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In 2002 Craig Payne wrote a letter to the Jour Bodywork and Movement Therapies expressing his concerns about placing a medial wedge underneath the 1st MPJ. He wrote: "The use of medial column support, as advocated by the author (Rothbart), would inhibit the first metatarsal from plantarfexing and this would restrict 1st MPJ dorsiflexion ...... resulting in a very unstable foot during propulsion."
In my clinical experience, and the collective experience of others, over 20,000 patients have been fitted with this technology with no ensuing pathology within the 1st MPJ. However, I can understand Craig's concerns because this collective body of experiences could be argue not scientific enough and a more rigorous study was necessary. In fact Craig, quoted a paper by Rouskis (1996) that argued the importance of dorsiflexion in the 1st MPJ.
A paper has just been published in the AJPMA that states that a 4mm skive underneath the first MPJ does not decrease the range of dorsiflexion within the 1st MPJ, but actually increases the range of dorsiflexion within this joint. (Scherer et al 2006). These observations are consistent with my own clinical findings.
A second paper, written in 2004, states that forefoot posting will not automatically limit the range of motion within the 1st MPJ (Nawoczenski). Abstracts of both of these papers can be found on my website at http://www.rothbartsfoot.info/Links.html
Brian R
Nawoczenski DA, Ludewig PM 2004. The effect of forefoot and arch posting designs on first metatarsaophalangela joint kinematics during gait. Journal Orthopedics Sports Physical Therapy;34(6):317-327.
Scherer PR, Sanders J, Eldredge DE, Duffy SJ, Leee RY 2006. Effect of Functional Foot Orthoses on First Metatarsophalangeal Joint Dorsiflexion in Stance and Gait. J Am Podiatr Med Assoc 96(6):474-481.
A paper has just been published in the AJPMA that states that a 4mm skive underneath the first MPJ does not decrease the range of dorsiflexion within the 1st MPJ, but actually increases the range of dorsiflexion within this joint. (Scherer et al 2006). These observations are consistent with my own clinical findings.
Scherer PR, Sanders J, Eldredge DE, Duffy SJ, Leee RY 2006. Effect of Functional Foot Orthoses on First Metatarsophalangeal Joint Dorsiflexion in Stance and Gait. J Am Podiatr Med Assoc 96(6):474-481.
Brian:
You may want to read Paul Scherer and coworker's paper again. The 4 mm skive was a medial heel skive placed into the orthosis that acts plantar to the heel, not the 1st MPJ. In addition, Scherer and coworkers plantarflexed the first ray in their negative casts, not dorsiflexed the first ray. Varus forefoot extensions, such as are included in your "proprioceptive insoles", will tend to dorsiflex the first ray and lead to decreased first MPJ dorsiflexion range of motion.
You may want to change your website's reference to the paper by Scherer and coworkers, since you have already included this misinformation on it http://www.rothbartsfoot.info/Links.html
Also, I still see that you are still claiming multiple health benefits of your insoles. Do you think that if I wore your proprioceptive insoles that this will also help the anxiety that I commonly develop when podiatrists promote their products like snake oil salesmen?? :p
Quote:
Originally Posted by http://www.rothbartsfoot.info/CanHelpYou.html
Proprioceptive Stimulation Can Help You
Proprioceptive Stimulation affects the body in many positive ways.
Foot, Knee, Back, Neck, Jaw Pain
Proprioceptive stimulation repositions the posture into a more correct alignment (see Figure Right). This reduces the stress on the muscles, which allows them to heal (Rothbart and Esterbrook 1988, Rothbart and Yerratt 1995).
Respiratory
By straightening the shoulders, the ribcage is opened and pressure is taken off the lungs. This allows for easier breathing.
Intestinal and Bowel
Proprioceptive stimulation reverses the anterior rotation of the innominates (hips), which in turn, positionally decompresses the intestines and colon. Waste products pass through the colon more quickly and efficiently, eliminating the pain associated with gastro-intestinal distress.
