Who is the Boss : the Back or the Foot ?
converted to a slip-on shoe ( see picture , above ) without correction . Her foot pain has since increased , which begs the question , who is the boss of this body ?
As these case studies demonstrate , there is no conclusive solution to my
question . Sometimes the foot is the boss and sometimes the back runs the show . Consequently , practitioners must be aware of the movement dysfunction driving the engine . The best way in which to continuously assess and treat complicated patients is through thoughtful and purpose-driven cooperation among the pedorthist , the physical therapist and the patient . It behooves all of us in the field of patient care to work in tandem to combine knowledge and talents to reduce pain and disability in aging populations to ensure that our patients live healthy and productive lives . ■
References
1 . Champion LM , Chatfield SI . Measurement of turnout in dance research . A critical review . J Dance Med Sc 2008 ; 12 ( 4 ): 121-135 .
2 . Foss et al . Generalized joint laxity associated with increased medial foot loading in female
athletes . J Athl Train 2009 ; 44 ( 4 ): 356-62 . 3 . Magee DJ : Orthopedic physical assessment , Ed 3 , Philadelphia , 1997 , WB Saunders .
4 . Mahers et al : Clinical anatomy principles , St Louis 1996 , Mosby .
5 . Norkin CC , Levangie PK : Joint structure and function : A comprehensive analysis , Ed 2 , 1962 , FA Davis .
7 . Pinto RZ et al . Bilateral and unilateral increases in calcaneal eversion affect pelvic alignment in standing . Man Ther 2008 ; 13 ( 4 ): 513- 9 .
Patricia Pande , PT , MCLSc , C . Ped ., CSCS , founder of FootCentric , is a physical therapist , pedorthist and strength and conditioning specialist . She currently practices as a foot and pedorthic expert at the University of North Carolina Physical Therapy Faculty Clinic and the privately owned Kinetic Institute of Physical Therapy .
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18 Pedorthic Footcare Association www . pedorthics . org