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. 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.

"Biomechanics Corner": Overpronation

Discussion in 'Biomechanics, Sports and Foot orthoses' started by Robertisaacs, Oct 26, 2009.

  1. Griff

    Griff Moderator

    Good idea about the new thread Rob.

    The reason I posted the link under this thread initially was due to a Podiatrist (the Society's elected media specialist) using the a term such as 'hyperpronation' as a diagnosis, and doing so in a national newspaper. (This kind of thing being the inspiration for your Biomechanics Corner column in October I imagine).

    Ian
     
  2. drsha

    drsha Banned

    How arrogant and rude that you blokes can make up acronyms like MTSS and DMICS (Kirby) that you wish me to absorb into my vocabulary while dismissing alternative terminology like MASS, PERM-SERM and Vault that might take you further down the clinical road to upgrading your orthotics from the dark ages, taken from STJ Neutral casts, with little or no corrective or performance enhancement capability like these posted on The Arena by Dr. Kirby.
    How Arrogant and Rude.
    Kirby Orthotic.jpg

    Dennis:drinks
     
  3. Griff

    Griff Moderator

    Happy New Year Dennis.

    Did you have any thoughts about the original topic we have been discussing in this thread?

    Ian
     
  4. drsha

    drsha Banned

    Re: Overpronation

    My original post which resulted in the PERM comment..
    Reposted.
     
  5. C'mon Dennis, you can do better than that. You've lurched from eccentric to irrational. Do you honestly beleive that the "you blokes" you describe only use nothing but the root protocol (which btw has evidence of it's efficacy, unlike your protocol)? How could you possibly know what I prescribe to who?

    Btw have you been talking to Ed? You sound just like him today!

    To answer your question, no. If the foot reaches end range (perm if you like ;)) it can't pronate any further by definition. If it can, it wouldn't be at end range. That's what "end range" means init.

    I think you problem here is that you are assuming rearfoot angle and pronation are the same thing. They are not. You could increase a rearfoot angle in a maximally pronated foot without changing the position of the stj.
     
  6. And on the subject of acronyms
    SSDD! DILLIGAF what you absorb into your vocabulary? Making a few SWAG's does not mean you can come up with new words and expect everyone to know wtfYTA. Whereas If you type in "MTSS shin splints" into google you get about 2,600 hits.

    AWGTHTGTTA?:bang:

    ;)
    Robert
     
  7. Yeah but if you just type in MTSS, you get this before you get to anything about the shin:
    http://midwestteensexshow.com/

    Mind you if you type in "perm" you get this:

    I don't know which is better- I'll let the audience decide (I'm leaning toward the "hat" that this fine young gentleman is sporting below- good work fella)
     

    Attached Files:

  8. ooh- ooh, I got a new one for when someone stands in their maximally pronated position: standing pronated end range motion. You work it out- juvenile, I know- but let us start the year as we mean to go on.;)
     
  9. 2010 the year of the funny.
     
  10. :D:D

    PMSL!!
     
  11. Re: Overpronation

    Fill in the punch-line for me boys.:D
     
  12. Its all about the timing of gait.

    Its fine if the progression through happens at the correct speed, but you get all types of problems if your standing pronated end range motion comes to early.

    Sorry. Couldn't pass that one up. :D
     
  13. It depends on the net result you wish to achieve, if the standing pronated end range motion comes too late within the cycle this can be a fruitless situation too.
     
  14. Which type of orthoses who you gentleman recommend to help with these situations?
     
  15. Depends on the stiffness of the foot.
     
  16. Clearly a fertility issue requiring a Postural Control Insole. Send for the nutty Professor!
     
  17. Griff

    Griff Moderator

    I had a quiet clinic today so spent quite some time mobilising my stiff column. I stood up and looked down at my shoes all I could see was SPERM
     
  18. Ah so its the stiffness which is significant.

    I always though it was the range.
     
  19. drsha

    drsha Banned

    Robert Stated in Part:
    C'mon Dennis, you can do better than that. Do you honestly beleive that the "you blokes" you describe only use nothing but the root protocol. How could you possibly know what I prescribe to who?

    Robert:

    I think you have hit upon a topic that all of us will follow with interest and on academic and educational level since we all take some form of cast as the foundation for our custom orthotics.

    The Topic is:

    Variations From Root STJ Neutral in the Development of Custom Orthotic Shells

    It's a clinical discussion that may rise above terminology issues and politics that divert yaw this forum since it is personal, anecdotal and not in need of a double blind study.

    On an even plane, we are all aware of Root Protocol and STN casting in order to generate orthotic shells.

    Robert, here is my question:
    If you do, what do you prescribe to other than STJ Neutral Casting for generating the orthotic shells that you (others please join in) fabricate which are then custom modified?

    I will assume a non response from The Members to mean that you (they) use STJ Neutral Casting technoiue to generate their shells.

    "As I grow older, I pay less attention to what men say.
    I just watch what they do."
    Andrew Carnegie

    :drinks
    perhaps this deserves its own thread?
     
  20. Here are some of the casting techniques I use on a regular basis:
    Neutral suspension
    Neutral direct pressure
    Rearfoot supinated
    Rearfoot pronated
    1st ray plantarflexed
    1st ray dorsiflexed
    Forefoot inverted
    Forefoot everted
    Weightbearing
    Semi-weightbearing
    Combination of the above
     
  21. Thats A good Question.

    I've started a thread for it.

    See you on the flip side.

    Robert
     
Loading...

Share This Page