A health care professional’s expertise in resolving musculoskeletal conditions is at the heart of any rehabilitation program designed to restore movement and balance to the body.
Clinicians rely primarily on different forms of supervised therapeutic exercises which focus exclusively on the area of complaint.
However, it is also helpful to understand the benefits of including an assessment of foot biomechanics to repair the overall mechanical efficiency of the system.
The feet are the very foundation of the entire musculoskeletal system, supporting the weight of the body and propelling the kinetic chain to work in the right direction.
Any interference from this pedal foundation ultimately affects supporting joints above the foot/ankle complex, causing a multitude of compensatory abnormalities in the rest of the system.
Chief amongst these abnormalities, are postural changes produced by rotatory stress.
A hyperpronated foot induces excessive medial femoral rotation in the lower extremity leading to massive changes in the pelvis, spine and sacroiliac joints.
As a consequence of this, the iliopsoas shortens and the spinal column rotates contra laterally, increasing the sacral base angle and lumbar lordosis. These contribute to the development of subluxations in the joints.
Dysfunctional articulations within the joint complex also affect the body’s proprioceptive capabilities, distorting coordination and balance throughout the spine and pelvis.
The plantar surface of the feet contains nerve endings which supply sensory feedback to the central nervous system, playing a critical role in postural regulation.
With any alterations brought about to this feedback due to stretched or damaged ligaments, inaccurate neurological information is sent to the spinal cord, cerebellum and brain by the position receptors.
The result is a negative effect on gait and movement.
Excessive pronation can also result in functional leg length discrepancy. Asymmetrical complications arising from this condition cause pelvic and spinal subluxations, mainly because of the anterior rotation of the pelvis on the shorter side.
A study by Rothbart and Estabrook was able to ascertain the correlation factor between asymmetrical pronators and static pelvic lists to be 0.97**.
Functional scoliosis can also be a possible consequence of the resultant vertebral rotation and recurrent subluxation.
In order to develop more effective neuro-rehabilitation programs which improve the overall well-being of the patient, it thus becomes essential to use an integrated approach to craft combinational therapies, focusing on both, the multiple impairments in the body and the lower limbs.
The “hands on” approach often employed by clinicians in their treatments culminates from an extensive examination of the particular needs of the patients, which may include all or any of the following – assessing flexibility in the joints, balance and coordination, range of motion, motor performance, postural alignment, etc.
All are important considerations in the study of lower limb mobility.
Moreover, since a patient’s recovery is not limited to their time in the clinic alone, a clinician’s plan of care is comprehensive in nature and also takes into account their ability to perform daily activities with much ease and agility.
Copyright 2016 MASS4D® All rights reserved.
Rehabilitation of Your Foot and Lower Back Conditions.
Long Lasting Wear
Strong Foot Support
Easy to use
Handmade MASS4D® Quality
Sign up for free recommended foot exercises, stretching, medical news and everything good for your feet
Please have a a look at our medical reviews and clinical articles on everything about lower biomechanics.
You should always seek the advice of a physician or other qualified healthcare provider with any questions regarding personal health or medical conditions.
The content, products and services offered herein, are here to educate consumers on healthcare and medical issues that may affect their daily lives. Nothing in the content, products or services should be considered, or used as a substitute for, medical advice, diagnosis or treatment. This site and its services do not constitute the practice of any medical, nursing or other professional healthcare advice, diagnosis or treatment.
The marks "MASS4D" and the MASS4D logo are trademarks. The content and design of MASS4D.com is protected by U.S. and international copyright laws. You may not copy, reproduce, republish, upload, post, display, transmit or frame any of these materials without prior written consent from MASS4D®.
The content, products or services on this site should not be considered or used as a substitute for medical advice, diagnosis or treatment and is not intended to provide individual medical advice. Included materials and conversations do not imply a personalised doctor-patient relationship.
Copyright and Intellectual property
MASS4D® is owned and operated by Scheibye General Trading LLC - Licence no: 853463
MASS4D® and Logo are registered trademarks of MASS4D Inc. All content, trademarks, artwork, and associated imagery are trademarks and/or copyright material of MASS4D® Inc.