• 1

    Lee WE: Podiatric biomechanics. An historical appraisal and discussion of the Root model as a clinical system of approach in the present context of theoretical uncertainty. .Clin Podiatr Med Surg 18::555. ,2001. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2

    Harradine P, Bevan L, Carter N: An overview of podiatric biomechanics theory and its relation to selected gait dysfunction. .Physiotherapy 92::122. ,2006. .

    • Search Google Scholar
    • Export Citation
  • 3

    Harradine PD, Bevan LJ, Carter N: Gait dysfunction and podiatric therapy: part 1. Foot-based models and orthotic management. .Br J Podiatry 6::5. ,2003. .

    • Search Google Scholar
    • Export Citation
  • 4

    Harradine PD, Jarret J: Podiatric biomechanics: the efficacy of a service within the NHS. .Foot 11::15. ,2001. .

  • 5

    Dananberg HJ, Guiliano M: Chronic low-back pain and its response to custom-made foot orthoses. .JAPMA 89::109. ,1999. .

  • 6

    Landorf K, Keenan A: Efficacy of foot orthoses: what does the literature tell us?. JAPMA 90.: 149,2000. .

  • 7

    Blake RL, Denton JA: Functional foot orthoses for athletic injuries: a retrospective study. .JAPMA 75::359. ,1985. .

  • 8

    Donatelli R, Hurlbert C, Conaway D, et al: Biomechanical foot orthotics: a retrospective study. .J Orthop Sports Phys Ther 10::205. ,1988. .

  • 9

    Gross ML, Davlin LB, Evanski PM: Effectiveness of orthotic shoe inserts in the long-distance runner. .Am J Sports Med 19::409. ,1991. .

  • 10

    Thompson JA, Jennings MB, Hodge W: Orthotic therapy in the management of osteoarthritis. .JAPMA 82::136. ,1992. .

  • 11

    Ferguson H, Raskowsky M, Blake RL, et al: TL-61 versus Rohadur orthoses in heel spur syndrome. .JAPMA 81::439. ,1991. .

  • 12

    Moraros J, Hodge W: Orthotic survey. Preliminary results. .JAPMA 83::139. ,1993. .

  • 13

    Saggini R, Giamberardino MA, Gatteschi L, et al: Myofascial pain syndrome of the peroneus longus: biomechanical approach. .Clin J Pain 12::30. ,1996. .

  • 14

    Lynch DM, Goforth WP, Martin JE, et al: Conservative treatment of plantar fasciitis. A prospective study. .JAPMA 88::375. ,1998. .

  • 15

    Saxena A, Haddad J: The effect of foot orthoses on patellofemoral pain syndrome. .JAPMA 93::264. ,2003. .

  • 16

    Sobel E, Levitz SJ, Caselli MA: Orthoses in the treatment of rearfoot problems. .JAPMA 89::220. ,1999. .

  • 17

    Woodburn J, Barker S, Helliwell PS: A randomized controlled trial of foot orthoses in rheumatoid arthritis. .J Rheumatol 29::1377. ,2002. .

  • 18

    Slattery M, Tinley P: The efficacy of functional foot orthoses in the control of pain in ankle joint disintegration in hemophilia. .JAPMA 91::240. ,2001. .

    • Search Google Scholar
    • Export Citation
  • 19

    Root ML: How was the Root Functional Orthotic Developed? Perspectives in Podiatry. Podiatry Arts Lab Inc. Los Angeles. ,1981. .

  • 20

    Root ML, Orien WP, Weed JH: Normal and Abnormal Function of the Foot, Vol 2, Clinical Biomechanics Corporation, Los Angeles. ,1977. .

  • 21

    Root ML, Orien WP, Weed JH, et al: Biomechanical Examination of the Foot, Vol 1, Clinical Biomechanics Corporation, Los Angeles. ,1971. .

  • 22

    Anthony R: The Manufacture and Use of the Functional Foot Orthoses, Karger, Basel. ,1990. .

  • 23

    Curran M, Pratt D: “Prescription Orthoses,” in Clinical Skills in Treating the Foot, 2nd Ed, ed by WA Turner, LM Merriam, Churchill Livingstone, London. ,2005. .

    • Crossref
    • Export Citation
  • 24

    Hunter S, Doaln M, Davis J: Foot Orthotics in Therapy and Sport, 1st Ed, Human Kinetics, United Kingdom. ,1995. .

  • 25

    Michaud TC: Foot Orthoses and Other Forms of Conservative Foot Care, 2nd Ed, ed by TC Michaud, Lippincott Williams & Wilkins, Baltimore. ,1997. .

  • 26

    Philps JW: The Functional Foot Orthosis, 1st Ed, Elsevier Science, London. ,1990. .

    • Crossref
    • Export Citation
  • 27

    Resseque B. “Orthotic Management,” in Introduction to Podopaediatrics, 2nd Ed, ed by P Thomson, R Volpe, Churchill Livingstone, London. ,2001. .

