In another thread "footfan" asks how we close the gap between research and clinical practice.
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In a flyer for an upcoming training weekend (lots of speakers type course) one of the subjects is entitled:
"The need for measurements" linking in with computer equipment etc.
For me one of the reasons for the widening gulf is such bald (and i mean hairless) claims behind the title on the flyer. In all fairness it may be that the speaker has a particular context in mind but often I hear this phrase spoken as though before computerisation came along we were backwoods men.
Certainly speak about the value of computerised measurements of gait or foot pressures (and put that in context) but please can we be careful about developing a new podiatric myth that we need computerised gait scanning measurements in order to do quality biomechanics or produce "an accurate orthosis". There are times when it can be helpful but please do not let it become the generalised "gold standard" I hear it being called.
It is but another tool and has a context but it is not a necessity to effecting good results. Still, saying that it is "needed" could be the equivalent of drug reps selling their wares.
It just makes my blood boil for 3 reasons:
1. That some pods are going away from becoming or doing excellent clinical biomechanics because of a set of voices that suggest that this may be the only way of doing "proper" biomechanics
2. That pods may be conned into buying expensive equipment to do a job when they do not need it in their context
3. It continues to reinforce the idea that clinical biomechanics is a complex thing to do
Certainly a hospital might want to look into pressure analysis systems for "at risk patients" but this narrows the search down quite a bit. For our general population though, who many of us more than adequately treat for biomechical concerns, such things are not needed
Rant over with and I await the mortar shells. Sometimes you just have to say as you see it!
Ian
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