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  • Proprioceptive Feedback in Orthotic Therapy

    Based on embryological studies, I propose that hyperpronation in the adult
    [gaiting] foot is the result of an ontogenetic retention of talar torsion
    [termed talar supinatus] seen during weeks 6pf-8pf in the developing embryo.
    Clinically, talar supinatus is visualized as an elevation of the medial
    column of the foot [termed Primus Metatarsus Elevatus], in the
    standing/neutral positioned foot. I have devised a way to measure PME using
    microwedges with confirmed high interrator reliability. I have introduced a
    way to reduce hyperpronation resulting from PME using postural insoles [not
    orthotics which weaken the feet]. Postural are based on Proprioceptive
    Feedback Stimulation, and are not used as supportive devices [e.g., arch
    supports/metatarsal bars or pads, etc].
    My work has been accepted for publication [January 2002] in the Journal
    of Bodywork and Movement Therapy [Harcourt Publishers, Leon Chaitow Editor].
    If you would like an electronic [Email] copy [Acrobat Reader 4.0 format],
    please send me an Email. It is a fairly large file [2.3Mb], so make sure
    your IP server will forward it to you. Please note: Most free IP servers
    will not send a file this size to individual mailboxes.

    Brian A. Rothbart DPM, PhD, FACFO

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