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The evidence base to date is comprised of retrospective, prospective and controlled (non randomised) trials, which show significant improvement in short and long term outcomes (WOMAC scores) and improvement in gait velocity, cadence and stride length1,2. A biomechanical study3 demonstrates that manipulating the foot centre of pressure during gait positively alters activation patterns of the lower limb musculature, particularly knee adduction moments, lending some scientific credence to the mechanism of action.

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