Orthotics for the fighting force.

During peacetime, the military physiatrist uses orthotics in much the same way as the civilian physiatrist. In wartime, the focus shifts to a return-to-duty scope of care, and orthotic use is limited. This article discussed orthotic use in the wartime and military training/deployment setting with special emphasis on those orthoses that help soldiers successfully return to duty. Efficacy data are lacking on many commonly used orthotic devices, especially in the area of prevention and pain control. A good knowledge of the patient's functional and biomechanical limitations, use of a team-based approach to orthosis prescription, and consideration of efficacy studies and future trends will provide the best opportunity for a successful orthotic outcome.