Chronic Fatigue Syndrome
Proprioceptive stimulation improves posture, which in turn, reduces hypertonicity (tightness and strain) within the postural muscles. Lactic acid is reduced. The body has more energy. (Rothbart B. Pressure Plate Analysis of Medial Column Insoles. Journal of Sportsmedicine)
Diabetic Ulcers
With improved postural positioning of the foot, blood flow into the foot is greatly enhanced. This allows the diabetic ulcer to heal, reducing the likelihood of a partial or complete foot amputation (Case Studies, Group Health Hospital, Department of Orthopedics, Tacoma Washington 1996).
Infertility
Proprioceptive stimulation reverses the anterior (forward) rotation of the pelvis. This decreases the possibility of a blockage (Isthmus Block) between the ovaries and the fallopian (uterine) tubule, where conception normally occurs (Ikechebelu JI, 2002; Barr, 1983; O'Grady JP 1997). The egg passes more freely from the ovaries into the fallopian tubule. Impregnation is facilitated (chances of becoming pregnant are improved).
Menstruation
By reducing the forward rotation of the pelvis, the blockage between the uterus and the vagina is reduced. This allows the waste materials, generated by menstruation, to be passed out of the body more efficiently. This in turn, diminishes or greatly reduces menstrual pain (and low back pain). (Bellevue Study 1993-95)
Headaches
Many headaches arise from tension in the neck muscles. By positioning the head over the spine, the neck muscles relax. Headaches become less frequent and less intense (Rothbart, Hansen and Liley 1994).
Fibromyalgia
Many patients with Rothbart's Foot Structure have pain symptoms, foot to jaw. It is not uncommon for these patients to be diagnosed as having Fibromyalgia. One healthcare specialist in Chicago talks about her experiences using proprioceptive insoles in their Fibromyalgic Clinic and the results they have seen over the past five years.
A Profound Effect
Proprioceptive Stimulation, as you can see has a profound effect on the body, solving so many chronic body problems, that in the past were considered unsolvable. This is done naturally, without the use or need of surgery or drugs. It just makes good sense to treat your body in a kind and respectful way, allowing it to heal itself naturally.
__________________
Sincerely,
Kevin
**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College
I respectfully disagree with you. You are correct, they did plantarflex the 1st ray in the cast, BUT, they placed a 4mm medial skive underneath the 1st metatarsal which increased the range of dorsiflexion in the 1st MPJ.
Have you read Nawoczenski's paper? I believe you will find their conclusions very different from what I believe you are saying.
Regarding the changes noted with Proprioceptive Insoles, are you familiar with the writings of Pierre Marie Gagey, Weber, Sasaki, Aboukrat and other Posturologists in France. They have been writing about some of the same changes I have noted on my website. In fact, if you read my website, you will find comments by Dr Gagey regarding my research. If you like, I can put you in direct contact with him.
Nawoczenski DA, Ludewig PM 2004. The effect of forefoot and arch posting designs on first metatarsaophalangela joint kinematics during gait. Journal Orthopedics Sports Physical Therapy;34(6):317-327.
Scherer PR, Sanders J, Eldredge DE, Duffy SJ, Leee RY 2006. Effect of Functional Foot Orthoses on First Metatarsophalangeal Joint Dorsiflexion in Stance and Gait. J Am Podiatr Med Assoc 96(6):474-481.
Brian - very typical of your approach - you conveniently forgot to mention all the other references that showed the opposite. And you totally misread the results of the Shearer research!!!
__________________
Craig Payne
Department of Podiatry
La Trobe University
Melbourne, Australia http://www.latrobe.edu.au/podiatry
__________________________________________________ ___________________________________ God put me on this earth to accomplish a certain number of things - right now I am so far behind, I will never die.
The views expressed above are those of the author and not that of La Trobe University This is where I am, where are you?
I respectfully disagree with you. You are correct, they did plantarflex the 1st ray in the cast, BUT, they placed a 4mm medial skive underneath the 1st metatarsal which increased the range of dorsiflexion in the 1st MPJ.
