Insight Series · Publication 008
Before the First Orthotic
Why better assessment matters more than better programming
Dr Jo Abbott, PhD — Clinical Biomechanist · Anatomist · Clinical Nutritionist · Independent Musculoskeletal Researcher
How much information does an experienced podiatrist actually gather before prescribing the very first orthotic? And afterwards — how do we know it is working?
Ask that second question generously, as colleagues do, and the honest answer is often: we don’t always know. A device is fitted at the foot, but its consequences travel — through knee, hip, pelvis and beyond, into territory the profession rarely assesses. In this eighth publication of the HODA-A™ Clinical Insight Series, Dr Jo Abbott — a clinical biomechanist with eight years of doctoral research into hands-on assessment — takes that honesty seriously and treats it as an opportunity.
Written for podiatrists, foot health practitioners and biomechanics specialists, Before the First Orthotic examines the clinician as measurement instrument — how attention, expectation and hand use shape what we observe and palpate; why experience alone is not calibration; and how better information gathered before, during and after prescription turns “we don’t know” into a feedback loop. Its central argument: before we test reliability, we must stabilise the instrument.
Includes written feedback from HODA-A™ Level 1 participants, selected further reading, and an introduction to the Level 1 Perceptual Calibration Certification — including private team cohorts for groups of eight or more.
Format: Free PDF download · 10 pages · may be shared in full and unaltered
Series: HODA-A™ Clinical Insight Series, Publication 008
Published: July 2026 · © 2026 Dr Jo Abbott
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