    • Crossref
    • Export Citation
  • 28

    Valmassy RL: “Lower Extremity Treatment Modalities for the Pediatric Patient” in Clinical Biomechanics of the Lower Extremities, ed by RL Valmassy, Mosby, St. Louis. ,1996. .

  • 29

    Valmassy R, Subotnick SI: “Orthoses,” in Sports Medicine of the Lower Extremity, 2nd Ed, ed by SI Subotnick, Churchill Livingstone, London. ,1999. .

  • 30

    Weed JH, Ratliff FD, Ross SA: Biplanar grind for rearfoot posts on functional orthoses. .JAPA 69::35. ,1979. .

  • 31

    Norris CM: “Biomechanics of the Lower Limb,” in Sports Injuries, Diagnosis and Management for Physiotherapists, Butterworth Heinemann, Oxford. ,1993. .

  • 32

    McPoil TG, Hunt GC: Evaluation and management of foot and ankle disorders: present problems and future directions. .J Orthop Sports Phys Ther 21::381. ,1995. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 33

    Landorf K, Keenan AM, Rushworth R: Foot orthoses prescription habits of Australian and New Zealand podiatric physicians. .JAPMA 91::174. ,2001. .

    • Search Google Scholar
    • Export Citation
  • 34

    Root ML, Orien WP, Weed JH: Neutral Position Casting Techniques, Vol 3, Clinical Biomechanics Corporation, Los Angeles. ,1978. .

  • 35

    Phillips RD, Christeck R, Phillips RL: Clinical measurement of the axis of the subtalar joint. .JAPMA 75::119. ,1985. .

  • 36

    Dananberg HJ: Functional hallux limitus and its relationship to gait efficiency. .JAPMA 76::648. ,1986. .

  • 37

    Dananberg HJ: Gait style as an etiology to chronic postural pain: part 1. Functional hallux limitus. .JAPMA 83::433. ,1993. .

  • 38

    Dananberg HJ: Gait style as an etiology to chronic postural pain: part 2. Postural compensatory processes. .JAPMA 83::615. ,1993. .

  • 39

    Dananberg HJ: “Lower Back Pain: A Repetitive Motion Injury,” in Movement, Stability and Low Back Pain: The Role of the Sacroiliac Joint, ed by A Vleeming, V Mooney, CJ Snijders, et al, Churchill Livingstone, Edinburgh. ,1997. .

  • 40

    Dananberg HJ: “Lower Extremity Mechanics and Their Effect on Lumbosacral Function,” in The Spine, State of the Art Reviews, Harley and Belfus Inc, Philadelphia. ,1995. .

  • 41

    Dananberg H: Question and Answer Session. .The Podiatric Biomechanics Group Focus 7::7. ,1999. .

  • 42

    Dananberg H: “Sagittal Plane Biomechanics,” in Sports Medicine of the Lower Extremity, 2nd Ed, ed by SI Subotnick, Churchill Livingstone, London. ,1999. .

  • 43

    Dananberg H: Biomechanics Summer School 2000, Conference Notes..

  • 44

    Kirby KA: Methods for determination of positional variations in the subtalar joint axis. .JAPMA 77::228. ,1987. .

  • 45

    Kirby KA: Subtalar joint axis location and rotational equilibrium theory of foot function. .JAPMA 91::465. ,2001. .

  • 46

    Kirby KA: Biomechanics of the normal and abnormal foot. .JAPMA 90::30. ,2000. .

  • 47

    Fuller EA: The windlass mechanism of the foot: a mechanical model to explain pathology. .JAPMA 90::35. ,2000. .

  • 48

    Fuller EA: Center of pressure and its theoretical relationship to foot pathology. .JAPMA 89::278. ,1999. .

  • 49

    Fuller E: Lecture Notes: The Tissue Stress Paradigm for Foot Biomechanics. The Podiatric Biomechanics Group. November. ,1999. .

  • 50

    Kirby KA: Foot and Lower Extremity Biomechanics: A Ten Year Collection of Precision Intricast News Letters, Precision Intricast Incorporated, Payson, Arizona. ,1997. .

  • 51

    Kirby KA: The medial heel skive technique: improving pronation control in foot orthoses. .JAPMA 82::177. ,1992. .

  • 52

    Kirby KA: Foot and Lower Extremity Biomechanics II: Precision Intricast Newsletters, 1997–2002, Precision Intricast, Incorporated, Payson, Arizona. ,2002. .

  • 53

    McNerney JE: “Football Injuries,” in Sports Medicine of the Lower Extremity, 2nd Ed, ed by SI Subotnick, Churchill Livingstone, London. ,1999. .

  • 54

    Perry J: Gait Analysis: Normal and Pathologic Function, Slack, Thorofare, NJ. ,1992. .

    • Crossref
    • Export Citation
  • 55

    Sarrafian SK: Functional characteristics of the foot and plantar aponeurosis under tibio-fibular loading. .Foot Ankle 8::10. ,1987. .

