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Comparisons of “unlike” exemplars are sometimes employed when evaluating a shod foot impression with a non-shod barefoot impression. The validity of that method is questioned because shoes do not always match the foot in regard to fit and because shoes of different widths and lengths can affect the dynamic anatomical positioning of pedal soft tissue and osseous structures and pressure weight distribution.

The purpose of the static foot impression study by Kagan was to raise an awareness of the pedal soft tissue and osseous positional changes when wearing shoes of different lengths and widths. How much more so in a dynamic ambulatory footprint impression.