Clinical Measures/ Indicators
I am interested in the clinical measurements that biomechanically minded Podiatrists around the world use.
There are numerous studies which suggest that measurements such as calcaneal bisections and RCSP/ NCSP are not accurate... and may not be valid anyway.
However I know that many people around the world still use these... and report good clinical results based on these measurements.
So... my question is this-
What clinical measures do you use? and Why?- how do the measurements you take (if any) influence your treatment/ prescription?
I measure STJ inversion/eversion in a NWB position. Why? I like to have an idea if there is any instability or laxity and see if there is any apparent assymmetry. If there is restricted ROM, I know that are likely to be less tolerant of aggressive rearfoot corrrection.
I still measure RCSP and NCSP. Why? I do not really pay too close attention to the absolute values, but am interested in the relative values- How far does the subject move from 'neutral' into the resting position. I also look at how much further the subject can pronate... are they at end ROM?
I also look at supination resisitance, ankle dorsiflexion and static WB restriction of the 1st MTPJ, but there is no clear measurement of these.
I am wanting to put together a foot assessment as part of a screening protocol for elite and sub elite athletes. This has the potential to be turned into a prospective study.
I have access to such tools as a Vicon system, Emed and Pedar, however I want to make this as 'real world' as possible. I am interested in ideas from clinicians, researchers and all those in between...
Do you have a couple of favourite measures? even if you cannot measure it... I am still interested!
Please don't be shy, and if you are, then you can always PM me.
Qatar Orthopaedic and Sports Medicine Hospital