Ken Van Alsenoy
A blog about Family, Podiatry, Research and other goody stuffArchive for foot
Official Bootcamp website
The Famous Clinical Biomechanics Boot Camps facilitated and conducted by Major Craig Payne
have a BRAND new Website! Check it out!
Stockholm part 3
As our course on inshoe medical devices came to an end, I really want to congratulate Karolina, Björn, Mitra, Dariusz, Sinar, Helen and Lena for the fantastic work they did in this intensive 5 week course on biomechanics and orthotic therapy!
PJ, my main man, as always it was an absolute delight, but you know this…
Now, an extra couple of days to visit the wonderfull city of Stockholm, drinks and good food…
Life can be so wonderfull…jihaaa!
Stockholm part 2
After my first visit to Stockholm, our 5 week module is already in week 3 making this our second visit of 3.
This time we’re going to make basic root orthotics, combining this with a bit of background o biomechanical methodologies and extra clinical testing to make the visit worthwile.
It’s amazing how our Artevelde University College is cooperating with the Karolinska Institutet, Sweden. Last time we were here, colleagues from creative therapy were here, and now, we have the pleasure of 2 colleagues of Audiology.
It looks like t’ s going to be again an intesive 3 days. But i’ll keep you posted…
Research project is a Go!
We (PJ and me) have a “go” for our proposal for the inter/intra rater reliability of the SALRE palpation technique by Kevin A Kirby!
some video’s by the man himself
New Journal of Foot and Ankle Research
Lately our Colleagues on the other side of the globe are pushing the podiatric profession to a new level. Their latest arrival is the JFAR!
Journal of Foot and Ankle Research (JFAR) is a new, open access, peer-reviewed online journal that encompasses all aspects of policy, organisation, delivery and clinical practice related to the assessment, diagnosis, prevention and management of foot and ankle disorders. JFAR will cover a wide range of clinical subject areas, including diabetology, paediatrics, sports medicine, gerontology and geriatrics, foot surgery, physical therapy, dermatology, wound management, radiology, biomechanics and bioengineering, orthotics and prosthetics, as well the broad areas of epidemiology, policy, organisation and delivery of services related to foot and ankle care. The journal encourages submission from all health professionals who manage lower limb conditions, including podiatrists, nurses, physical therapists and physiotherapists, orthopaedists, manual therapists, medical specialists and general medical practitioners, as well as health service researchers concerned with foot and ankle care. All manuscripts will undergo open peer review, and all accepted manuscripts will be freely available on-line using the open access platform of BioMed Central.
Good luck and looking forward to it!
Supination Resistance Testing
One of the most common problems podiatrists need to resolve with orthotic therapy is a pronation momentum that – because of it’s amount; timing or duration – is responsible for injury. Resisting this pronation momentum by creating a rotational equilibrium (in case of hinge type subtalar joint) is one of the important aspects of orthotic therapy. To determine how much force the orthotic device needs to exert to create enough ‘orthotic reaction force’ to establish this rotational equilibrium, one can use the clinical method described by K. Kirby to determine the location of the subtalar joint axis in the transverse plane. When this axis is medially deviated, the area on the plantar surface of the foot where force can be exerted to supinate the foot will be very small and thus a lot of force will be needed. The clinical test to determine the amount of force is the supination resistance test. This test can be a useful clinical tool to assist the podiatrist in the decision making when prescribing foot orthosis.
references:
- Kirby KA: Methods for determination of the positional variations in the subtalar joint axis. Journal of the American Podiatric Medical Association 1987; 77:228236
- Kirby KA: The medial heel skive technique. Improving pronation control in foot orthoses. Journal of the American Podiatric Medical Association 1992; 82:177-181
- Kirby KA: Foot and lower extremity biomechanics – a ten year collection of Precision Intricast newsletters. Precision Intricast Inc. Payton AZ. 1997
- Kirby KA : Biomechanics of the normal and abnormal foot. Journal of the American Podiatric Medical Association 2000 90: 30-34.
- Kirby KA: Subtalar Joint Axis Location and Rotational Equilibrium Theory of Foot Function.
Journal of the American Podiatric Medical Association 2001 91: 465-487 - Payne CB, Oates M, Mitchel A: The response of the foot to prefabricated orthoses of different arch heights . Australasian Journal of Podiatric Medicine 36(1)7-12 2002
- Noakes H; Payne C: The Reliability of the Manual Supination Resistance Test. Journal of the American Podiatric Medical Association 2003 93: 185-189
- Payne CB, Munteanu S, Miller K: Position of the subtalar joint axis and resistance to supination Journal of the American Podiatric Medical Association 2003 93: 131-135
- Spooner SK; Kirby KA:The Subtalar Joint Axis Locator: A Preliminary Report. Journal of the American Podiatric Medical Association 2006 96: 212-219
Finally somebody puts his foot down – or is it both feet!
Yesterday, Craig Payne started a post on the podiatry arena, stating that it is time to stop using both feet of a subject when doing research (when not comparing left with right). This ‘one foot or 2 feet’-discussion is being a unsettled issue for quite some time now.
Some key-articles are:
(1) Menz HB. Two feet, or one person? Problems associated with statistical analysis of paired data in foot and ankle medicine. The Foot. 2004;14:2-5.
(2) SUTTON AJ, MUIR KR, JONES AC. Two knees or one person: data analysis strategies for paired joints or organs. Ann Rheum Dis. 1997;56:401-402.
Menz pointed already to the possibility of “spurious findings” but still the basic reason why researchers want to use both feet, is probably due to a lack of sample size…
When looking at research done in other disciplines (like orthopeadics, opthalmology, biomechanics, …) they use persons.
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Pro person |
Pro feet |
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The thread at podiatry arena is here - keep an eye out for this one…
Rock your anatomical braincells!
On my conquest to make anatomy more digestible (see my frustration), and in my series of clinical anatomy 101, i’d like to introduce a fantastic Anatomical remix (Vol 3): The Foot. It’s based on the Auckland’s DVD atlas of human anatomy part 2: The Lower Extremity (Lippincott Williams & Wilkins)
Also available and interesting for you I’pod’s out there:
Anatomical Remix Vol 1: Hip’n'Pelvis
Anatomical Remix Vol 2: The Knee
