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EBM: The Inclined Posture (Tip): A New Clinical Entity

Discussion in 'Biomechanics, Sports and Foot orthoses' started by Dieter Fellner, Sep 3, 2016.

  1. Dieter Fellner

    Dieter Fellner Well-Known Member

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    Somewhat stunned & dazed when I found and read this 'article' so I thought I might share the treasure with The Arena. Don't thank me, yet ....



    Shavelson D. The Inclined Posture (Tip): A New Clinical Entity; EC Orthopedics, 3.4 (7-20-2016): 359-364.


    One of the tenets of The Foot Centering Theory of Structure and Function is that for any subject, the two limbs need to be balanced to each other. The Inclined Posture (acronym TIP), is a neoteric paradigm for diagnosing and treating structural and functional asymmetry in the strength, length and performance of the lower extremities that have commonly been called Limb Length Discrepancies (LLD?s) or unequal limbs until now.

    Deviations in Lower Extremity balance and performance are more the rule than the exception. Postural asymmetry, once existing, leads to compensatory pathology in many areas of the body on a case to case basis. TIP reduces one?s ability to function efficiently and effectively. Over time, if The Inclined Posture exists, sub-clinical repetitive compensations for the differences in the two limbs produce clinical, predictable signs and symptoms. When these signs and symptoms exist, no matter how small (even small differences in limb length produce progressive architectural and engineering problems biomechanically) and unless addressed, affect the vault height of the feet, rearfoot and forefoot structural changes, and muscle engine weaknesses and imbalances in the feet. In addition, TIP fosters postural collapse and injury, deformity and performance issues to the ankles, knees, hips and lower back.

    If there are differences in the length, strength and/or structure of a person?s lower extremities, TIP exists and must be considered as a part of the biomedical engineering of that person in closed chain function.

    This paper presents two tests for diagnosing The Inclined Posture (TIP) known as The Functional Equinovarus Tests of the Joints of the Ankle or FEJA Tests for short.

    Confirmatory tests and signs are presented for those with positive FEJA Testing. Treatment options for TIP at the foot/shoe interface are presented, which reduce the development of underpinning compensatory pathology from developing biomechanically.

    A subject has The Inclined Posture, until proven otherwise, when the FEJA Tests are positive and clinical conformatories are diagnosed.

    By diagnosing and treating TIP, practitioners and therapists can dampen its pathological compensations to lower extremity in order to reduce it from impacting performance and quality of life.

  2. Admin2

    Admin2 Administrator Staff Member

  3. Dieter Fellner

    Dieter Fellner Well-Known Member

  4. Craig Payne

    Craig Payne Moderator

  5. William Fowler

    William Fowler Active Member

    Drsha used that term a lot. I don't think it means what he thinks it means.

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