Researchgate rating Podiatrists on their forum

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Currently, I have a Research Interest Score of 184. I asked CoPilot how this rates among Podiatrists engaged in Biomechanics. Below is CoPilot´s response.

Copilot

A Research Interest Score (RI Score) of 184 is quite impressive, especially within the specialized field of podiatric biomechanics. This field often involves a niche community of researchers, so a score of 184 indicates a high level of engagement and interest in your work.

Podiatrists specializing in biomechanics contribute significantly to understanding foot function, gait analysis, and the development of orthotic devices. Given the specialized nature of this research, a score of 184 suggests that your work is well-regarded and frequently referenced by peers in the field.

 

Copilot? Another algorithm that can be manipulated to produce a result that has no relationship to reality. For a better idea how well regarded Brian is you can search Rothbart, or charlatan, here on the arena. Copilot, you need seem more programming to be able to figure out how Brian's peers regard him.

 

I just googled CoPilot on Eric Fuller, Podiatrist. Here was the reponse:

Dr. Eric Fuller is a well-regarded podiatrist based in Berkeley, California. He has over 37 years of experience in the field and is affiliated with Alta Bates Summit Medical Center. Patients appreciate his expertise in treating various foot conditions, including foot infections, plantar fasciitis, and nail infections1.

Dr. Fuller is known for his thorough and compassionate care, and he is currently accepting new patients1. His long-standing practice and affiliation with a top hospital contribute to his positive reputation in the community.

So Eric, are you saying that what CoPilot says about you has "no relationship to reality".

• That you have no expertise in treating foot conditions?
• That you show no compassionate when treating your patients?

If that is the case, which I find hard to believe, why would anyone pay any attention to what you may say?

So help me out here Eric. Is CoPilot accurate in its´responses or not?

 

ARE OTHOTICS OR STRENTHENING EXERCISES BEST FOR PROGRESSIVE COLLAPSING FOOT DISORDER
Copilot
Sent by Copilot:

Progressive Collapsing Foot Disorder (PCFD), also known as adult acquired flatfoot, is a complex condition that can be managed through various approaches, including orthotics and strengthening exercises.

Orthotics are shoe inserts designed to support and position the foot, which can help alleviate discomfort and improve walking mechanics1. They are often recommended for early stages of PCFD and can be effective in providing immediate relief1.
Strengthening exercises, on the other hand, focus on improving the strength and flexibility of the foot’s muscles and tendons. These exercises can help restore the arch and improve overall foot function2. Some studies suggest that strengthening exercises can have a significant impact on both pain and function, potentially offering long-term benefits2.

Ultimately, the best approach may depend on the severity of the condition and individual patient needs. In many cases, a combination of both orthotics and strengthening exercises is recommended to achieve the best outcomes12.

 

Progressive collapsing foot disorder is a sign (observation), not a diagnosis. It is observed in gait analysis. The foot functions in gravity drive pronation from heel contact to pre heel lift; that is, the foot is progressively collapsing. The most common cause of progressive collapsing foot disorder is the PreClinical Clubfoot deformity.

My protocol for treating the PreClinical Clubfoot deformity is:

• Dispense the appropriate Rothbart Proprioceptive insole (I have provided instructions on how to manufacture this insole in a previous thread)

Strengthening exercises are rarely required. However, having your patient do these exercises will do no harm.

 

You
Sent by you:

Is "progressive collapsing foot disorder" a diagnosis?
Copilot
Sent by Copilot:

Yes, “progressive collapsing foot deformity” (PCFD) is a recognized diagnosis. It was formerly known as adult-acquired flatfoot deformity (AAF) and is also referred to as posterior tibial tendon dysfunction (PTTD). This condition involves the flattening of the arch of the foot and can lead to various deformities and symptoms12.
PCFD typically starts with dysfunction of the posterior tibial tendon, which is crucial for supporting the arch of the foot. Over time, this can lead to a progressive collapse of the foot’s structure, causing pain and difficulty in walking12.
If you have any specific concerns or symptoms, it might be helpful to consult with a healthcare professional for a

 

What is the etiology of the Progressive collapsing foot disorder? Answer, in most cases the PreClinical Clubfoot Deformity.