Brian:
The "medial skive" that these researcher used is the "medial heel skive" that I described in JAPMA 14 years ago (Kirby KA: The medial heel skive technique: improving pronation control in foot orthoses. JAPMA, 82: 177-188, 1992). It produces a varus wedge plantar to the heel, not a varus wedge plantar to the forefoot. I have known about this research by Paul Scherer and coworkers for over a year now and you have again misread and misquoted the paper. If you will note, on page 476 of the article, they cite my paper in reference to "4-mm medial skive technique". Furthermore, if you read their paper closely, they say the exact opposite from what you are claiming. They are saying that plantarflexing the first ray increases 1st MPJ dorsiflexion, which is the exact opposite of what you are saying.
__________________
Sincerely,
Kevin
**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College
I stand corrected. I misread the application of the 4mm skive. (And Craig, I apologize for not being infallible, I do make mistakes.) Thank you for bringing this to my attention.
However, you have not commented on Kawoczenski's paper which tends to support my findings. If you are unable to download the paper, you will find an abstract at the following URL http://rothbartsfoot.info/MedialPost.html
I have found that in the PMs foot type, a forefoot tactile stimulation (or skive, if you prefer) does not result in a hallux limitus (as noted in Kawoczenski's paper). And this is after approx 10 years of using the technology.
On my website there are many healthcare providers discussing their results using ProStims. This technology has proven to be very effective in treating the PMs foot type. However, I do not recommend using this technology on other foot types (e.g., preclinical club foot deformity).
If you visit the Posturology and SOT websites, you will find many discussions linking ascending postural distortional patterns to visceral as well as musculoskeletal symptoms. Many of these are listed on my webpage that you most kindly reposted above. However, your accolades, giving me credit as being the first to report these findings, is flattering but undeserved.
Point of fact: to date, over 20,000 cases of PMs cases reported world wide (indicated by the number of proprioceptive insoles dispensed). It will be interesting to see what the next five years will bring.
Brian R
Last edited by Brian A Rothbart : 19th November 2006 at 06:12 AM.
dear mr rothbart, would you be interested in giving the australian rugby union team an inspirational talking to, you're amazing, they're hitting you with bazookas mate and you still jump up to take more ... i love it
For a professor, you have quite amazing diligence, Brian. No doubt the papers will remain on your website as primary testimonials advocating your "technology". Not surprised to note the other reference you provided (Ikechebelu JI et al. 2002. Positional Therapy for Infertility Associated with Uterine Retroversion. Journ College of Medicine, Vol 7(1):50-53) to support your claim that these insoles assist conception is still on your site despite previous exposures on Podiatry Arena. What a class act!
__________________
"citing an indisposition due to special circumstances"
However, you have not commented on Kawoczenski's paper which tends to support my findings. If you are unable to download the paper, you will find an abstract at the following URL http://rothbartsfoot.info/MedialPost.html
I have found that in the PMs foot type, a forefoot tactile stimulation (or skive, if you prefer) does not result in a hallux limitus (as noted in Kawoczenski's paper). And this is after approx 10 years of using the technology.
Brian:
I have read the abstract on Debbie Nawoczenski's paper (Nawoczenski DA, Ludewig PM: The effect of forefoot and arch posting orthotic designs on first metatarsophalangeal joint kinematics during gait. J Orthop Sports Phys Ther, 34:317-327, 2004) and would have to agree with you that they did not find consistent negative effects of varus forefoot wedging on hallux dorsiflexion during propulsion. Even though I have seen patients develop symptoms consistent with functional hallux limitus with varus forefoot wedges, I'm sure that other individuals may have no problem with this type of wedging.
However, Brian, if you were really interested in the science of improving gait function, then you shouldn't be making these types of outlandish claims about the health effects of your insoles and shouldn't be displaying testimonials on your website. However, I am sure that your website, and the extraordinary claims that you make about your insoles on it, will continue to sell lots of your insoles for you.
