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This powerpoint turned up in my alerts this AM. Make of it what you will....

 

I do this manipulation several times every day in clinic as an adjunct to Howard Dananberg's AJ manipulation technique. It works but rarely will hold without proper orthotic support. The lateral column does support the medial column. If it is not stable, midfoot compensations will continue IMO.
Thanks for posting this Craig.
Happy new year to all!
Bruce

 

Not sure that it is suggesting or saying anything new. Manipulation is not a technique I use, by choice, and when it comes to the cuboid have preferred using the principles of MWM (mobilisation with movement). These can be adapted quite well for the cuboid and quite specifically applied. Would also tend to do tarsal mobilisations in conjunction with it. Orthoses have not been something that have needed to figure in most instances. There again maybe a different patient population to Bruce's

 

What do you think of the term "tarsal somatic dysfunction"?

 

I think it's a load if crap term. But, whatever floats their boat.
Bruce

 

Maybe not the best term but I do like the way, as a title, it perhaps shifts away from being cuboidcentric (is there such a word??). Ironically, despite the title, the approach then appears to be focused upon the cuboid manipulation.

 

I suspect the term is being used in an effort to define the tarsus as a complete unit, rather than isolating the cuboid etc. I agree though, its a pretty clumsy term. I have also seen the terms tarsal complex and motion segment used to try and communicate the concept that there is a relationship between the constituent parts. Whilst I don't particularly like Tarsal Somatic Dysfunction, I don't think I can offer a better term. The technique described on the other hand I use on a daily basis and find it works very well indeed. Like Ian I also often use MWM and I find no need for orthoses in these cases. That's my experience, for what its worth.