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I has a 5 year old in last week for a biomechancial check up, and had just read Eric Fuller´s paper on Windlass again.

So I got to thinking and I think Simon and Martin were discussing this somewhere, not sure that it went so far but......

When does the windlass mechanism start working in children, what age after what milestones? When should it be considered for assessment etc.

ps not sure if this should be in the peds section or biomex but went with biomex.

 

Re: Windlass and Children

I had some email dialogue with PT about this last week. here is a cut and paste of some of my comments:

 

So it´s more to do with lack of dorsiflexion of the 1st MTP joint during rather than bone and Joint development of the 1st MTP joint and the plantarfascia being able to use the joint to create the windlass mechanism.

or maybe a little of both, as the child I had has no windlass when I dorsiflexed the hallux when weightbearing. Be intersting to see her over the years.
to see if it changes.

 

Hi Mike,
Any chance to have / remember some news about that child [9 years ago!!!!] or at least a similar experience with some conclusions?

 

No news is good news I guess.

Sorry no feedback from the patient.

Have not really thought about this topic in ages will bounce the ball around in the skull see where it lands and get back with some ideas/thoughts