Case Report: Assessing & Correcting articular mechanics involved in squatting
October 23, 2012
In this video, taken at a Functional Anatomic Palpation Systems (F.A.P.) ‘Lower Limb’ seminar in Victoria BC, Canada, Dr. Spina assesses a participants body weight squat. He then describes his thought process by which he discovers multi-joint articular dysfunction. He then suggests ways to correct for said dysfunction.
Nice post Dr Spina, do u mean the client has a bunion? I thought bunions were more common in ovrrpronaters. How would you deal with overpronaters who have very little toeoff? Is it similar way you treat a supinator who has little toeoff? Thanks
Hi Ben
No, not necessarily a bunion….more specifically degenerative changes in the joint (which under certain circumstances can lead to the development of a bunion. In the video I discussed how the lack of ankle dorsiflexion is more common in supinators….here I was not referring to the big toe. This patient’s foot was neither overly supinated nor pronated.
For your second question, it is important to note that we cannot assess the status of the foot independent of the ankle. Nor can we classify foot function based on static observation. Thus a distinction must be made between for example a ‘locked’ supinator, vs a mobile one…and the same goes for pronation. In addition, one may have a normally pronating foot however may simultaneously have a locked mortise joint. All of these considerations have to be accounted for. In general, I would say that improving mobility in articulations is never a bad thing and can only help to enhance function (notice I did not say flexibility).
Thanks for the info, appreciate it. Where is a good place to get further training n resources re foot n ankle issues? In chiro so far we dont learn much abt it…