  • 56

    Aquino A, Payne C: The role of the reverse windlass mechanism in foot pathology. .Aust J Pod Med 34::32. ,2000. .

  • 57

    Hicks JH: The mechanics of the foot II. The plantar aponeurosis and the arch. .J Anat 88::25. ,1954. .

  • 58

    Sarrafian SK: “Retaining Systems and Components,” in Anatomy of the Foot and Ankle. Descriptive, Topographic, Functional, 2nd Ed, ed by SK Sarrafian, Lippincott, Philadelphia. ,1993. .

  • 59

    Cheung JT, An KN, Zhang M: Consequences of partial and total plantar fascia release: a finite element study. .Foot Ankle Int 27::125. ,2006. .

  • 60

    Panjabi M, White A: Biomechanics in the Musculoskeletal System, 1st Ed, p 151, Churchill Livingstone, London. ,2001. .

  • 61

    Borrelli AH: Planar dominance: a major determinant in flatfoot stabilization. .Clin Podiatr Med Surg 16::407. ,1999. .

  • 62

    Carter N, Harradine PD, Bevan LJ: Podiatric biomechanics: part 2. The role of proximal muscle balance. .Br J Podiatr 11::53. ,2003. .

  • 63

    Teitz CC, Hu SS, Arendt EA: The female athlete: evaluation and treatment of sports-related problems. .J Am Acad Orthop Surg 5::87. ,1997. .

  • 64

    Bevan LS, Harradine PD, Durrant B: The effect of temporary immobilisation of the 1st metatarsophalangeal joint upon in-shoe gait analysis parameters: a preliminary study. .Br J Podiatr 7::54. ,2004. .

    • Search Google Scholar
    • Export Citation
  • 65

    Bosjen-Moller F: Calcaneocuboid joint stability of the longitudinal arch of the foot at high and low gear push off. .J Anat 129::165. ,1979. .

  • 66

    Clough JG: Functional hallux limitus and lesser-metatarsal overload. .JAPMA 95::593. ,2005. .

  • 67

    Camasta CA: Hallux limitus and hallux rigidus. Clinical examination, radiographic findings, and natural history. .Clin Podiatr Med Surg 13::423. ,1996. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 68

    Coughlin MJ, Shurnas PS: Hallux rigidus: demographics, etiology, and radiographic assessment. .Foot Ankle Int 24::731. ,2003. .

  • 69

    Roukis TS, Schere PR, Anderson CF: Position of the first ray and motion of the first metatarsophalangeal joint. .JAPMA 86::538. ,1996. .

    • Search Google Scholar
    • Export Citation
  • 70

    Harradine PD, Bevan LS: The effect of rearfoot eversion upon maximal hallux dorsiflexion: a preliminary study. .JAPMA 90::390. ,2000. .

  • 71

    Corrigan B, Maitland G: Practical Orthopaedic Medicine, 1st Ed, p 113, Butterworth-Heinemann, Oxford. ,1983. .

  • 72

    Wrobel JS, Connolly JE, Beach ML: Associations between static and functional measures of joint function in the foot and ankle. .JAPMA 94::535. ,2004. .

    • Search Google Scholar
    • Export Citation
  • 73

    McKenzie RA: The Lumbar Spine, Mechanical Diagnosis and Therapy, Spinal Publications Limited, New Zealand. ,1981. .

  • 74

    Maitland GD: Vertebral Manipulation, Butterworth-Heinemann, Oxford. ,2000. .

A Review of the Theoretical Unified Approach to Podiatric Biomechanics in Relation to Foot Orthoses Therapy

Paul Harradine The Podiatry and Chiropody Centre, Portsmouth, Hants, United Kingdom.

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Lawrence Bevan Gloucestershire Podiatry Department, St. Paul’s Medical Centre, Cheltenham, United Kingdom.

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Background: Diverse theories of orthoses application have evolved with the continual development of podiatric biomechanics and orthotic management. This theoretical disparity can lead to confusion in clinical, educational, and research situations. However, although approaches are varied, the common consensus is that foot orthoses outcomes are generally positive.

Methods: Three main podiatric theories exist: the foot morphology theory, the sagittal plane facilitation theory, and tissue stress theory. By researching the available literature, the perspectives of all three theories are summarized, emphasizing areas of conflict and agreement.

Results: Through a unified theory, we introduce a premise by which the similar orthotic outcomes obtained from the three main podiatric theories may be explained.

Conclusions: It remains up to the individual podiatric physician to decide which method to use to prescribe a foot orthosis. It may be of benefit to encompass all approaches rather than be dogmatic or exclusive. (J Am Podiatr Med Assoc 99(4): 317–325, 2009)

Corresponding author: Paul Harradine, MSc, The Podiatry and Chiropody Centre, 77 Chatsworth Ave, Portsmouth, Hants, PO6 2UH United Kingdom. (E-mail: podiathing@yahoo.co.uk)