Brian, what is this all about? Is it about scientific research and objectivity? Or is it about selling an insole product over the internet for financial gain?? I tend to believe it is the latter. :(
__________________
Sincerely,
Kevin
**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College
Kevin has adequately corrected the thread originator here on the skive position, and he has in turn correctly apologised to CP.
In relation to forefoot varus posts etc., the question still remains is that why the lack of detrimental results despite it being relatively commonplace years ago.
I realise that dorsiflexing the 1st ray impacts on 1st mpj dorsiflexion ROM. But what we tend to forget is that dorsiflexing the 1st ray also places the ground further away from the plantar aspect of the hallux. With this co-effect of a pseudo-rocker-sole in situ, do we need as much 1st mpj dorsiflexion as we think?
Another point that has not been discussed, but which I believe is pivotal in this discussion is that I only advocate the use of a medial tactile activator (e.g., the ProSTim insole) when you have the PMs foot type. I do NOT recommend this type of insole for any other foot type. So, if my esteemed colleagues believe this type of insole will create an hallux limitus in the PMs foot, we need first, to discuss the embryological changes associated with the PMs (very different from a non PMs foot). This information can be found at http://www.rothbartsfoot.info/EmbryolWheel.html.
The other point, and I know this is anecdotal, but I believe still relevant: over 20,000 PMs patients have been fitted with this insole. To date, none of the healthcare providers using this insole have reported jamming within the 1st MPJ. I would think that if this was a commonly occurring problem, I would have heard something about this from these physicians. In my own practice, I have not experienced this problem. But I am very careful who I put into this technology.
This discussion will probably become academic within a very short period of time. Currently, in the US, a double blind study has started, to evaluate, among others things, the impact ProStims have on the 1st MPJ. It is being run by one of the largest research facilities in the US, and I believe will entail nearly 500 subjects. I am not at liberty to divulge specifics (it is not my study), but Bjorn Svae at GRD BioTech Inc has assured me that he will announce the details shortly.
Kevin, I must address your repeated remarks about what you consider to be 'my outlandish claims' on my website. You have made your point quite clear. However, Posturologists and SOT Chiros have consistently noted these same links between function and visceral symptoms for years. Apparently, you have not had the chance to visit their forums. I believe you will find their discussions very interesting.
Brian
Last edited by Brian A Rothbart : 20th November 2006 at 09:23 AM.
Kevin, I must address your repeated remarks about what you consider to be 'my outlandish claims' on my website. You have made your point quite clear. However, Posturologists and SOT Chiros have consistently noted these same links between function and visceral symptoms for years. Apparently, you have not had the chance to visit their forums. I believe you will find their discussions very interesting.
Brian
Brian:
I am not the only podiatrist that thinks your claims to cure infertility (among other things) with insoles are outlandish. However, if you want to see that I am not alone in my opinions, why don't you send in your thoughts on infertility and proprioceptive insoles to Barry Block's PM News website where a great many podiatrists in the United States can openly comment on your claims. I think that, if you are brave enough to do this, you will be able to see what others in our profession think about your ideas.
__________________
Sincerely,
Kevin
**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College
We seem to be going around in circles. On many occasions I have suggested you visit the SOT forum and participate in a discussion regarding my research (which is very well known on that site). But you remain silent on that point.
You may feel my research is 'outlandish', which is your prerogative. Personally, I may feel your opinions are narrow minded and self serving, which would be my prerogative. But the bottom line is none of that really matters. What really matters is helping our patients get better.
Proprioceptive insoles have been used here in Europe for over twenty years with a great deal of success by many many healthcare providers. My intent was simply to introduce some of these concepts to US Podiatrists. I believe that has been accomplished. I also believe that more and more Podiatrists are becoming interested in these concepts - proof, look to your own journal (recent edition).
Kevin, I just have no interest in bantering or chaffing with you. If you are interested in having a meaningful exchange of ideas, great. But the rest of this is getting old and not worth my time or yours, to respond to.
