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PODIATRY  2006

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Subject:

Re: Normal walking

From:

Simon Spooner <[log in to unmask]>

Reply-To:

A group for the academic discussion of current issues in podiatry <[log in to unmask]>

Date:

Fri, 21 Jul 2006 11:10:41 +0100

Content-Type:

multipart/alternative

Parts/Attachments:

Parts/Attachments

text/plain (131 lines) , text/enriched (170 lines)

How do we define efficiency? In mechanics this has a very clear 
definition. Why would PT be less efficient on a flat surface than an 
uneven one?



On 20 Jul 2006, at 19:39, Maire Murphy wrote:

> Or wouldn't it be that the tib post is not working efficiently in a 
> shod situation
> on a flat man made surface as opposed to barefoot over uneven terrain 
> or even shod over uneven terrain.
>  
> Maire Murphy
> [log in to unmask]
> ----- Original Message -----
> From: Simon Spooner
> To: [log in to unmask]
> Sent:Thursday, July 20, 2006 7:06 PM
> Subject:Re: Normal walking
>
> Dave,
>
> Any academic subject which you consider worthy of discussion is worthy 
> of discussion. The fact that I gave my opinion on this should not end 
> the discussion, feel free to explore the concepts as much as you like. 
> However, as you know, in academic debate when someone makes a 
> statement, it is customary to ask that individual to prove it. The 
> shod foot may indeed be deprived somewhat of sensory input as Robbins 
> suggested. What effect does skin surface temperature have on sensory 
> input? OK at the moment were in the middle of a heat wave but what 
> would happen to our sensory input during barefoot walking in winter? 
> Nigg has done some work on this, so too I believe has Craig with 
> somewhat different results. I don't understand your reasoning re: tib 
> post in shod versus unshod given the same terrain? Explain please?
>
> I'm looking forward to developing my invisible sun theory.
> On 20 Jul 2006, at 18:27, David Smith wrote:
>
>
> Simon and all
>  
> When I orignaly asked about natural ground versus man,made sufaces I 
> was really using the forum to explore my thoughts. I was not claiming 
> any new breakthrough or selling myself or a product. Do you think it 
> is fair to discuss some subject of interest just to see what comes 
> from it without first having proof by means of research etc.
> Now I of course know that similar things have been discussed before 
> and Simon you have very clear views on the subject.
> I agree that in everyday ambulation the topography of the surfaces we 
> walk on and the actions we make on those surfaces are highly variable. 
> It would therefore seem unlikely that varying surface contours are 
> being aetiological of chronic trauma, when comparing natural and man 
> made surfaces. Also the point that Kevin makes about the likelyhood 
> of  more acute trauma occurring when ambulating on rough ground is 
> valid. However this is where I think I am putting forward a different 
> view.
> When walking shod over any surface it would seem we tend to have a 
> gait strategy that keeps us in the heel toe pattern as much as 
> possible. When walking barefoot over any surface but in particular 
> natural surface we have other gait criteria which superceed the need 
> to attain the heel toe pattern and therefore walk in that pattern far 
> less often.
> Therefore it may be shoes which, for instance, allow us to disregard 
> considerations about potential acute pain and/or not allow us to 
> consider new sensory input or more stable foot placement. So even 
> though the terrain per se may not cause repetitive traumatic stress, 
> in terms of natural V's man made surfaces, the altered 
> considerations to the way we walk may do so, in terms of shod V's 
> unshod.
> Could it not be then that the post tib muscle for instance may repeat 
> the same RoM more times per day when shod than when unshod and this 
> would cause failure at some time.
> How this point, if proven, would help in the treatment of a generally 
> shod population I don't know yet but surely discussing it can be 
> helpful.
>  
> Cheers Dave
>  
>  
> ----- Original Message -----
> From:Simon Spooner
> To:[log in to unmask]
> Sent:Wednesday, July 19, 2006 5:52 PM
> Subject:Re: Normal walking
>
> All,
>
> A nice text which explores the kinematics and kinetics of activities 
> of daily living is:
>
> Functional Human Movement: Measurement and Analysis
> by Brian R. Durward (Editor), Gillian D. Baer (Editor), Philip J. Rowe 
> (Editor)Publisher:Butterworth-Heinemann (May 1999)
>
> They talk about sitting from standing and vice versa, stair climbing, 
> pointing and reaching etc. as well as walking and running.
>
> I USED to have a copy- if you are reading this and you have my copy- I 
> won't name and shame but I do know you have it- I would like it back 
> please. Thanks.
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