Case Report
Steven I. Subotnick
The following series of articles by various authors is presented to inform the readers of some current concepts in biomechanics of gait and podiatric sports medicine. Better understanding of the contents should facilitate health care delivery in orthopaedic and sports physical therapy:
1) The Foot and Sports Medicine-Biomechanical Foot Faults as Related to Chondromalacia Patellae*
David Ramig, DPM,
Jay Shadle, DPM,
C. Allen Watkins, DPM,
Daniel Cavolo, DPM,
Jeffrey R. Kreutzberg, DPM, PhD, RPT
2) The Foot and Chondromalacia-A Case of Biomechanical Uncertainty?
Dr. J. G. P. Williams, Secretary General
J Orthop Sports Phys Ther 1980;2(2):48-54.
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Clinical Commentary
Fred G. DeLacerda
This study identifies the anatomical factors involved in shinsplints. The investigation was confined to the identification of select anatomical factors common to female subjects who develop shinsplints. The height of the longitudinal arch of the foot, pronation of the foot, and ratio of body weight to height was correlated with the incidence of shinsplints. Within the limits of the study, only foot pronation was significantly related to the incidence of shinsplints.
J Orthop Sports Phys Ther 1980;2(2):55-59.
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Case Report
Fred G. DeLacerda
This study determines the relationship between foot position, foot pronation, and quantitative electromyography of the anterior tibialis muscle for three female subjects with contrasting histories of shinsplints. The subject with a chronic shinsplint problem had the greatest degree of foot pronation, which resulted in an increased stress of the anterior tibialis muscle. Stress in this muscle was associated with the occurrence of shinsplints. No conclusion was made regarding foot position and shinsplints.
J Orthop Sports Phys Ther 1980;2(2):60-64.
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Clinical Commentary
Bruce Heckman
National consciousness for physical fitness through running has propelled the creation of a new athletic shoe. The long distance running shoe or flat was designed to protect the foot from the rigors of long distance running. The protective design of shoes is patterned from infancy. If the athletic shoe manufacturer recognizes the mechanics of gait, a complementary design will be gained. This paper presents growth, anatomy, mechanics of gait, and recommendations for athletic footwear.
J Orthop Sports Phys Ther 1980;2(2):65-68.
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Case Report
Robert E. Mansell, Wayne Smith
The high school years, when viewed as the beginning of an athletic career, can be the most crucial period in an athlete's life. Thorough, proper, and professional medical care at this level is essential; improper management of the developing athlete can seriously impair the individual's future in competitive sports. This paper describes a case extending over an 18-month period involving a young athlete who experienced recurring pain and distress in the left groin. Continued acceptance of the pain as a simple muscular strain precluded a thorough examination of the case history and the disorder itself. Thus, accurate diagnosis and proper treatment were made more difficult.
J Orthop Sports Phys Ther 1980;2(2):69-71.
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Clinical Commentary
Dennis L. Hart, W. Roger Poston, Jan F. Perry
This paper presents a method for critically reading a research article. Emphasis is placed on the specific format of the question being asked, the control of variables to ensure internal and external validity, selected basic rules for applying statistics, and the justification for specific conclusions drawn by the investigator. The method is designed to be clinically relevant with the final evaluation stressing improved patient care. This format has been effectively used by students of the Department of Physical Therapy at the Medical College of Georgia for critiquing literature.
J Orthop Sports Phys Ther 1980;2(2):72-76.
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