 

You
Sent by you:

What is the etiology of the Progressive collapsing foot disorder?
Copilot
Sent by Copilot:

Progressive Collapsing Foot Disorder (PCFD), also known as adult acquired flatfoot, is a complex condition with multiple potential causes. The primary etiology often involves dysfunction of the posterior tibial tendon (PTT), which is crucial for supporting the arch of the foot1. When the PTT becomes inflamed or torn, it can lead to the collapse of the foot’s arch1.
Several factors can contribute to this condition, including:

• Midfoot arthritis or loose ligaments: These can increase stress on the PTT, causing it to tear over time1.
• Obesity: Excess body weight can place additional strain on the foot’s structures2.
• Diabetes: This condition can affect the tendons and ligaments, making them more prone to injury2.
• Trauma or injury: Sudden trauma to the foot can damage the PTT or other supporting structures2.
• Inflammatory diseases: Conditions like rheumatoid arthritis or psoriasis can lead to inflammation and weakening of the foot’s tendons and ligaments2.

PCFD can start with mild symptoms but may progress to a painful and debilitating condition if not treated appropriately1. Early intervention with orthotics, braces, or physical therapy can help manage the symptoms, while more severe cases might require surgical intervention1.
If you have any specific concerns or symptoms, it’s always best to consult with a healthcare professional for a thorough evaluation and personalized treatment plan.

 

As you have written above, The 5 etiologies cited by CoPilot relate to the Progressive Collapsing foot disorder. And they all occur post gestation.

CoPilot gave no information regarding the PreClinical Clubfoot deformity. In the scientific literature very little is presently written about the PreClinical Clubfoot deformity.

Specifically regarding my original research:

The etiology of the PreClinical Clubfoot deformity is congenital. It occurs within a very narrow window during the first trimester of pregnancy. Specifically it is the retention of calcaneal and medial column supinatus in the newborn´s feet.

My original research connects the Progressive collapsing foot deformity with the PreClinical Clubfoot deformity, only as follows:

• Progressive collapsing foot deformity is an observation seen in the PreClinical Clubfoot deformity.

On past threads I have written that the Progressive collapsing foot deformity is the PreClinical Clubfoot deformity. But I meant this in the context that, during gait, the foot progressively collapses in patients born with the PreClinical Clubfoot deformity.

That being said, a better term for the Progessive collapsing foot deformity would be the Progressive collapsing foot sign.

I believe, in time, what I have written above will become commonly understood and accepted among my compeers (clinical and research compeers).

 

You
Sent by you:

Is PreClinical Clubfoot deformity a recognized diagnosis
Copilot
Sent by Copilot:



Explore
“PreClinical Clubfoot deformity” is not a recognized diagnosis in medical literature. The term “clubfoot” typically refers to congenital talipes equinovarus, a common congenital deformity where the foot is twisted out of shape or position12. This condition is usually diagnosed at birth or even prenatally through ultrasound34.
If you have concerns about clubfoot or any related conditions, it would be best to consult with a healthcare professional for accurate diagnosis

 

Again, let me emphasize - this all revolves around my original research

Currently - the diagnosis of PreClinical Clubfoot deformity is not universally recognized. But, in my opinion, that will change. Just as it has happened many times in the past.

For example, I was the first Podiatrist to publish research linking gravity drive pronation to malocclusions. At the time, very controversial. Now, not so controversial.

And the list goes on and on.

 

Briefly ,linked how .

 

??

 

Linked by a research study I completed in 2012. I published my findings in Podiatry Review 2013.

 

Could you provide an abstract of study?

 

In No14 reply above, click on Podiatry Review. It will take you to the Researchgate site where you can download the paper.

 

"research linking gravity drive pronation to malocclusions" . That's what your link leads to?

 

The study is entitled Preliminary Study: Adolescent Idiopathic Scoliosis Linked to Abnormal Pronation

You can download this paper at:

https://www.researchgate.net/public...pathic_Scoliosis_Linked_to_Abnormal_Pronation

 

Does the paper mention " malocclusions" at all?

 

No, as the title indicates, that paper linked Adolescent Idiopathic Scoliosis to Gravity Drive Pronation. Since then (2012) many other papers have been published linking foot pronation to AIS.

But, at that time, I also linked the direction of the thoracic curves relative to the gravity pronation patterns. No other researchers have done that, so far.

