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were used constantly throughout that period, no significant positive or negative variations were observed compared to previous examinations.
On the basis of this research it has been possible to establish that, in relation to lymphatic diseases, no substantial differences were observed between the use of an orthotic heat-moulded on a plaster cast or one made up of an insole with added compensatory material.
With Lymphoedema the role of the orthotic is mainly to keep up the pumping effect, facilitating the upward return of the liquid and lympho-venous drainage, ultimately to aid the reduction of oedema.
Therefore, the identification of the most appropriate orthotic treatment, based on the specific needs of the individual and the disease they are afflicted with, will always be fundamentally based on the following specific elements:
• the pressure exerted on the ground by the foot; • the shape and type of foot;
• areas of overload and excess contact
with the aim of improving the distribution of body weight and correcting the changes in posture or gait which aggravate the malfunction of the lympho-venous system.
The research was carried out using the same group of individuals and the information obtained and recorded before the orthotic devices were inserted as a ‘control sample’.
Whilst not highlighting significant differences between the results obtained under the two scenarios, comparison of the data on a statistical basis, has definitively confirmed the effectiveness of the use of orthotics in the context of lymphatic diseases.
Having concluded this research we hope that it can be considered a pilot study and represent a sample on which to lay the foundations for a wider ranging project.
The processing of the data obtained could, in the future, easily provide the basis for another study aimed at increasing the number of case studies and providing a larger analysis of the correlation between the characteristics of lymphatic diseases and their possible interaction with appropriate orthotic devices.
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