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By 1974 a survey of orthotists use of the UCBL device showed that various other materials were being employed: Polyester resin, Polypropylene, Polyethylene and Acrylic (Quigley M.J.: The present use of the UCBL foot orthosis. Orthotics and Prosthetics vol 28, No.4 p. 59-63 1974)
Martin Carlson and Gene Berglund further modified the original UCBL design in 1979, adding a skive to the proximal medial longitudinal arch and a rearfoot post on the medial aspect of the shell.
(Carlson J.M., Berglund G.: An effective orthotic design for controlling the unstable subtalar joint Orthotics & prosthetics vol. 33, No.1, pp.39-49, March 1979)
By the way it "biomechanics" not Berkely- read the original paper I attached in my last post!
Also out of pedentry and purely for my own interest, was it University of California, biomechanics Lab or University of California, Berkeley Lab?
University of California, biomechanics Lab - the UCBL thats being discussed in this thread when referrencing from the previously attached Henderson and Campbell's original paper on fabrication.
It has a few variations though.
UCBL Université Claude Bernard - Lyon (Lyon, France)
UCBL United Commercial Bank Limited (Bangladesh)
UCBL University of California Biomechanics Laboratory
UCBL Uganda Commercial Bank Ltd.
UCBL Umbilical Cord Blood Lymphocytes
UCBL University of California's Berkeley Laboratory
Anyone who only prescribes the same device for a 6 stone, inactive lady with tib post dysfunction and a 6 stone runner with mild plantar fascia pain and "normal" sub talar joint axis alignment is just as misguided as someone who takes no account of sex, weight and activity level
Agreed, but surely in that case they aren't taking into account sex, weight, and activity level?
I've purchased more over the counter as well as podiatrist prescribed orthotics than probably any of the patients of the podiatrists who access this site; I've been running 45 years.
If a person is fortunate enough to connect with an over the counter that works, that's great. However, if a patient has significant pathology that warrants a prescribed orthotic -- an over the counter that will work is highly unlikely.
The secret for the consumer or lay person is to: Find a podiatrist well versed in biomechanics. I think I have one. Unfortunately, I've spent most of my athletic career searching for a podiatirst with sufficient skill and expertise in biomechanics.
Tell your patients to take the advice of an old man -- keep their posterior tib's healthy and their feet should not fall flat like that of a duck's feet.
Only if they're not subject to the laws of heredity.
Cracking response from the 83 year old yesterday on the news who was being interviewed after being told he had the "kidneys of a 40 year old" and thereafter going under the knife and donating one of them to someone:
"What's your secret to being so healthy?"
"Well, I guess I just chose my parents very wisely"
The Following 2 Users Say Thank You to Ian G For This Useful Post:
Robert is quite right - it depends. Since about 1/3-1/2 of the worlds population have fet that could be defined as flat, it is not biological plausible that they are all abnormal. It is really as simple as that.
Honorary Research Associate, Institute for Human Evolution, University of Witwatersrand
Adjunct Associate Professor (Human and Comparative Anatomy), University of Western Sydney
Fellow of The Centre For Human Biology, The University of Western Australia
"Please God, deliver me whole from Creationists......."
Mine are. Very bad. Never found a prefab that's comforable or resolves symptoms. For me it's 4mm poly 6 degrees inverted 4 mm medial heel skive. And I'm running a half marathon in 2 weeks on these feet.
As they say- horses for courses.
Mackay, Queensland Australia