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Biomechanics and foot orthoses

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  #61  
Old 13th July 2006, 12:11 AM
Atlas Atlas is offline
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Quote:
Originally Posted by Simon Spooner
Ron,
You're clearly not qualified enough to hold up your part of the "we" thing, since you haven't even attempted to.

Personally, I use a patient centred approach to treatment, so it is really unwise to try and give a formula or recipe for a device to treat "conditions", since without details of the individual it is somewhat blind judgement. However, understanding the function of each tissue and understanding the physics of orthoses can allow you to construct devices which may help off-load the tissues. I've already explained this.
Sort of. Even though it is a formula or a recipe, I wouldn't recommend an inverted rearfoot device for recalcitrant lateral ligament pathology in the ankle or knee.

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Originally Posted by Simon Spooner
So rather than getting stroppy with me Ron because I made fun of you,
Being made fun of is half the fun. And who is getting stroppy over bold text?



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Originally Posted by Simon Spooner
I make no apologies for explaining how orthotics alter kinematics and kinetics by "giving" what Ron terms "complex physics"- (forces and moments were on the ordinary level syllabus when I went to school- hardly complex) since by it's very nature, biomechaincs is applied physics- sorry, but it's true, if you want to understand biomechanics, you better start understanding physics. And Ron, speaking from a position of some educational experience. I think the approach to empowerment of students taken here by explaining the principles so they can apply it to any mechanically induced pathology is far better in the long term than providing a recipe to treat specific conditions. But hey you probably have more knowledge of educational theory than me. I just bet your lecturers love you.
There is a lot of merit in empowerment, but if this is going to be done via complex physics, that I would guess 20% of musculo-skeletal practitioners/students understand at best, then perhaps "we" should recommend half a physics degree before entry.

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Originally Posted by Simon Spooner
One other thing: Bold in text messages is considered as shouting, so I'd appreciate it if you'd stop shouting. We used to use this kind of respect
You're kidding aren't you? Where are the rules pertaining to implied use of bold, italics, underline etc. All I was trying to do was emphasise the crux of my long-winded post. If the bold hurt you, what did the big red writing do on the 1st page?

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Originally Posted by Simon Spooner
How do you explain how orthoses work when a patient comes back for review 6 weeks post dispensation and reports a 50% improvement in symptoms when on examination you find they have been wearing the left device under the right foot and vice versa?
Maybe lateral column support is underrated.

I re-iterate my question. What do "we" do to devices that make your patient's condition worse?





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Don't you like Gardiner's rule? What is wrong with it?






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  #62  
Old 13th July 2006, 01:32 AM
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Simon Spooner Simon Spooner is offline
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Originally Posted by Atlas
There is a lot of merit in empowerment, but if this is going to be done via complex physics, that I would guess 20% of musculo-skeletal practitioners/students understand at best, then perhaps "we" should recommend half a physics degree before entry.
I still can't agree that this is complex physics. If you can't multiply two numbers together you shouldn't be doing a degree.


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Originally Posted by Atlas
I re-iterate my question. What do "we" do to devices that make your patient's condition worse?
Maybe it's the way I prescribe and make my devices, but you know, I can't recall the last time that one of my patients condition got worse after receiving an orthosis from me. What do you do when your devices make your patients condition worse Ron?
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Last edited by Simon Spooner : 13th July 2006 at 01:35 AM. Reason: Because I can
  #63  
Old 13th July 2006, 05:18 AM
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Quote:
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I can't recall the last time that one of my patients condition got worse after receiving an orthosis from me.
As musculoskeletal practitioners, 'we' all like to think that 'we' have a 100% success rate and never exacerbate the condition of our patients. Sell me a god?
  #64  
Old 13th July 2006, 05:20 AM
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