Control

Hi everyone.  🙂  Long time no talk.  My plan was to take a break from blogging for a month or 2 as I build back up a semi-normal life but Dean f’ed up my plan by e-mailing me and asking me a question that I kinda thought was brilliant so I had to write a post about it.  I asked Dean for his permission to share this so HIPPA police stay away from me.  He asked about a foot issue that he is having, that it’s landing wrong during the gait cycle.  Then he asked for exercises that would further increase the offending motion and in my orthopedic PT brain I thought “uhh why would he want to do that?”  He told me that “I want to work on both inward and outward motion because I think doing both will cause neuroplasticity to take place faster.”

Brilliant!

Yes, I totally agree.  Oh man.  So Dean’s issue is that when he walks his foots lands wrong and turns outward.  For an orthopedic issue – well let’s just get the opposite muscle really strong and fix the motion.  For a neuro issue, can’t think like that.  It makes so much sense what Dean proposed – to work on the motion that’s bad and causing the issue and gain more control over it.  Gain more control, and then….well you’ll be able to control it better and in turn hopefully decrease the problem.  So, the motion that’s causing him the issue is that due to his spasticity, his left foot hits the ground in a position of eversion.  It doesn’t land straight forward like a good foot should.

inversion-of-the-ankle-4

So he asked me for exercises that would further force it to turn outward, and I was thinking, “whaaaaa?”  And then a few seconds later I thought it was genius of him to come up with that.

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Categories: Health, Rehab, Stroke stuff

Tags: , , , , ,

10 replies

  1. Okay so what do you do for an inverted foot? I’ve used the theraband to exercise the foot outward and hopefully strengthen the opposing muscle for almost 3 years now, but with no positive results. Any other suggestions?

  2. You know Amy you can blow off my questions until you feel like getting around to them. But I thank you for the wonderful reply.

  3. Yay for the blog! I have the inversion problem, my PT has only has sports recovery experience. Small town, no help. 😦

  4. My spasticity causes inversion, but the Bioness L300, which I’ve worn for 3 years, has electronically stimulated my peroneus muscles every step, which causes eversion that counterbalances, and my foot lands heel-first, pointing forward. Even without the stimulation now, I can evert my foot.

  5. Awww, but when u don’t post….I am forced to find my own grupmy cat laughs!!! 😦

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