Regarding your question on malocclusions,

In 2006, I published paper entitled Cranial Bone Lesions Initiated by Abnormal Foot Motion. You can download that paper by clicking Here.

In 2014 I published a paper in Cranio UK linking gravity drive (abnormal) pronation to malocclusions. You can download that paper by clicking Here.

Prior to 2006, I believe, the foot to mouth connection was not understood.

 

You "For example, I was the first Podiatrist to publish research linking gravity drive pronation to malocclusions. At the time, very controversial. Now, not so controversial."

Me "Briefly ,linked how ."

You "Linked by a research study I completed in 2012. I published my findings in Podiatry Review 2013."

Me "Does the paper mention " malocclusions" at all?"

You "No "

Who has time for this ? Bye !

 

From Rob:

My comment is this:

I looked very briefly at the second of these. Six refeerences in total - all to yourself.

I will leave people to draw their own conclusions.

 

Hi Rob,

Good to hear from you again. Your comments always inchoate lively debates.

When one is engaged in original research, entering ground no one has thread upon before, citations are scarce.

Point in fact – for 20 years I published many papers on medial column supinatus. My research was based on embryological plates, specifically Carnegie 17-23. I could offer no citations, other than mine, because no other researchers were doing similar investigations on medial column supinatus.

Then approximately 3 years ago medial column supinatus was visualized using WBCT. Now if I wrote a paper on Rothbarts foot which is identified by medial column supinatus, I could include citations other than my own.

Similar story when I published the link between gDP (gravity drive pronation) and malocclusions in 2006 and 2014, I was pioneering this connection. The only citations were mine. Now If I wrote that paper I could include many citations (see below).

Since you read my paper, what are your thoughts?


Feilong Zhu,Qianqin Hong,Xiaoqi Guo,Dan Wang,Jie Chen,Qian Zhu,Chong Zhang,Wei Chen ,Ming Zhang. A comparison of foot posture and walking performance in patients with mild, moderate, and severe adolescent idiopathic scoliosis. 2021. https://journals.plos.org/plosone/article?id=10.1371/ journal.pone.0251592

Shu Yan Ng, DC, MS, Yin Ling Elaine Ng, BS, MSc, MBA. Indications of sole lift and foot orthoses in the management of mild idiopathic scoliosis—a review. 2020. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7064353/

Joshua Young. Orthotic management of scoliosis: navigating a varied and changing landscape. British Association of Prosthetists and Orthotists (BAPO) conference: https://www.researchgate.net/publication/ 355164422_
Orthotic_management_of_scoliosis_navigating_ a_varied_and_ changing_landscape. 2021

Muller M, Mourao, B, Barsotti CE, Tostes GA. Correlation between Cyphose and Lordose with the Foot Support of Adolescents with Idiopathic Scoliosis.https://www. researchgate.net/publication/375033106 2023

 

Error Correction. The last paragraph above should read:

Similar story when I published the link between gDP (gravity drive pronation) and AIS in 2012, I was pioneering this connection. The only citations were mine. Now If I wrote that paper I could include many citations (see below).

 

Correction of citations for Foot- Malocclusion Link

Similar story when I published the link between gDP (gravity drive pronation) and malocclusions in 2006 and 2014, I was pioneering this connection. The only citations were mine. Now If I wrote that paper I could include several citations (see below).

Relationship between foot posture and dental malocclusions in children aged 6 to 9 years: A cross-sectional study
Ana Marchena-Rodríguez, Noelia Moreno-Morales, Edith Ramírez-Parga, María Teresa Labajo-Manzanares, Alejandro Luque-Suárez, Gabriel Gijon-Nogueron
Medicine (Baltimore) 2018 May; 97(19): e0701. Published online 2018 May 11. doi: 10.1097/MD.0000000000010701
PMCID: PMC5959429

Correlation between Temporomandibular Disorders (TMD) and Posture Evaluated trough the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD): A Systematic Review with Meta-Analysis
Giuseppe Minervini, Rocco Franco, Maria Maddalena Marrapodi, Salvatore Crimi, Almir Badnjević, Gabriele Cervino, Alberto Bianchi, Marco Cicciù
J Clin Med. 2023 Apr; 12(7): 2652. Published online 2023 Apr 2. doi: 10.3390/jcm12072652
PMCID: PMC10095000