Updated Narratives in Podiatry – The Knowledge Exchange Podcast

Updated Narratives in Podiatry – The Knowledge Exchange Podcast

Daniel Arbilla and the team at The Knowledge Exchange were gracious enough to have me on their podcast and talk about all things MSK Podiatry.
We talked a lot about foot posture, foot orthoses and the need for a new narrative around how and why they work. We also discussed my approach to issuing foot orthoses in practice and start a shared decision making process with some examples.

You can find the podcast using this link or where you usually get your podcasts.
https://tkex.org/…/alex-murray-updated-narratives-in-podiat…

References:
Kogler, G. F., Veer, F. B., Solomonidis, S. E., & Paul, J. P. (1999). The Influence of Medial and Lateral Placement of Orthotic Wedges on Loading of the Plantar Aponeurosis. An in Vitro Study*. The Journal of Bone & Joint Surgery, 81(10), 1403–13. doi: 10.2106/00004623-199910000-00005
https://journals.lww.com/…/The_Influence_of_Medial_and_Late…

Kogler, G., Solomonidis, S., & Paul, J. (1996). Biomechanics of longitudinal arch support mechanisms in foot orthoses and their effect on plantar aponeurosis strain. Clinical Biomechanics, 11(5), 243–252. doi: 10.1016/0268-0033(96)00019-8
https://www.ncbi.nlm.nih.gov/pubmed/11415628

Neal, B. S., Griffiths, I. B., Dowling, G. J., Murley, G. S., Munteanu, S. E., Smith, M. M. F., … Barton, C. J. (2014). Foot posture as a risk factor for lower limb overuse injury: a systematic review and meta-analysis. Journal of Foot and Ankle Research, 7(1). doi: 10.1186/s13047-014-0055-4
https://jfootankleres.biomedcentral.com/…/10.1186/s13047-01…

Dowling, G. J., Murley, G. S., Munteanu, S. E., Smith, M. M. F., Neal, B. S., Griffiths, I. B., … Collins, N. J. (2014). Dynamic foot function as a risk factor for lower limb overuse injury: a systematic review. Journal of Foot and Ankle Research, 7(1). doi: 10.1186/s13047-014-0053-6
https://jfootankleres.biomedcentral.com/…/10.1186/s13047-01…

Buldt, A. K., Levinger, P., Murley, G. S., Menz, H. B., Nester, C. J., & Landorf, K. B. (2015). Foot posture and function have only minor effects on knee function during barefoot walking in healthy individuals. Clinical Biomechanics, 30(5), 431–437. doi: 10.1016/j.clinbiomech.2015.03.014
https://www.sciencedirect.com/…/a…/abs/pii/S0268003315000790

Whittaker, G. A., Munteanu, S. E., Menz, H. B., Tan, J. M., Rabusin, C. L., & Landorf, K. B. (2017). Foot orthoses for plantar heel pain: a systematic review and meta-analysis. British Journal of Sports Medicine, 52(5), 322–328. doi: 10.1136/bjsports-2016-097355
https://bjsm.bmj.com/content/52/5/322

Nester, C. J. (2009). Lessons from dynamic cadaver and invasive bone pin studies: do we know how the foot really moves during gait? Journal of Foot and Ankle Research, 2(1). doi: 10.1186/1757-1146-2-18
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2695812/

Ferber, R., Davis, I. M., & Williams, D. S. (2005). Effect of foot orthotics on rearfoot and tibia joint coupling patterns and variability. Journal of Biomechanics, 38(3), 477–483. doi: 10.1016/j.jbiomech.2004.04.019
https://www.ncbi.nlm.nih.gov/pubmed/15652545

Nigg, B., Behling, A.-V., & Hamill, J. (2019). Foot pronation. Footwear Science, 11(3), 131–134. doi: 10.1080/19424280.2019.1673489
https://www.tandfonline.com/…/abs/10.…/19424280.2019.1673489

Riddick, R., Farris, D. J., & Kelly, L. A. (2019). The foot is more than a spring: human foot muscles perform work to adapt to the energetic requirements of locomotion. Journal of The Royal Society Interface, 16(150), 20180680. doi: 10.1098/rsif.2018.0680
https://royalsocietypublishing.org/d…/10.1098/rsif.2018.0680

Griffiths IB, Spooner SK
Foot orthoses research: identifying limitations to improve translation to clinical knowledge and practice
British Journal of Sports Medicine 2018;52:350.
https://bjsm.bmj.com/content/52/6/350

Bowring, B., & Chockalingam, N. (2010). Conservative treatment of tibialis posterior tendon dysfunction—A review. The Foot, 20(1), 18–26. doi: 10.1016/j.foot.2009.11.001
https://www.sciencedirect.com/…/a…/abs/pii/S0958259209001084

Hoffmann, T. C., Lewis, J., & Maher, C. G. (2019). Shared decision making should be an integral part of physiotherapy practice. Physiotherapy. doi: 10.1016/j.physio.2019.08.012
https://www.sciencedirect.com/…/a…/abs/pii/S0031940618302827

Alex Murray Podiatrist

Alex Murray is a Podiatrist working in private practice and the founder of website Making Sense in Podiatry. He's passionate about helping other clinicians make sense of evidence and clinical practice with a core philosophy of exploring the complexity of human beings, embracing the uncertainty of clinical practice, and avoiding overly reductionist thinking. In addition to his undergraduate degree from La Trobe, he also holds a Post Graduate Diploma in Sports and Exercise Medicine from the University of Otago. He has experience with both national and international athletes and has recently transitioned to focusing primarily on helping the general population and local athletes manage their pain and achieve their goals.

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