Ken Van Alsenoy
A blog about Family, Podiatry, Research and other goody stuffArchive for orthotics
Official Bootcamp website
The Famous Clinical Biomechanics Boot Camps facilitated and conducted by Major Craig Payne
have a BRAND new Website! Check it out!
Scientific Network: Research Gate…

In a previous post, I pointed out the academia.net.
Now I came across another Scientific Network called Research Gate.
This networking tool claims to be the leading professional network for scientists. You’re able to CONNECT with colleagues and build your scientific network, DISCOVER new methods, papers, and people with our comprehensive research based search engine, COLLABORATE using our suite of applications built specifically for researchers…
So go and 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 project part 1
Last week, 7 brave students of the Karolinska Podiatry programme started our 5 week intensive orthotic course. For this programme we will visit no less then 3 times the beautifull city of Stockholm, with the first visit being 1-3 of April.
In short, Early mornings, short nights, and a lot of teaching and fun!
Here are some video’s on the plastering techniques
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
A wee visit to beautifull Edinburgh
The last couple of days have been very busy BUT extremely fruitfull.
It was so nice to meet all the people from QMU after 10 years.
Our presentation as it was given @ savonlinna will be commin up on next years programme here in the new campus of QMU – and YES we’re sold for the complete Smartboard idea. They have one here in every room, and I don’t think I could do without anymore.
so, beside the fact that I sound like Barry White, i’m making myself up for a next visit around fall 2009.
Pj, my main man, be prepared…
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
Casting for foot orthoses: Art or Scientific Discipline
Mastering a good Negative Foot modeling technique is probably one of the most important steps in the process of creating good foot orthoses. But what is the best technique, based on the best evidence available?
If we take into account that you want to have the best control over the forefoot to rearfoot relationship, results from a study done in ‘89 by McPoil et al indicated that a reliable forefoot to rearfoot alignment can be obtained using either the supine or prone method but not with the semi weight-bearing method. This line of thought was confirmed again in ‘02 by Laughton et al, where they concluded that non weight-bearing plaster casting may be preferable to partial-weight-bearing foam impressions, and partial-weight-bearing and non weight-bearing laser scanning. Important to keep in mind is, when taking your negative foot model non weight bearing, is that the contact area , foot length, foot width, and rearfoot width significantly decreases. This was examined by Tsung et al in ‘03. According to Chuter et al in ‘03, the inter-rater reliability in capturing the same amount of forefoot to rear-foot is low among clinicians. Trotter et al repeated a same sort of study in 2008 and concluded that the intrarater is high, bus the inter-rater is low and that ’a specific foam box technique’ would be more accurate than the ‘golden standard – plaster casting’ but the study itself could be biased…
For the fellow interested in this subject check out Podiatry-Arena
and for some comfort and piece of mind a quote:
‘I am sure that as long one understands the principles of negative casting, orthosis manufacture, and foot and lower extremity biomechanics, nearly any technique which captures a three-dimensional impression of the plantar foot can be used to make effective and therapeutic custom foot orthoses’
Kevin Kirby, 2006
(1)McPoil TG, Schuit D, Knecht HG.Comparison of three methods used to obtain a neutral plaster foot impression. Phys Ther. 1989 Jun;69(6):448-52.
(2)Laughton C, McClay Davis I, Williams DSA comparison of four methods of obtaining a negative impression of the foot. J Am Podiatr Med Assoc. 2002 May;92(5):261-8.
(3)Tsung BY, Zhang M, Fan YB, Boone DA.Quantitative comparison of plantar foot shapes under different weight-bearing conditions. J Rehabil Res Dev. 2003 Nov-Dec;40(6):517-26.
(4)Chuter V, Payne C, Miller K. Variability of neutral-position casting of the foot. J Am Podiatr Med Assoc. 2003 Jan-Feb;93(1):1-5
(5)Trotter LC, Pierrynowski MR. Ability of foot care professionals to cast feet using the nonweightbearing plaster and the gait-referenced foam casting techniques. J Am Podiatr Med Assoc. 2008 Jan-Feb;98(1):14-8
Kevin Kirby’s head bouncers
Dr. Kevin Kirby is a podiatrist who received his DPM from the California College of Podiatric Medicine in San Francisco in 1983. He has written extensively on several podiatric related subjects (foot orthotics, biomechanics, …). In 1997, he authored his first of 2 books, “Foot and Lower Extremity Biomechanics: A Ten Year Collection of Precision Intricast Newsletters“, and in 2002 – “Foot and Lower Extremity Biomechanics II: Precision Intricast Newsletters, 1997 – 2002” available at Precision Intricast Inc.. Next to this he’s a pioneer in making the average podiatrist think about the basic engineering principles in the podiatric biomechanics.
He wrote already up to 9 Thought Experiments on Podiatry Arena, the cradle of the in-depth podiatric discussions, already good for a dazzeling 11200 hits and counting… Here they come!
T.E. #1: Tie Tensile Force in Loaded Arch
T.E. #2: Effect of STJ Axis Location on Met Head GRF
T.E. #3: Effect of STJ Axis Location on PT Muscle Tension
T.E. #4: Effect of STJ Axis Location on Sinus Tarsi Compression Forces
T.E. #5: Effect of Foot Orthoses on Sinus Tarsi Compression Force
T.E. #6: Effect of Foot Orthoses on PT Tendon Force Required to Cause STJ Supination
T.E. #7: External Forces on Objects: Problems with Only Motion Observation
T.E. #8: Multiple Joint Moments from CoP
T.E. #9: Simultaneous Ankle and STJ Equilibriums

