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PODIATRY Home

PODIATRY  May 2007

PODIATRY May 2007

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Subject:

Re: Midtarsal Joint and non engineering discussion

From:

Stanley Beekman <[log in to unmask]>

Reply-To:

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

Date:

Thu, 17 May 2007 23:48:57 -0400

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (156 lines)

Hi Shane,

First of all I am just beginning to learn. It took me close to 30 years 
to have enough knowledge to begin to learn.
I think what you are saying about us taking different approaches is 
astute, but this may or may not matter. I have been checking glide the 
last few days, and have been using it as a basis for treatment. I also 
have been double checking some of these with muscle testing and it 
confirms a subluxation.
Yes, I do mean the kinesiology muscle testing.  If you are seeing it 
done with the arm, then you are not watching someone who is not very 
good at it. You have to specifically test one muscle, as not all muscles 
are involved or respond to all dysfunctions. Combination movements are 
very inaccurate. It also takes a lot of skill to do the test properly. I 
have been doing it for over 10 years, and I always recheck to make sure 
that I am accurate. The key to the test is to feel the isometric muscle 
contraction. Does it lock or do you feel the fibers glide? You have to 
make sure you have enough force to feel the locked muscle stretch, and 
not so much that you overpower the muscle. There are many ways you can 
use these tests to give you information.

Regards,

Stanley

Shane Toohey wrote:
> Hi Stanley,
>
> As mentioned, my catch up night is tonight, so I'm replying to your
> comments from a couple of days ago which I greatly appreciated and am
> keen to engage in.
>
> You wrote:  "I also found I could easily do the manipulation with the
> patient seated. I didn't have to do
> the Hiss manipulation. I have tried Conneely's mobilizations, but I
> don't have anywhere the skill he does, 
> so my manipulations are rougher. As far as a more permanent
> correction, I was wondering how you determine
> if a cuneiform is subluxed. Do you palpate plantarly, feel the range
> of
> motion, or muscle test? I was trained in muscle testing as a means of
> finding subluxations in addition to other faults. I prefer muscle
> testing personally, because I can then find out what negates the
> muscle
> test. If you do not perform muscle tests, then you are limited."
>
> Firstly, I did learn some foot manipulations  about 10 years ago and
> used them when almost all else failed and with particularly stiff
> feet. I've been doing Paul Conneely's mobilisation for about 3 years
> and have gone to a few workshops a year since then and facilitated
> more of his workshops for associates and others. AND I'M STILL
> LEARNING!
> This said, it means our approaches are different. I don't think in
> subluxations. What I'm checking for is "glide" in these cuneiforms
> and I do use plantar pressure and dorsal palpation to determine this.
> If it is absent or limited then I'm trying to restore or enhance it.
> Now you have a lot more training and experience in manual therapies
> and if what I'm saying is rubbish don't hesitate to let me know. I
> think you have met Paul and seen him work. The midfoot was the topic
> of discussion but I can only say it as "freeing up" the rearfoot is a
> precursor usually to doing the midfoot. So my focus is on
> 'mobilising' any bone/joint that isn't.  My test really is whether
> I've restored/improved the glide - so again a different perspective.
>
> By muscle testing do mean the kinesiology type testing, where an
> increase range or resistance in a segment such as the arm is used to
> check success of an intervention? 
>
> Cheers
> Shane
>
> -----------------------------------------------------------------
> This message was distributed by the Podiatry JISCmail list server
> All opinions and assertions contained in this message are those of
> the original author. The listowner(s) and the JISCmail service take
> no responsibility for the content.
> to leave the Podiatry email list send a message containing the text
> leave podiatry
> to [log in to unmask]
> Please visit http://www.jiscmail.ac.uk for any further information
> -----------------------------------------------------------------
>
>
>   

Shane Toohey wrote:
> Hi Stanley,
>
> As mentioned, my catch up night is tonight, so I'm replying to your
> comments from a couple of days ago which I greatly appreciated and am
> keen to engage in.
>
> You wrote:  "I also found I could easily do the manipulation with the
> patient seated. I didn't have to do
> the Hiss manipulation. I have tried Conneely's mobilizations, but I
> don't have anywhere the skill he does, 
> so my manipulations are rougher. As far as a more permanent
> correction, I was wondering how you determine
> if a cuneiform is subluxed. Do you palpate plantarly, feel the range
> of
> motion, or muscle test? I was trained in muscle testing as a means of
> finding subluxations in addition to other faults. I prefer muscle
> testing personally, because I can then find out what negates the
> muscle
> test. If you do not perform muscle tests, then you are limited."
>
> Firstly, I did learn some foot manipulations  about 10 years ago and
> used them when almost all else failed and with particularly stiff
> feet. I've been doing Paul Conneely's mobilisation for about 3 years
> and have gone to a few workshops a year since then and facilitated
> more of his workshops for associates and others. AND I'M STILL
> LEARNING!
> This said, it means our approaches are different. I don't think in
> subluxations. What I'm checking for is "glide" in these cuneiforms
> and I do use plantar pressure and dorsal palpation to determine this.
> If it is absent or limited then I'm trying to restore or enhance it.
> Now you have a lot more training and experience in manual therapies
> and if what I'm saying is rubbish don't hesitate to let me know. I
> think you have met Paul and seen him work. The midfoot was the topic
> of discussion but I can only say it as "freeing up" the rearfoot is a
> precursor usually to doing the midfoot. So my focus is on
> 'mobilising' any bone/joint that isn't.  My test really is whether
> I've restored/improved the glide - so again a different perspective.
>
> By muscle testing do mean the kinesiology type testing, where an
> increase range or resistance in a segment such as the arm is used to
> check success of an intervention? 
>
> Cheers
> Shane
>
> -----------------------------------------------------------------
> This message was distributed by the Podiatry JISCmail list server
> All opinions and assertions contained in this message are those of
> the original author. The listowner(s) and the JISCmail service take
> no responsibility for the content.
> to leave the Podiatry email list send a message containing the text
> leave podiatry
> to [log in to unmask]
> Please visit http://www.jiscmail.ac.uk for any further information
> -----------------------------------------------------------------
>
>
>   

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