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rothbart -> Foot Embryology (April 9, 2002 3:11:00 PM)
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Based on embryological studies, I propose that hyperpronation in the adult [gaiting] foot is the result of an ontogenetic retention of talar torsion [termed talar supinatus] seen during weeks 6pf-8pf in the developing embryo. Clinically, talar supinatus is visualized as an elevation of the medial column of the foot [termed Primus Metatarsus Elevatus], in the standing/neutral positioned foot. I have devised a way to measure PME using microwedges with confirmed high interrator reliability. I have introduced a way to reduce hyperpronation resulting from PME using postural insoles [not orthotics which weaken the feet]. Postural are based on Proprioceptive Feedback Stimulation, and are not used as supportive devices [e.g., arch supports/metatarsal bars or pads, etc].
My work has been accepted for publication [January 2002] in the Journal of Bodywork and Movement Therapy [Harcourt Publishers, Leon Chaitow Editor]. If you would like an electronic [Email] copy [Acrobat Reader 4.0 format], please send me an Email. It is a fairly large file [2.3Mb], so make sure your IP server will forward it to you. Please note: Most free IP servers will not send a file this size to individual mailboxes.
Brian A. Rothbart DPM, PhD, FACFO
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