Hello All,
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I have a female px, 50 year old, history of surgery to L3/ L4/ L5. She presented with bilateral pronation of the midfoot and ankle, weak dorsiflexion and inversion, worse on the left. I have supplied custom orthoses which have corrected the right foot well, and the left slightly. A medial heel wedge on the Left foot under the orthoses made minimal difference. The left ankle is tending to evert over medial the side of the shoe.
I have not yet tried a rigid polyprop type ankle brace that limits inversion/ eversion, has anyone else used these & have they been succesful?
She does not really need an AFO, the dorsiflexion is adequate, but there is no foot inversion against resistance of the left.
I have advised strengthening exercises for the inversion/ dorsiflexion weakness & will investigate trigger points in the relevant muscles & antagonists next visit.
Further suggestions most welcome.
I am in Aus, do Occupational Therapists make custom braces of this type?
Cheers,
Kara.
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Role of gastrocnemius-soleus muscle in forefoot force transmission at heel rise - A 3D finite elemen
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The human foot and heel-sole-toe walking strategy: a mechanism enabling an inverted pendular gait wi
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Role of gastrocnemius-soleus muscle in forefoot force transmission at heel rise - A 3D finite elemen
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The human foot and heel-sole-toe walking strategy: a mechanism enabling an inverted pendular gait wi
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