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除脚以外部位的矫形治疗
Orthotics treat areas other than the feet! It is perhaps a generalisation but nonetheless worth musing over, that prescription orthoses treat discomfort in sites other than the feet.
Possibly one of the most obvious and worse scenarios in a host of syndromes and dysfunctions is the patient with gross subtalar over pronation (6-10 degrees of calcaneal eversion) and collapse of the midtarsal joint with no sign of re-supination of the latter structures through to push off. Admittedly other structures become involved as the proprioceptively deprived system as a whole drops into a primitive low gear in a furtive endeavour to lurch to the next step.
The unlocking of all joint congruencies from the head to the ground on shoe contact, is so destructive that a gen- eral body reaction appears to occur. A cancerous desta- bilisation permeates the antigravity structures of the body, the knees, pelvis, low back, thorax, neck, shoulders and head. The ensuing disruption to the dynamic stabili- ty appears to have certain characteristics. In the extreme situation, being referred to for illustration, the domino effect becomes global.
Pain in and/or discomfort derives from the feet them- selves, the knees, low back, supra scapular area and headaches from various origins. All areas may contribute discomfort at the same time especially when combined with general postural weakness and environmental hos- tility. Conversely, specific pain areas arise in circum- stances where a singular genetic deformity eg. plan- tarflexed 1st ray or higher subtalar joint axis function dis- ruptively in an otherwise strong, well conditioned indi- vidual.
除脚以外部位的矫形治疗
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