Saturday, August 01, 2009
In 2002, I published on two previously
unknown embryological foot types, the Primus Metatarsus Supinatus
(Rothbarts) foot and the Preclinical Clubfoot Deformity (Journal
Bodyworks and Movement Therapy, 2002).
Both
of these embryological foot types distort the signals being generated
from the foot to the cerebellum (brain). Both of these foot structures
result in postural distortions that frequently result in chronic
debilitating muscle and joint pain. And both of these foot structures are treated using Rothbart Proprioceptive Therapy.
However the
type proprioceptive insole used in treating Rothbarts Foot is very
different than the type of proprioceptive insole used to treat the
Preclinical Clubfoot Deformity.
Hence it is very important to make a differential diagnosis (determine which foot structure is present) before therapy is initiated.
The Knee Bend Test (a clinical test I invented) is used to help make this differential diagnosis (See animation below).
Knee Bend Test
When the body's weight is over the heel bones (e.g., the knees are straight), foot twist (pronation) is observed only in the Preclinical Clubfoot Deformity.
When the body's weight is over the front part of the foot (e.g., the knees are bent), foot twist (pronation) is observed in both the PreClinical Clubfoot Deformity and Rothbarts Foot.
For more information regarding Rothbarts Foot and the PreClinical Clubfoot Deformity, read Medial Column Foot Systems: An Innovative Tool for Improving Posture.
Prof/Dr Brian A Rothbart
Chronic Pain Elimination Specialist
Developer of Rothbart Proprioceptive Therapy
Designer of Rothbart Proprioceptive Insoles
Founder of International Academy for Rothbart Proprioceptive Therapy
Author of Forever Free From Chronic Pain