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Effect of the Low-Dye Strap on Pronation-Sensitive Mechanical Attributes of the Foot

Jeffrey M. Whitaker California College of Podiatric Medicine, San Francisco.

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Kazuto Augustus California College of Podiatric Medicine, San Francisco.

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Suzanne Ishii California College of Podiatric Medicine, San Francisco.

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The low-Dye strap is used routinely to temporarily control pronation of the foot and, thereby, to diagnose and treat pronatory sequelae. However, the exact biomechanical effects of this strapping technique on the foot are not well documented. The main purpose of this study was to establish the specific mechanical effects of the low-Dye strap on the pronatory foot. Within this context, the specific aim was to assess the effect of the low-Dye strap on three distinct pronation-sensitive mechanical attributes of the foot in the weightbearing state: 1) calcaneal eversion, 2) first metatarsophalangeal joint range of motion, and 3) medial longitudinal arch height. Weightbearing measurements of these three attributes were made before and after application of a low-Dye strap, and statistical comparisons were made. The results of this study indicate that the low-Dye strap is effective in reducing calcaneal eversion, increasing first metatarsophalangeal joint range of motion, and increasing medial longitudinal arch height in the weightbearing state. Knowledge of the exact mechanisms of action of the low-Dye strap will provide practitioners with greater confidence in the use of this modality. (J Am Podiatr Med Assoc 93(2): 118-123, 2003)

Corresponding author: Jeffrey M. Whitaker, DPM, 235 Hooks Ln, Canonsburg, PA 15317.
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