Orthotics placement during posture assessment?

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Foot mechanics can drive overall posture, so including orthotics in a posture assessment helps reveal how foot alignment affects the spine, pelvis, and shoulders. By observing posture with the orthotics in place (and, if useful, comparing to posture without them), you can see whether corrections or changes in alignment occur and whether the orthotics address a functional component of the deviation. If a patient already uses orthotics, assess their habitual posture with them on to reflect real-life standing; you can also compare to a without-orthotics stance to differentiate structural from functional factors. This is why the statement is true: orthotics placement is a valid part of posture assessment, not something that’s exclusively required by a physician or irrelevant.