The Gait Guys Podcast #4: S1E4

This one will get you to the show player of all of our podcasts.
http://directory.libsyn.com/shows/view/id/thegaitguys

And this link will get you a nicely laid out “show notes”.
http://thegaitguys.libsyn.com/the-gait-guys-podcast-4-s1e4

1. Our lectures are available  on www.onlineCE.com   Go there and look up our lectures

2. NEW PRODUCT DIALOGUE:  

This week, Correct Toes.  Join us for a nice discussion on the merits and possible limitations of the Correct Toes product.
https://nwfootankle.com/correct-toes

3. EMAIL CASE:
Dear Gait Guys,
For almost a year, I have had pain at and around the second metatarsal head of my left foot. When the pain started, I visited a podiatrist who diagnosed capsulitis, tendonitis, and metatarsalgia and prescribed a cortisone injection, a metatarsal pad, and a rubber bar glued to the outsole of my shoe (to redistribute the weight off the metatarsals). While the pain and swelling improved initially, it has never dissipated completely or returned to pre-injury levels. (I say ‘injury’ but I do not remember any trauma. I had mowed the lawn earlier in the day before the pain started.)
Kevin , Winston-Salem, NC
Join us today for a dialogue on this great case.

4. LISTENER  EMAIL:
Hi! Do you have a DVD that shows all the exercises to restore proper ankle rocker, and demonstrating what exercises to use to correct the different compensations you might observe. Where would I be able to order such a DVD or DVDs. Thank you for your time!- Gordon
Join us today for a dialogue on this topic.
 5. REVIEW of our favorite BLOG POST OF THE WEEK:The immature DEVELOPING system is very much like a mature system that is REGRESSING. We can learn a lot about gait from watching our children walk. An immature nervous system is very similar to one which is compensating meaning cheating around a more proper and desirable movement pattern; we often resort to a more primitive state when challenges beyond our ability are presented. This is very common when we lose some aspect of proprioception, particularly from some peripheral joint or muscle, which in turn, leads to a loss of cerebellar input (and thus cerebellar function). Remember, the cerebellum is a temporal pattern generating center so a loss of cerebellar sensory input leads to poor pattern generation output. Watch this clip several times and then try and note each of the following: …
 Join us today for a dialogue on this great case.

6. STORY OF THE DAY:
   

Invisible gorilla story
 http://www.theinvisiblegorilla.com
Experiment at Harvard University several years ago, we found that half of the people who watched the video and counted the passes missed the gorilla. It was as though the gorilla was invisible.
This experiment reveals two things: that we are missing a lot of what goes on around us, and that we have no idea that we are missing so much. To our surprise, it has become one of the best-known experiments in psychology.
Summary:  * if you havent trained yourself and your brain to know about all of the gait and movement problems that can present in a client……. you wont see them at all.  Ingorance is bliss ! 
Join us today for a dialogue on this great case. 

7. EMAIL CASE

Hi Guys,
I’ve been watching your videos and attempting to correct issues with
my gait.  Thanks to your videos and blog, I’ve learned that the
cross-over gait is horribly wrong and inefficient and I’ve been
working to correct that. My email to you today is about muscle tightness.  I watched this video
(http://www.youtube.com/watch?feature=player_embedded&v=LHK8oj8fdjM)
but would like more information on how to correct my tightness. 
Craig
Join us today for a dialogue on this great case.

8. EMAIL CASE
Hello,
Thanks for your in depth information and your clarity.
I have learned so much from your posts, the videos are priceless!
Hip internal rotation assessment, position of the client in supine with leg staight, you mention it is more true to a standing position.
I have learned to check hip external and internal rotation when client in supine and hip at 90 degrees, holding at the foot and knee rotate tibia out brining the Joint in for an internal rotation,rotate tibia in to check joint for external rotation, combined rotation optimally should be 70 to 90 degrees, resilient end feel, pain free.
How do you assess the joint itself ? What do you think about placing hip joint at 90 degrees flexion ?