Thinking differently sometimes means making small adjustments to an already refined process. The problem with being passionate about a process is that our attempts to refine it mean that we overlook what’s missing and thus forget to think differently about what we already know… The best way to really know anything is to challenge it… and to challenge what you know means you have to think differently. Thinking differently sometimes means doing the exact opposite.
Thinking differently about therapy is not actually that hard. There are some pretty hard and fast rules to think differently about. You can just flip them upside down and oppose them. If the gold standard is to lay someone down to treat them, try standing them up. If the goal in doing this is to challenge conventional thought processes then we’d need a successful outcome when standing them up to give us reason to no longer lay them down again….
As a ski boot fitter, I was taught to find neutral in a foot, something I notice that very few therapists are taught and something that has given me lots of insight over the years.
This video discusses:
- finding neutral in the foot via the talus bone
- using the big toe to guide you to where neutral is
- How being able to access both sides of neutral benefits the body as a whole
The relationship between our Base of Support (BOS) and our Centre of Mass (COM) may be more important than originally considered; I think of it as “Mass Management”, how we manage our mass is probably more important than what our muscles are doing and what our joints are doing; it has become very clear that this relationship is influencing the internal make up of the body – and must not be forgotten that the internal make up can of course influence this relationship…
The video shows Chris standing on a force plate or pressure platform, the AM3 platform, which records pressure and feeds it into the Footwork Pro software on the computer. It shows his Centre of gravity, a vertical representation of his COM position….
In one of my WTF rants I discuss knee over toe and why, when it comes to human movement and rehabilitation of the knee, it’s a misinterpreted concept. I made a video link out in the book, now available to anyone interested, where I show the foot and it’s various axes to observe the nature of movement in the knee given certain movements in the foot.
In this video I use a very simple (non-validated ☺) ‘pen test’ which shows the angle of the knee in relation to the second metatarsal axis which is how it gives us an idea of how much pronation is present. The knee and the sub-talar joint axis generally follow each other through the gait cycle – which makes sense since the knee sits atop the tibia which sits atop the talus bone.