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One of the most important components of
a foot evaluation is observing the patient's gait. Often, this will
be the key to determining an effective treatment plan for biomechanical
conditions. Postural deformities, physical limitations, and
the position of the foot at heel strike and through the gait cycle
are identified by watching the patient walk.
Motion occurs primarily around the subtalar, or talocalcaneal, joint. This motion occurs in three planes and includes inversion-eversion, abduction-adduction, and dorsiflexion and plantar flexion. A combination of dorsiflexion, abduction, and eversion is commonly referred to as pronation, while a combination of the opposite movements--plantar flexion, adduction, and inversion--is known as supination. Any limitations of movement or crepitus should be recorded, as does the patient's foot type and shoe style. The degree of pronation or supination must be determined. This is achieved by evaluative measures performed by your chiropodist. |
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