By the way, congradulations Craig on the new additions to your family - twins girls?
dear mr rothbart, would you be interested in giving the australian rugby union team an inspirational talking to, you're amazing, they're hitting you with bazookas mate and you still jump up to take more ... i love it
Mark,
I was team Podiatrist for the Seattle Supersonics during the late 1980s. One thing I can tell you and be absolutely sure of, they definitely played better basketball after they were fitted with orthotics.
In the late 1980s I was using an orthotic with a modified forefoot post (based on my first US Patent). At the time, I thought it was quite effective. For example, Dale Ellis severely twisted his ankle during game 1 of the playoffs in 1987 (I believe). We placed him in my orthotics, not only did he play (without taping the ankle), he had one of his best playoffs. Incidentally, the four seasons I served as team Podiatrist, the Supersonics made the playoffs three times (if my memory serves me correctly). Was this due solely to their using orthotics, I doubt it. But it certainly helped! I can remember on one occasion, their trainer (Frank Furtado) commented to me that he definitely could see an improvement in how they moved, when wearing the orthotics.
While on staff at the Ballard Sport's Medicine Clinic (Keith Anderson was the director), I was also the team Podiatrist for the Seattle Mariners. I was used as a consultant for many of the foot related injuries (including chronic low back and knee injuries which abnormal pronation was implicated). Keith Anderson (DO) was a strong advocate for including Podiatrists on his healthcare team. (over 200 people employed in his clinic including several MDs and many DOs) And it was my pleasure to have been afforded the opportunity to work with him. Keith ran a number of research related projects, many dealt with foot related issues. Unfortunately, at the time, I was too busy to participate (one of my later regrets).
In the late 1980s I was using an orthotic with a modified forefoot post (based on my first US Patent). At the time, I thought it was quite effective. For example, Dale Ellis severely twisted his ankle during game 1 of the playoffs in 1987 (I believe). We placed him in my orthotics, not only did he play (without taping the ankle), he had one of his best playoffs. Incidentally, the four seasons I served as team Podiatrist, the Supersonics made the playoffs three times (if my memory serves me correctly). Was this due solely to their using orthotics, I doubt it. But it certainly helped! I can remember on one occasion, their trainer (Frank Furtado) commented to me that he definitely could see an improvement in how they moved, when wearing the orthotics.
While on staff at the Ballard Sport's Medicine Clinic (Keith Anderson was the director), I was also the team Podiatrist for the Seattle Mariners. I was used as a consultant for many of the foot related injuries (including chronic low back and knee injuries which abnormal pronation was implicated). Keith Anderson (DO) was a strong advocate for including Podiatrists on his healthcare team. (over 200 people employed in his clinic including several MDs and many DOs) And it was my pleasure to have been afforded the opportunity to work with him. Keith ran a number of research related projects, many dealt with foot related issues. Unfortunately, at the time, I was too busy to participate (one of my later regrets).
**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College
Incidentally, the four seasons I served as team Podiatrist, the Supersonics made the playoffs three times (if my memory serves me correctly). Was this due solely to their using orthotics, I doubt it. But it certainly helped! I can remember on one occasion, their trainer (Frank Furtado) commented to me that he definitely could see an improvement in how they moved, when wearing the orthotics.
The real question is why being no good at sport (Baseball? american football? We don't have the "playoffs" on this side of the pond) is not on the list of conditions treated on http://www.rothbartsfoot.info/CanHelpYou.html. I can't dance worth a damn, or master Kata Bassai Dai, would they help me?
kevin, old news. I already openly discussed that on this very forum.
Brian
Brian:
This may be old news to you, but it is news to me and many others on this forum. Maybe you can point me to the link where you "already openly discussed" this topic on "this very forum".
__________________
Sincerely,
Kevin
**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College
Can Facial Pain be secondary to abnormal foot motion Post # 16
Interesting to see it from an external source though. Although i have to say i am far more interested in what Brian is saying than who / what he is and any past misdemeanors.
Professionally speaking claiming your product cures everything for period pain to breathing problems is crime enough and is unashamedly nay proudly plugged every damn where you look!
I predict this thread is about to get personal and nasty about now.
