Bio question

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I have been asked to do some PD for physios (mostly new grads), who just really asked about biomechanics, and when they should refer to Podiatry etc. Not many aske this, so I don't want to mess it up.
Has anyone any great suggestions as to what I should include (bio aint my strongest point!). All help gratefully appreciated and received!!

 

Hi Katherine

I did a PD for the hospital physios recently, I went through the Foot Posture Index. It was well received. Although its not nearly everything you need to know about lower limb biomechanics, it is the most valid and reliable tool we have which is easy (with a little practice) to do, particularly for those that don't deal with foot mechanics all the time.

I got my info from: www.leeds.ac.uk/medicine/FASTER/FPI/FPI manual- formatted August 2005v2.pdf. It's all there.

Rebecca

 

The only problem with this generally excellent guide is that section 4. Talo-navicular joint buldging is incorrectly marked on the clinical photo's.

The area's circled are the middle facet of the subtalar joint, and too proximal to represent the TN joint.

Just beware in case a clever physio pulls you up on it.

LL

 

Agreed LuckyLisfranc. I also didn't like 6. Abduction / Adduction of the FF on the RF. The +2 photo used is the same photo that's used in the first example, where it is rated a +1.

That being said, it is still a really good all-in-one resource which would be great for use as a presentation.

Rebecca

 

:drinks

I have lectured quite a bit to physical therapists (US profession) and physiotherapists. What I would do is to give the physios an idea of how the foot works normally during gait and what happens to the foot and lower extremity when it doesn't function normally. In addition, demonstrating closed kinetic chain pronation and supination, how this affects transverse plane rotation of the knee and hip, how this affects weightbearing forces plantar to the medial and lateral columns of the forefoot and how these motions affect the windlass are all very interesting to physios.

I also like to demonstrate how I do gait examinations which is always very popular with these specialists since they are always eager to learn gait examination techniques. Talk about foot orthoses, what they can and can't do and give a list of common problems that are effectively treated with custom foot orthoses. Also talk about the difference between over-the-counter and custom foot orthoses. Tell them to refer to podiatry for any foot related issues and any mechanically-based lower extremity pathologies where it seems obvious that the patient has abnormal gait function. This should keep their interest up for awhile.

Study up since you don't want to look like you don't know your stuff when talking to physios or physical therapists about biomechanics....a few of them may surprise you with their knowledge!

Hope this helps!:drinks

 

Hi Asher,
I tried to follow your suggested link but cannot open the file. Is this me? Won't be 1st time this damned 'puter has foxed me.

www.leeds.ac.uk/medicine/FASTER/FPI/FPI manual- formatted August 2005v2.pdf. It's all there.

Any suggestions gratefully acknowledged. So long as nobody suggests I do a puter course.

No sarcy remarks please , we've only just got runnin water here in Yorkshire don't ya know.

Regards,

 

Hi Twirly,

Just put 'Foot Posture Index' into google - that's where I found it originally.

Rebecca

 

Cheers everyone. I will start the studying process now. I had never heard of the Foot Posture Index, so thanks for that tool. Will have some bedtime reading now for a while.

Thanks for all your help.