Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Everything that you are ever going to want to know about running shoes: Running Shoes Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
  2. Have you considered the Critical Thinking and Skeptical Boot Camp, for taking it to the next level? See here for more.
    Dismiss Notice
  3. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

aDductory twist post heel lift

Discussion in 'Biomechanics, Sports and Foot orthoses' started by markjohconley, Apr 10, 2008.

  1. markjohconley

    markjohconley Well-Known Member


    Members do not see these Ads. Sign Up.
    Any advice appreciated.

    A 10 y/o female pt, c/o generalised b/below knee 'pains' post w/bing > 1hr. Med Hx includes congenital talipes ? (mother can't remember). Pt attends "Little Athletics" and had recent lateral ankle sprain whilst attempting a high jump.
    I could only perceive, in the gait analysis, the rearfoot remained in a pronated position throughout contact, forefoot pushoff over 1st mpj's, heel lift seemed ok timing wise, and there was a b/massive aDuctory twist of foot (b/heels lateral moving) on heel lift. Supination resistance test >> moderate to heavy resistance. Otherwise, apart from lack of tib torsion L/tibia, nad.
    Why the significant aDductory twist? thanks, mark c
     
  2. Adrian Misseri

    Adrian Misseri Active Member

    G'day Mark,

    Adductory twist is an interesting one, check for femoral anteversion. Might be a late midstance firing of internal hip rotators or a weakness of glut. medius or glut. minimus. She may still be evolving gait, as lower limb mechanics don't always mature to an adult gate in some cases into adolescence, so check on her developmental history and the developmental history of her peers and parents. Full gait analysis is really important here, as well as hip range and quality of motion assessment. The rearfoot pronation may be compensation for the internal position, as the forefoot abducts to bring the foot plantargrade. Also check family history for CP, and if she may have had talipies, she may have also has congental hip dysplasia.
    Lots and lots of internal rotator stretching at the hips, external hip rotator strengthening, and at the risk of getting a caining from everyone else here... gait plates temporarily?

    -Adrian
     
  3. Did you mean peers or siblings?



    Encourage crossed leg sitting and activities such as ice skating, roller blades etc. which will tend toward external rotation of the hip. Ballet?
     
  4. Adrian Misseri

    Adrian Misseri Active Member

    Peers should have read siblings yes, and yeah things like cross legged sitting, hip adductor strecthing, will help with the tight internal roatators, and single leg squats will help with glut med/minimus. Any of these activies would be good. I also use 'duck walking', where the child is instructed to consiously walk with the lower limbs externally rotated for 5-10 mins 2-3 times a day
     
Loading...

Share This Page