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Increased Dorsiflexion stiffness of the 1st - reference ?
A lot of us are using the term - Increased dorsiflexion stiffness of the 1st MTP joint to describe Functional Hallux Limitus.
Has this term been used in publish research and if so anyone got the earliest reference or paper they can get me ? or is just a Podiatry Arena/Boot camp type of thing.
Also anyone got a copy of this
Laird PO: Functional hallux limitus. The Illinois Podiatrist. 9:4, 1972
Re: Increased Dorsiflexion stiffness of the 1st - reference ?
Quote:
Originally Posted by m weber
A lot of us are using the term - Increased dorsiflexion stiffness of the 1st MTP joint to describe Functional Hallux Limitus.
Has this term been used in publish research and if so anyone got the earliest reference or paper they can get me ? or is just a Podiatry Arena/Boot camp type of thing.
Also anyone got a copy of this
Laird PO: Functional hallux limitus. The Illinois Podiatrist. 9:4, 1972
Please pretty please !!!
I believe I may have coined the term increased 1st MTP joint stiffness here on Pod Arena but I know Craig also talked about it some. I don't think it has been published before. Here is Pat Laird's paper (not the best of copies). Pat was one of my professors during my Surgical Residency at the Veteran's Hospital in Palo Alto....very smart guy. He always had lots of good stories to tell about the early days of Root biomechanics at CCPM.
__________________
Sincerely,
Kevin
**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College
Re: Increased Dorsiflexion stiffness of the 1st - reference ?
Just had a look through all the papers I accumulated and uni and can't find it. Looks like getting that one is gonna be like finding a needle in a hay stack, google etc turning up nothing! :(
Re: Increased Dorsiflexion stiffness of the 1st - reference ?
Quote:
Originally Posted by Kerrie
Just had a look through all the papers I accumulated and uni and can't find it. Looks like getting that one is gonna be like finding a needle in a hay stack, google etc turning up nothing! :(
I'd be very surprised if it was a term taught at university. Wish that wasn't the case but suspect it is.
Mike, I've never seen it in a published paper from memory. Pretty certain the only place I've read it is in Kevin's Precision Intricast Newsletters and here on the Arena.
Discussing functional hallux limitus recently has made me think about this idea of dorsiflexion load vs dorsiflexion at the 1st metatarsophalangeal joint (MPJ). How are we going to start measuring this inherent resistance of the hallux to dorsiflexion moments more accurately and possibly get away from the clinical terminology and into more scientific terminology? We seem to understand the concept for 1st ray stiffness now, how about 1st MPJ stiffness....seems like a logical progression to me!
Craig, what has your research shown in this regard so far?? Also, I was asked about a rating system for the Hubscher Maneuver at Biomechanics Summer School 2007 last week both during our panel discussion and privately...any ideas on how best to accomplish this?
However, I think that Craig and I had discussed this concept privately in regards to some research he was planning on doing at the time also. Maybe Craig can fill in the details for me.
__________________
Sincerely,
Kevin
**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College
However, I think that Craig and I had discussed this concept privately in regards to some research he was planning on doing at the time also. Maybe Craig can fill in the details for me.
Thanks Kevin I read that today in my travels.
If Craig does not have a reference then a 1st for PA. Not the 1st or last I think.
Re: Increased Dorsiflexion stiffness of the 1st - reference ?
The problem I find with the term functional hallux limitus is the hallux limitus part. Most asume this means there is some degree of arthritic change in the joint with this description. Stiffness of the first MTPJ is perhaps a more accurate description. Stiffness of the first ray is not accurate as the ray itself is usually hypermobile when the 1st MTPJ is stiff.
Whatever terminlogy is used should be an accurate description of the condition and one which will not confuse this with hallux limitus. When I am discussing this condition with lay people I will often use the term stiffess of the big toe joint. This is something they can understand and does not have the implication of any arthritis in the joint.
While stiffnes of the first MTPJ is appropriate for those trained in foot anatomy, this condition is so prevelant that most practitioners will be providing an explanation to their patients and customers.
Increased Dorsiflexion stiffness of the 1st - reference ?
Linear Mode
