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Rearfoot alignment and medial longitudinal arch configurations of runners with symptoms and historie

Discussion in 'Biomechanics, Sports and Foot orthoses' started by NewsBot, Aug 3, 2011.

  1. NewsBot

    NewsBot The Admin that posts the news.


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    Rearfoot alignment and medial longitudinal arch configurations of runners with symptoms and histories of plantar fasciitis.
    Ribeiro AP, Trombini-Souza F, Tessutti V, Rodrigues Lima F, Sacco ID, João SM.
    Clinics (Sao Paulo). 2011;66(6):1027-1033.
  2. Admin2

    Admin2 Administrator Staff Member

  3. drsha

    drsha Banned

    The literature continues to reinforce functional foot typing as clinically important as a starting platform to FLEB.

    In this case, the fact that the rearfoot is not pronated in PF symtomatic patients goes against the pronated rearfoot as etiological.

    Furthermore, the increased medial higher arch corresponds to the rigid rearfoot FFT's and not the flexible FFT's.

    In simple language, this article is saying that if the rearfoot fixes itself before going into valgus, the tissue stress that develops at the insertion of the plantar fascia is greatest conforming that the rigid rearfoot foot types are associated most often with PF, not the flexible rearfoot types.

  4. So, did the arch index (note they did not directly measure arch height and that the validity of arch indices is contentious) cause the plantar facitiitis or did the plantar fasciitis cause the arch index? Answer: we don't know because this study cannot answer this question.
  5. drsha

    drsha Banned

    The unanswered question you raise is for me, a clinical one.

    Do I wait for the plantar fasciitis in the patient with a rigid rearfoot type or do I inform the patient (via brochure) via presentation of the associated findings. I consider activity level, weight, health state and other factors as to how much preventive care to institute on a case to case basis and also take into consideration the patients place on the bell curve of his foot type.

    In additon (and I was once again called fanciful when I suggested precursors but) if I take an assymptomatic patinet and press as if I was palpating an actice plantar fasciitis and I get a reaction of pain, I consider that prePF (like a pre stress fracture) and suggest biomechanical preventive care and pretreatment.

    In the meantime, you are waiting for the PF or the peer reviewed papaer that answers your question.

    That is where we so differ clinically.

  6. Everyone needs orthotics then, with good palpation skills it is very easy to get a pain response without much pressure.

    The claim that you prevent pain is impossible to prove the only things that are is the patient got a device and you got paid for it.
  7. Dennis, you have no idea how I work clinically and once again you have failed to understand what the research tells us here. This research didn't use your foot-typing method or the very similar method of foot-typing devised prior to yours by Paul Scherer which is described in Valmassy http://www.amazon.co.uk/Clinical-Biomechanics-Extremities-Ronald-Valmassy/dp/0801679869. What this research showed was an association between an arch index and plantar-fasciitis. As I have pointed out the design of this study means that there is as much certainty that the difference observed in the arch index was a result of the plantar fasciitis as there is for it being the cause of the plantar-fasciitis. Since you haven't shown a relationship between your foot-typing system and the arch index employed within this study, nor have you shown that your rigid rearfoot type is a precursor to anything, this research in no way supports any of your contentions. Moreover, since you didn't examine any of the subjects in this study you have absolutely no way of knowing what foot-types these people would exhibit if examined using the technique you advocate. It seems to me that you have merely picked a piece of research at random and said: "that supports the product I'm selling", when clearly it doesn't. Now, the research I'm really waiting to read is anything which actually supports your foot-typing system, really, anything (if it's published in a high quality peer-reviewed journal).

    What ever happened to that work that one of Craig's graduate students was doing to test your ideas?

    For the record, if I palpate someones plantar fascia and it hurts, they aren't asymptomatic and I would instigate treatment should the patient so desire. However, given your example whereby an individual feels no pain on daily activities, it is pretty unlikely for them to present at a podiatry practice anyway.

    What about if someone was asymptomatic, had a "rigid rearfoot type" and your palpation didn't provoke a reaction of pain, would you still instigate a treatment based on their foot-type? If so, how would you design the device?
  8. drsha

    drsha Banned

    Foot Centering includes foot centrings, compensatory threshold training, TIP adjusting and Institution of a lifelong activity program.

    We all need exercise, good diet, stress reduction, education, job skills, preventive care and those who work with any of these claim a level of success and get paid as well.
    Have you ever worked with any such professionals or do you wait for hypertension, hypercholesterolemia, obesity, diabetes, unemployment, depression?

    In addition, I would not want to pay anyone who does not produce the level of care and health they promised.

    Do you refund the money for your failures or complications in practice or get paid for them?

    I would prefer not paying for someone whose precursor was get sick, get pain, get deformity and come to me suffering so that I can diagnose and treat you.

  9. All of which is just sh!t you have made up and trademarked, and has no clinical evidence to support it other than your anecdote and wallet.:pigs::bash::pigs:

    Whatever happens in your life Dennis, don't change. You're the complete sub-genius. You don't smoke a pipe by any chance? I've been awaiting the resurrection and you are about as close to "Bob" as I've come across.
  10. One of the oldest people in the world a few years ago was asked what he had done to live so long.

    Half packet of Marlboro a day and 2 bottles of hard booze a week.
  11. Missed that "unemployment" on first read, so if I wear your orthoses Dennis, will they protect me from unemployment, or anything else on your list? :D Talking of obesity, what is your BMI? P.S. given the current situation in the UK, do they protect the wearer from rioting and looting?

    Attached Files:

  12. drsha

    drsha Banned

    and 40 years ago, I made him a pair of Foot Centrings


  13. drsha

    drsha Banned

    No personal attacks here on The Arena eh Simon..

    I hope the student who started this thread sees the venom you have for those who dare question the rules and the patron saints.

    I'm back to monitoring.

  14. Try reading the thread, Dennis. It was started by a computer (not really. It was just Craig pretending to be a computer). I'm sure anyone who reads this thread will see how you attempted, and failed to use it for shameless self-promotion; that you made statements which are completely unsupported by science and that you were unable to think of a come-back when challenged, nor answer the questions posed to you (No change there, then).

    Go back to whence you came. You've been great (not really), as always.
  15. duplicate post, delete
  16. P.S. the research didn't show that the rearfoot is not pronated in plantar fasciitis patients, it merely showed there wasn't a difference in rearfoot position between those currently with plantar fasciitis, or with a history of plantar fasciitis, and those without. All of this makes your attempted sales-pitch even more farcical, Dennis.
  17. drsha

    drsha Banned

    You are correct.

    It should have read less pronated.


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