Hi all
Members do not see these Ads. Sign Up.
I have seen a young lad of 8 who's parents where worried about intoeing. Upon examination he has slightly equinus ankles and tight hamstrings, lateral STJ axis, but no other biomechanical variation. He has a narrow rectus foot type with average arch height and normal joint RoMs and stiffness. I open chain the foot is quite normal in shape and posture.
When he walks with shoes on he toes in left about 10dgs and right about 15dgs. However with shoes off he does not toe in but instead severely adducts (i.e. toward the body centre line) the hallux of both feet. The right adducts about 70dgs and the left about 35dgs.
In gait unshod he tends to slightly supinate thru most of stance phase, has an early heel lift and often tends to walk on toes slightly. I mobilised the ankles and released the hamstrings to give good RoMs in magnitude and quality, plus I fitted felt valgus (lateral wedge) forefoot posts and heel lifts adhered to the bare feet but this made no difference.
I thought that he might be reaching for the ground with the hallux as the foot supinated in some weird attempt to stabilise the foot.
I could imagine that if he had a rectus narrow foot and pronated then the adducting action might be to resist pronation but the foot tends to supinate in stance phase??
Maybe this is an habitual thing and leaving the foot laterally posted might result in the hallux not adducting after a while.
Any suggestions on this one would be greatly appreciated.
regards Dave Smith
Tags:
<
prescription advice needed for children's Orthotics
|
Case study- The symptomatic Heel in a 12 year old
>
<
prescription advice needed for children's Orthotics
|
Case study- The symptomatic Heel in a 12 year old
>
Loading...
- Similar Threads - old boy functional
-
- Replies:
- 0
- Views:
- 980
-
- Replies:
- 3
- Views:
- 5,371
-
- Replies:
- 4
- Views:
- 7,994
-
- Replies:
- 0
- Views:
- 2,667
-
- Replies:
- 15
- Views:
- 12,037
-
- Replies:
- 11
- Views:
- 7,845
-
- Replies:
- 35
- Views:
- 14,873