It takes two to tangle (so they say), and my only interest is discussing the research we have been doing at ISS (the main research facility in Italy). And I must say, of all the forums I have posted on, this is the strangest.
Regarding your comments regarding the technology I have developed, the Prostims are only to be used when treating the PMs foot type. Therefore, how can one assume that this technology cures everything unless you make the claim that the PMs foot is the only foot distortion that one can encounter. Reading my website, you know that this is not the case. A foot structure we still have not found an effective prostim for is the Preclinical Clubfoot Deformity.
This will be my last post on this thread, I am knee deep in work and Kevin's last remark does motivate me to continue this discussion. However, this past week I have received more queries from Podiatrist than I had received over the prior three months. Apparently, the more bad press Kevin, Mark or Craig throw my way, the more inquiries I receive. Very strange.
This will be my last post on this thread, I am knee deep in work and Kevin's last remark does motivate me to continue this discussion. However, this past week I have received more queries from Podiatrist than I had received over the prior three months. Apparently, the more bad press Kevin, Mark or Craig throw my way, the more inquiries I receive. Very strange.
regards,
Prof Brian A Rothbart
It is amazing what the internet tells us about the professional integrity of some of the people who post on this "strange" academic podiatric website, advocating their products as the cure-all to all types of human diseases. I feel sorry for the people that are desperate, seeking cures for their medical conditions, and then visit Brian Rothbart's "proprioceptive insole" website and think that Brian's insoles are going to somehow cure their neck pain, jaw pain, respiratory illnesses, intestinal and bowel diseases, chronic fatigue syndrome, diabetic ulcers, infertility, menstruation abnormalities, headaches and fibromyalgia. In their uninformed quest for miracle cures, these poor individuals see Brian's slick website, send in their money and hope for a magic cure to their ills by wearing some varus wedged insoles.
Now, that is the mark of a true snake oil salesman: claiming cures for multiple ailments with no scientific validity behind the claims, all for the purpose of financial gain, and with no consideration whatsoever for the false hopes that he is creating within the minds of these individuals who suffer daily in pain and who have the unrealistic hopes that sending in their hard-earned cash for his insoles will magically cure them of their diseases. This whole situation is very sad and disgusting to me. It makes me sick that this individual shares the same degree as I do.
The same individual that apparently practiced podiatry without a license in the state of Washington, was charged with "unprofessional conduct, misrepresentation or fraud" by the State of Washington on June 6, 2001, apparently treating patients without a license to practice, and apparently claimed that he was an orthotist when he was not one, has now moved to the internet to peddle his insole product, and make claims that it treats a "foot-type" that he named after himself!! Is this individual the one we want our podiatry students and podiatrists to emulate when we start to talk to them about professional integrity??? I'll let you all make your minds up for yourselves.
Come on back soon, Brian, the water is just starting to get warm.
__________________
Sincerely,
Kevin
**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College
Cheers for the link Dave, Unexpected and bizarrely off topic (i know, i started it!) but very useful for me. I have doubts about some of her stances, and her body position at step 36 seems all to C**k to me but its a useful resource!
If you want to experiance the effects of extreme torsional force on the STJ you can't beat a bit of Kiba dachi!
Quote:
This whole situation is very sad and disgusting to me. It makes me sick that this individual shares the same degree as I do.
I thought It was about to get nasty! I can see how if you had invested your professional life in the advancement of the science its abuse must be particularly galling! However have no fear Kevin, There is a cure for your Nausea! Remember if you have
Quote:
Intestinal and Bowel
Proprioceptive stimulation reverses the anterior rotation of the innominates (hips), which in turn, positionally decompresses the intestines and colon. Waste products pass through the colon more quickly and efficiently, eliminating the pain associated with gastro-intestinal distress.
