Dear Stanley
Could you please clarify what you define as a lateral talus and who are the AK
circle?
Regards,
Paul C.
www.musmed.com.au
> Paul,
>
> Are you correcting a lateral talus? It is well known in AK circles that
> this is a major fault in the body. If not, what is the protocol and
> procedure you use?
>
> Regards,
>
> Stanley
>
> >Dear Neville, Keith, Shane, Kevin et al,
> >
> >I have been studying the relationship of ankle motion to the rest of
the>
> >musculoskeletal system for over 17 years. I have collected a truckload
o> f data.
> >
> >At the commencement of each Talus Workshop I run, the participants
(afte> r
> >demonstration) are asked to perform the following:
> >Measure cervical rotation in standing
> >Measure supine:
> >hip internal and external rotation
> >Hamstring length
> >Distance between the scapulae at the upper and lower poles
> >Their posture using a plum bob so as to assess how vertical they are or
> are not
> >The passive dorsiflexion of both feet in the supine position.
> >
> >At the conclusion of the mobilisation section of the Workshop the
proces> s is
> >repeated.
> >
> >There are nearly 650 of these sets of data from Workshops and several
th> ousand
> >from my office consultations.
> >
> >I can assure you that there is always changes in every area some more
dr> amatic
> >than others.
> >
> >The average Australian posture is 2.5 inches in front of vertical at
the> ear
> >pre mobes. I get annoyed if they have not moved back at least 2 inches.
> >
> >The upper poles of the scapulae should be 12cms apart for every
individu> al
> >adult. Greater than 16cms means headaches. After foot mobes they should
> reduce
> >by at least 3.5 cms. at least.
> >
> >On average internal and external hip rotation return to approx normal.
> >Athletes have hamstring increases from 45 to 80+ on average
> >
> >Passive dorsiflexion (using 5Kg effort) should change from the found
val> ue to
> >+15 at least. It is not hard to change a -20 (plantar flexed) to a + 15
> in
> >under 5 minutes per foot. Having said that it can still take me 30
minut> es in
> >a 10-13 year old boy/girl. They are the hardest to change.
> >
> >Cervical passive rotation increases of 30 degrees are not uncommon
after>
> >simple mobilisation of the feet/ankle and nothing else.
> >
> >All these changes are from just mobilising the foot/ankle, simply that.
> If you
> >wish I will collate some of the data. It is spread out amongst many a
> >spreadsheet and data paper pages.
> >
> >No amount of gym work fitness work will change these values. The talus
> >controls it all.
> >
> >I put my ideas together so as to prove what I do and say is
statisticall> y
> >valid.
> >
> >The data I collected over a 2 year follow up period has been in
relation> to a
> >study called AQOL. The Australian Quality of Life Instrument. This is a
> 15
> >question questionaire that measures the quality of life of a group of
pe> ople
> >who undergo a format of treatment. Oranges and lemons can be compared.
T> hat is
> >outcomes can be measured for different treatments for the same
condition> .. It
> >is unique to all other studies.
> >
> >For more information go to google and type in Aust Q.... and it will
tak> e you
> >to Melbourne University. It is a free programme after registration. To
b> e
> >frank it is the most powerful assessment programme of its kind.
> >
> >In Australia the AQOL is 78. It is not a true percentage because the
ran> ge is
> >from -0.04 to 1.04. A person with OA of the hip has an AQOL of 53.
> >
> >I have performed this AQOL on 53 UK podiatrists and their average AQOL
i> s 62.
> >There is a profound difference between those in Scotland to London but
t> hat's
> >another story.
> >
> >42 Australian doctors have averaged 57 and they all thought they were
go> ing
> >well. It makes me shudder to think that if these persons who have
health> in
> >their hands will lower the health of their patients due to their lower
> >expectations that are unbeknown to themselves. On the other hand what
ha> ppens
> >to the patient who had an AQOL of 40 and in now 62 and wants to get
back> to
> >78, are they perceived as whingers?
> >
> >The study was on 300 patients, 48 fitted the criteria below. The data
wa> s
> >collected over a two year period. They were people who had suffered
pain> for
> >over 10 years, no workers' compensation, full time employment, seen at
l> east
> >10 specialists, had no surgical interventions, had spent at least 20000
> >dollars on therapy and had been on the therapy merry-go-round having
vis> ited,
> >chiros, osteos, physios, massage etc. etc without lasting success.
> >
> >Maybe hard to believe that three of the participants had an AQOL of <5.
> >Despite this they still continued to do things but at great expense to
t> heir
> >well being.
> >
> >Each person submitted the AQOl at zero, previsit, 3, 6 12 and 24 months
> later.
> >
> >Each had three things done
> >1. mobilisation of the feet and ankles
> >2. cervical motion correction using a technique that took over 4 years
t> o
> >develop. It is a cervical rotation process that requires a force of
less> that
> >1KG.
> >3. dry needling somewhere it deemed necessary. The commonest muscle dry
> >needled is the quadratus lumborum 1 in 6.5 needled events (based on a
12> 000
> >needled events on a microsoft spreadsheet)
> >
> >I am able to say that once the numbers were crunched (I did not have
the>
> >formula)by Professor N. Bogduk he was able to say that what I did
improv> ed the
> >quality of life in these individuals.
> >
> >Although there was three variables, I would like to think that
mobilisat> ion of
> >the ankle/foot played a major role.
> >
> >I am happy to share this data.
> >
> >I know it is a tome, but the importance of the foot in relationship to
t> he
> >whole musculoskeletal person cannot be underestimated.
> >
> >As Neil Armstrong said.. "One small step.."
> >
> >Regards,
> >
> >Paul Conneely
> >www.musmed.com.au
> >
> >
> >>Keith,
> >>
> >> I am unaware of RCT's, but these are not available for other areas of
> >>podiatric practice. There is a wealth of chiroprctic evidence
> >>supporting these procedures. This eveidence was presented on a course
> >>offered by David Cashley (which I attended and found very useful).
> >>David himself has pulished two papers in Podiatry Now, and although I
> >>have not attended Shane's course, I am confident that there subject
> >>matter has good eveidence to back it up.
> >>
> >> Thanks
> >>
> >> Neville
> >>
> >> Neville Parker
> >> Senior I Poditrist
> >> Podiatry Department
> >> Therapy Unit
> >> Royal Bolton Hospital
> >> Minerva Road
> >> Farnworth
> >> BL4 0JR
> >>
> >>
> >> -----Original Message-----
> >> From: A group for the academic discussion of current issues in
> >>podiatry on behalf of Rome, Keith
> >> Sent: Fri 07/10/2005 13:46
> >> To: [log in to unmask]
> >> Cc:
> >> Subject: Manipulation/mobilisation
> >>
> >>
> >>
> >> Good Afternoon Everyone
> >>
> >>
> >>
> >> Sorry I have not read all the correspondences relating to this
> >>
> >>
> >topical
> >
> >
> >>area. Just one simple question to ask the mail-base – is there
> >>any evidence to support the use of manipulation/mobilisation relating
t> o
> >>the foot or specific conditions relating to the foot and ankle?
> >>
> >>
> >>
> >> Professor Keith Rome
> >>
> >> School of Health & Social Care
> >>
> >> University of Teesside
> >>
> >> Middlesbrough TS1 3BA
> >>
> >>
> >>
> >> Tel: +44 1642-384977
> >>
> >> Fax: +44 1642-384105
> >>
> >>
> >>
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