lawrence bevan wrote:
>
> Graham
>
> Does using a semi - weightbearing method affect forefoot to rearfoot ? How
> often due you use this method and what are your criteria for doing so?
>
> Lawrence
> -----Original Message-----
> From: Graham Curryer <[log in to unmask]>
> To: [log in to unmask] <[log in to unmask]>
> Date: 01 June 1999 20:46
> Subject: casting methods -Reply
>
> >Lawrence,
> >
> >Sagittal or Other I now use a semi weight bearing AMFIT contact
> >digitizing in STJ congruous, not neurtral. When casting with POP i cast
> >prone. I am happier with my rearfoot to forefoot alignment this way...not
> >that it matters right?
> >
> >regards.
> >
> >graham
> >
semi weightbearing is useful for seopcific feet and definately not all.
It OK when you are making an accommodative orthotic whose function may
not include reducing excessive pronation across the subtalr joint. It
is not great for loose feet with a mobile (???unstable) forefoot because
of the increased potential for excessive elevation of the first ray and
rotation at the long axis. That increases the sliding laterally off the
orthotic. If you do use it nor a "lax foot, get good at finding ways
you can keep the forefoot in the psoture you wish for it to be. Also,
you must get good at teaching your patients to not "help" you when you
are using any of the semi-weightbearing methods. Valmassay and Michaud
have some excellent discussions on when to use them and when not to.
Sincerely,
Freeman Churchill, C. Ped ( C )
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|