... Type symptoms an proprioceptive orthotic will help! If it does not you could always try burning the insole it and burying the ashes, that might also make you feel better. :p
Interesting that Brian reports an upsurge in sales of his "technology", presumably some of them in the UK. Given the fact that the regulator (HPC) has taken an interest in the prescription of foot orthoses for patients, one wonders whether clinicians who supply Rothbart's devices could be considered complicit to some of his more outlandish claims as illustrated in Kevin's recent posts. There is a disciplinary hearing scheduled for a podiatrist on the basis that:
Quote:
Your fitness to practise as a registered health professional is impaired by reason of your misconduct and/or lack of competence in relation to Patient CJ in particular that:-
1.
a) You provided and charged for orthotics which were inappropriate and resulted in an increase in knee and back pain and,
b) You failed to provide any advice or assistance in relation to the problems experienced in using the orthotics.
and in relation to Patient YP:
2.
a) You provided orthoses which were inappropriate;
b) You failed to arrange appropriations after care.
If podiatrists who supply these insoles are propagating the myth that they assist conception, improve vascular flow in diabetics and thus prevent amputation, and improve facial pain, I would imagine that FTP hearings will increase substantially - adding further to the cost of all our fees. The sale of medical devices is regulated by the MHRA in the UK but Internet sales of foot orthoses is still a grey area. However, with the recent intervention of the HPC in the above case, it would appear that the clinician may not be exempt from individual prosecution. Given the foregoing, it might be an idea to ask the MHRA to consider whether Rothbart's insoles should be supplied in the UK when the 'inventor' continues to maintain his claims despite overwhelming evidence to the contrary.
Mark Russell
__________________
"citing an indisposition due to special circumstances"
Kevin,
listen champion, the person appearing to act right now with reduced professional integrity is you!
Enough already hey, you have been going on and on with this theme for a long time. Brian does his thing, you do yours. He is willing to put his theories up for evaluation. You appear to oppose many. He does not appear to come back with answers which you believe appropriately answer said questions. He is not going to answer these questions adequately for you, ever. Get over it hey!
End result you delve into personal insults and internet searches to discredit Brian. What can we conclude from this? Well Kev it may say more about the searcher than the searchee. However i think we should be aware if you are starting to question professional integrity you may have crossed the line yourself. Depending upon your state laws, you may have more to worry about following criticising like professional qualified person than Brian has to worry about.
So i think admin should be putting the finishing touches on Kevin replying to Brian for a while to let this cool down, before Big Kev finds himself losing his own professional integrity altogether.
Anways enough from me already, that was all like serious and DaFlip needs a cold shower to recover.
Kevin,
listen champion, the person appearing to act right now with reduced professional integrity is you!
Enough already hey, you have been going on and on with this theme for a long time. Brian does his thing, you do yours. He is willing to put his theories up for evaluation. You appear to oppose many. He does not appear to come back with answers which you believe appropriately answer said questions. He is not going to answer these questions adequately for you, ever. Get over it hey!
End result you delve into personal insults and internet searches to discredit Brian. What can we conclude from this? Well Kev it may say more about the searcher than the searchee. However i think we should be aware if you are starting to question professional integrity you may have crossed the line yourself. Depending upon your state laws, you may have more to worry about following criticising like professional qualified person than Brian has to worry about.
So i think admin should be putting the finishing touches on Kevin replying to Brian for a while to let this cool down, before Big Kev finds himself losing his own professional integrity altogether.
Anways enough from me already, that was all like serious and DaFlip needs a cold shower to recover.
DaFlip
DaFlip or whatever your real name is:
Thank you for sharing your opinions. You are always welcome to express them in this forum. Always lovely to hear from an individual who doesn't give us his real name and has a after his name every time he has contributed to this academic forum.
By the way, DaFlip , since you think I don't have professional integrity, do you believe that Brian Rothbart's insoles cures neck pain, jaw pain, respiratory illnesses, intestinal and bowel diseases, chronic fatigue syndrome, diabetic ulcers, infertility, menstruation abnormalities, headaches and fibromyalgia? I take it, from your comments, that you believe all of his health claims for his insoles.
__________________
Sincerely,
Kevin
**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College
Proprioceptive Insoles
Linear Mode
