Graham Curryer wrote:
> 
> Ray,
> 
> >I'd like to throw this open to all...let's really discuss how the
> profession can take clinical podiatric biomechanics into the scientific
> domain. Try to avoid the totally philosophical approach and get down to
> what specific bits of research we really should concentrate on....so
> where
> do we begin and how do we proceed?<
> 
> Thanks Ray.
> 
> If anyone has any comments good or bad! on my suggested reasearch
> critical pathway nows the time to get stck in, or if there are other
> suggestions to consider throw them into the sack and lets see what
> comes out! My suggested outline is copied below .
> 
> Step One
> 1) We can take the kinematic parameters suggested and test a cohort of
> "normal" subjects, each as there own control and demonstrate which
> parameters are a) testable - b) reliable - c)repeatable & d)valid. (within
> the limitations of our available technology.

Jeff replies:
Graham, doesn't the technology need to be developed and designed to test
specific parameters first?  Are you attempting to evaluate parameters
with an as yet, unproven technology.  Or are you attempting to develop
the technology so that certain parameters can be tested?  Or does the
technology currently exist?

I realize that for true progress to occur, there needs to be advancement
in both the technologies and the methodologies employed.

My personal sense of things from your comments above is that you may be
attempting to test too many variables at once.  Why not focus on one or
two primary elements of function and then refine you technique so that
you develop credibility with your system and methods.  Then, attempt to
build on the solid foundation once you have established it. 

I would also not feel compelled to attempt to draw any far reaching
conclusions from your data.  Collect you data and attempt to assess it
given the confines of your system.  The data may have value even if it
can not be fully explained.  If you attempt to draw conclusions because
you feel it is expected of you, my may make invalid assumptions that
could compromise your credibility.

If myself or others on the mailbase knew more about your current
methods, we might be able to make more specific recommendations for
research.  What equipment do you use for research or clinical purposes? 
For example, do you have the ability to evaluate forces on the plantar
surface of the foot and the plantar surface of the shoe simultaneously? 
Don't you think this would provide useful information about foot
function with and without the use of orthoses?

I would like to hear more about your work.

Regards,

Jeff


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