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Medial Heels Skive Technique

Discussion in 'Biomechanics, Sports and Foot orthoses' started by sspod2001, Nov 7, 2012.

  1. sspod2001

    sspod2001 Active Member

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    Sorry if this has been covered before guys but can anyone point me to the technique/method of doing the Kirby/medial heel skive, so that I may pass it onto the orthotic lab we use.

  2. Craig Payne

    Craig Payne Moderator

    Change labs! They must be the ONLY lab in the world that does not know how to do it! This is standard/basic stuff and does them no credit that they do not know how to do it.

    ...otherwise, here is the original description with all the details

    The medial heel skive technique. Improving pronation control in foot orthoses.
    Kirby KA.
    J Am Podiatr Med Assoc. 1992 Apr;82(4):177-88.
  3. sspod2001

    sspod2001 Active Member

    Thanks Craig,

    That was my thought but this clinic has a "relationship" with them. So just have to make sure they understand what is being asked.

  4. Admin2

    Admin2 Administrator Staff Member

  5. The original paper will be of little help to the lab if they use a CAD based system. Like Craig said: change labs if they cannot produce a medial heel skive within their devices; frankly they lack "the knowledge" that I would consider to be a prerequisite to operate as a commercial foot orthotic laboratory.
  6. RobinP

    RobinP Well-Known Member

    I think if one looked hard enough, it would become apparent that there are more than a few labs who are unable to put a medial heel skive into a device.

    Moreover, it would not be difficult to find a large percentage of foot orthosis prescribing clinicians who also don't know how to produce a medial heel skive or even the theory behind why it should be used.

    My NHS work gets manufactured in a lab where I am the only clinician who regularly uses medial heel skives! It is not a small manufacturing facility either!
  7. phil

    phil Active Member


    Is this due to lack of undergraduate training, or lack of effort to keep up to date, or both? Who are these clinicians you are referring to? I mean, are they orthotists, podiatrists, physiotherapists?
  8. RobinP

    RobinP Well-Known Member

    I wouldn't like to say, if I am honest, who they are as I wouldn't want the information to be incorrect. However, having spoken with the manager of the lab, he assures me that I am almost unique in the clinicians who use that particular lab(as far as prescription variables is concerned)

    Lack of good teaching - probably
    Lack of being current - probably
    Lack of ever questioning what they learned at Uni - definitely

    Sorry to be vague
  9. phil

    phil Active Member

    NO, I don't want you to name anybody! Sorry, I just was wondering what their training was. I'm a podiatrist, and i'm often suprised by the poor understanding of orthotic and biomechanical theory in my fellow podiatrists. But then I remember that most of what I know is a result of hard won effort and reading and seeking out good information (mostly on pod areana!).

    And all biomech stuff I learned at uni was out of date 20 yrs before I was there. I would have complained at the time, if I knew.
  10. RobinP

    RobinP Well-Known Member

    Ditto. I'm an orthotist - the training I had wasn't up to much as far as foot ankle biomechanics is concerned. The bias was very much for prosthetics for the first 2.5 years

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