Jay,
I think that is a great idea! I think that it would be even better to
take it one step further and to put together a volunteer group, or groups of
the peers of this list to breakdown different foot pathology into functonal
and structural components. In other words we could identify certain hot
points to focus on when dealing with plantar fascitis, or neuromas for
example. Decide exactly what parameters to evaluate and a way to do that
quickly and effectively adn to easily record it and to compare it to others
on the list or elsewhere. It would have to be a combination of styles of
course, but the groups could eliminate the overlap and clarify the
semantics. I think that if this were done, then it would be a great
starting point for a uniform treatment protocol, and physical exam protocol.
Think of the studies that could be done in conjunction everywhere!
Ah, Utopia!!! Woo, out of breath there after climbing the steps to my
castle in the sky!!! ; - )
Just an idea folks!
Good Nite!
Bruce
----- Original Message -----
From: "Jay Cocheba" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, April 12, 2004 9:02 PM
Subject: Re: Metatarsal Ray Dorsiflexion Stiffness
> Hello All,
>
> Just a thought... Maybe we should come up with
> definitions based more upon function. I am certain
> that all those involved with this discussion have come
> across people who seem to have excess motion in the
> 1st TMT joint (on the table) who have a functionally
> stable medial column. On the other hand it is not
> unheard of to come across patients whose TMT seems
> stable though they have increased callus under the
> second MTPJ and excessive late pronation. I have
> evaluated function on the basis of common physical
> examination and with F-Scan. Though I have not
> attempted to do so yet, I do believe that a functional
> definition could be devised based upon F-Scan or
> similarly derived data. Perhaps some percentage of
> peak 1st MTPJ pressure over total forefoot pressure.
> I do hope that this doesn't complicate the discussion
> but it seems to me that overall function is always
> more important than individual findings.
>
> Respectfully,
>
> Jay
>
>
> --- [log in to unmask] wrote:
> > Hi all,
> >
> > Jeff wrote:
> >
> > Kevin and Craig,
> >
> > The word stiff(ness) means hard to bend or move,
> > rigid; sore or limited in
> > movement: said of joints or muscles, not fluid;
> > thick, strong; powerful.
> > Does the term stiffness have meaning unless one
> > considers the context in
> > which the term is used? I think the term stiff is
> > just as subjective as the
> > term hypermobile. If motion is what you are
> > attempting to describe, then
> > the terms insufficient (or limited) motion,
> > sufficient (or adequate) motion,
> > and excessive (or hyper) motion may be terms that
> > can be used to better
> > describe motion than stiffness.
> >
> > Eric Adds:
> >
> > In addition to the dictionary definition there is an
> > engineering definition.
> > Stiffness is the ratio of stress / strain. Stress
> > if the force applied
> > divided by the cross sectional area of the object
> > the force is applied to. Strain
> > is the amount of deformation caused by that stress.
> > So stiffness is a
> > measurable term. We just need to figure out how to
> > use it in the questions that we
> > have in how the foot works.
> >
> > Regards,
> >
> > Eric Fuller
> >
> >
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>
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