Paul-André Deleu
@padeleu
Podiatrist MSc, PhD & Clinical Scientist @ Foot & Ankle Institute, Brussels
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🦶 strengthening very nice study: leaning forward and adding mass ⬆️⬆️foot muscles activity and torque output Add this for richer foot-ankle strength work🔥🏋️♀️ Totally in line with our practice and recent training study proposal 📄sciencedirect.com/science/articl…
journals.lww.com/painrpts/fullt… Pretty important stuff! "Social determinants of health equity for people with pain: from understanding to action"
jamanetwork.com/journals/jaman… So pain is “in the brain”🧠 😳😬 Do you think this can be confidently said? ”maladaptive plasticity in the brain can generate persistent pain independent of any peripheral nociceptive input”
Payers, insurers, and employers: take a proactive approach to prevent diabetes and reduce health care costs. Read more on the DPA’s Six Pillars of Value. professional.diabetes.org/clinical-suppo…
Excellent systematic review of biomechanics & running economy from @BasVanHooren & colleagues: link.springer.com/article/10.100… Increasing step rate or reducing trunk flexion may help efficiency in some runners 🏃♂️ Lots to unpack so we’ve summarised the key findings in this graphic.
FHL & ankle DF 🦶🏼 Mini thread 🧵 🔹 FHL tightness was found in almost half of 188 Pts - it’s more common than previously recognised 🔹Ankle DF ⬇️ as FHL tension ⬆️ in ‘normal’ and symptomatic Pts 🔹A tight FHL can be linked to hallux rigidus/dorsal osteophytes 1/5
2 exercises to target🦶🏼strength without MTPJ flex/ext. Great for: 1st toe OA/Gout Turf toe Plantar plate tear Capsulitis/synovitis Freiburgs Sesamoiditis There’re lots of other important Rx options for metatarsalgia, but avoiding secondary weakness can help improve outcomes 🏋🏼♀️
In case you’re wondering what a subluxing peroneal tendon looks/sounds like… 😯🦶🏼👀 #SoundOn 🔈 This is the result of multiple sprains in a gymnast, who was required to continue training/performing with an acute injury… She’s also extremely hypermobile #ItsNeverJustASprain
An Ankle Sprain is also a Brain Sprain 🙏
FHL stress test: Measures FHL excursion: Ankle in maximal dorsiflexion, stabilise the 1st metatarsal and maximally dorsiflex the hallux MTP joint: Normal >20° dorsiflexion Tight <20° dorsiflexion 2/5
Take aways 🧵1/3 Functional foot exercises: 🦶🏼 🔹SLHR 🔹Toe walking 🔹Hopping These ex’s take advantage of the PF’s neural drive, include balance + W/B, and take toes into extension - all of which bias them to ⬆️ activation. Plus adherence can be better… pubmed.ncbi.nlm.nih.gov/37126537/
Positive knee to wall FHL test in this gymnast with posteromedial ankle pain. Difference of 4cms with the big toe extended. No change on uninjured side. Michelson et al (2021) say this test isn’t sensitive enough to pick up a tight FHL… Continued 1/2 🦶🏼 pubmed.ncbi.nlm.nih.gov/32739176/
I’ve been filming foot and ankle exercises for the last 2 hours… Now I can hardly walk 🤣 I can confirm that they work ☝🏼💪🏼 I’ll be sharing a few of these over the next two weeks as a bit of a teaser 👀🦶🏼#TherapyLive #ThePerformingFoot #StrongFeet
🚨 #NEW BJSM Blog The new way to assess the severity of disability in Achilles tendinopathy ⚡️ This blog summarises recently published research: TENDINopathy Severity assessment-Achilles (TENDINS-A) @myles_physio @tendonpain 👏 FIND OUT MORE 👉 bit.ly/3yd6dTD
😃Accepted today in J Biomech! "The influence of women's age and fall history on foot and lower limb kinematics during transition step descent", by Gerstle et al. #journalofbiomechanics
📢[New paper alert!]📢 @anais_chaumeil, B. Lahkar, R. Dumas, @MullerA3551 and T. Robert recently published in @JBiomech. They compared a markerless motion analysis method (@theiamarkerless) with a marker-based method for balance related quantities👇 sciencedirect.com/science/articl…
![LBMC_Lyon's tweet image. 📢[New paper alert!]📢
@anais_chaumeil, B. Lahkar, R. Dumas, @MullerA3551 and T. Robert recently published in @JBiomech.
They compared a markerless motion analysis method (@theiamarkerless) with a marker-based method for balance related quantities👇
sciencedirect.com/science/articl…](https://pbs.twimg.com/media/GJQz8rRWgAA8-HZ.jpg)
Supination resistance variations in foot and ankle musculoskeletal disorders: implications for diagnosis and customised interventions with wedged insoles | Journal of Foot and Ankle Research | Full Text ✍️ @gab_moisan and colleagues jfootankleres.biomedcentral.com/articles/10.11…
I think this paper needs to get talked about more. Last year's CFT paper was a big hit for those who like a BPS based approach. But this one is pretty lovely due to the control group used (pretty good rehab based on biomechanics and tissue injury) ncbi.nlm.nih.gov/pmc/articles/P…
I am thrilled to be co-hosting the workshop "Gait-training strategies for clinical practice: Moving beyond the laboratory" with Kimmery Migel at #IAS10_2024 this upcoming October! Please be sure to register to attend this outstanding event: anklesymposium2024.com
We often over-prescribe goals. Too many = Disaster Research out of Harvard found that over-prescribing goals lead to: -Reduced intrinsic motivation -Decrease in cooperation -Increase in irrational risk-taking -A narrowed focus -A rise in unethical behavior
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