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Rome 21-22 June 2017 Technological Advancement for Health
Advanced Technology in Gait and Running Analysis
Dott Massimiliano Febbi PhD ( c ) PT CSCS Departement of Industrial Engineering University of Rome laquoTor Vergataraquo
Research and Educational Director Sensor Medica
The mistey of bipedalism 1
Richmond BG Begun DR Strait DS Origin of human bipedalism The knuckle-walking hypothesis revisited Am J Phys Anthropol 2001Suppl 3370-105
Evolution
The mistery of bipedalism 2
Evolution
The mistery of bipedalism 3
Involution
Evolution of Man (Bramble et Lieberman Department of Anthropology Harvard University)
bull Our species (Homo Erectus) set itself apart from others 2 million years ago by its capacity for long distance running
bull A humanrsquos maximum endurance speed is exceptionally high
bull Characteristic anatomical adaptations ndash Short arms and long legs short parallel toes
Achilles tendon large glutes etc
Feet blocked in the shoes and static works change
support
equilibrium
center of pressure
Ghosh K Robati S Sharp O The effects of a semi-rigid soled shoe compared to walking barefoot on knee adduction moment J Orthop 2015 Jun 2513(3)220-4 Hettigama IS Punchihewa HK Heenkenda NK Ergonomic footwear for Sri Lankan primary schoolchildren a review of the literature Work 2016 Oct 1755(2)285-295 Almeida JS Vanderlei FM Pastre EC Martins RA Padovani CR Filho GC Comparison of two types of insoles on musculoskeletal symptoms and plantar pressure distribution in a work environment a randomized clinical trial Clin Med Res 2016 Jun14(2)67-74
Possible causes of problems postural
orthopedic
Jastifer J Kent R Crandall J Sherwood C Lessley D McCullough KA Coughlin MJ Anderson RB The Athletic Shoe in Football Sports Health 2017 MarApr9(2)126-131 Ford KR Manson NA Evans BJ Myer GD Gwin RC Heidt RS Jr Hewett TE Comparison of in-shoe foot loading patterns on natural grass and synthetic turf J Sci Med Sport 2006 Dec9(6)433-40
Footwear is part of clothing of athletes are designed to provide comfort and performance improvements
Being the contact between the forces produced by the athlete and the playing surface represent the first accident prevention tool
Taylor SA1 Fabricant PD Khair MM Haleem AM Drakos MC A review of synthetic playing surfaces the shoe-surface interface and lower extremity injuries in athletes Phys Sportsmed 2012 Nov40(4)66-72 OʼKane JW1 Gray KE Levy MR Neradilek M Tencer AF Polissar NL Schiff MA Shoe and Field Surface Risk Factors for Acute Lower Extremity Injuries Among Female Youth Soccer Players Clin J Sport Med 2016 May26(3)245-50
But the surfaces are not all the same
Synthetic playing surfaces and athlete health Drakos MC Taylor SA Fabricant PD Haleem AM J Am Acad Orthop Surg 2013 May21(5)293-302 Taylor SA1 Fabricant PD Khair MM Haleem AM Drakos MC A review of synthetic playing surfaces the shoe-surface interface and lower extremity injuries in athletes Phys Sportsmed 2012 Nov40(4)66-72
Forces and perturbations change respect the surface
Swaminathan R Williams JM Jones MD Theobald PS A kinematic analysis of the spine during rugby scrummaging on natural and synthetic turfs J Sports Sci 201634(11)1058-66 Lewis LM Naunheim R Standeven J Naunheim KS Quantitation of impact attenuation of different playground surfaces under various environmental conditions using a tri-axial accelerometer J Trauma 1993 Dec35(6)932-5
Why the running injuries happen
Moore IS Is there an economical running technique A review of modifiable biomechanical factors affecting running economy Sports Med 2016 Jun46(6)793-807
Many running injuries are due to the previous injuries to the lower limb
Dallinga JM1 Benjaminse A Lemmink KA Which screening tools can predict injury to the lower extremities in team sports a systematic review Sports Med 2012 Sep 142(9)791-815
Assessment of postural oscillations Is a predictive test for ankle injury
Dynamic Assessment
Koch M Lunde LK Ernst M Knardahl S Veiersted KB
Validity and reliability of pressure-measurement insoles for vertical ground reaction force assessment in field situations
Appl Ergon 2016 Mar53 Pt A44-51
In real situation
With the shoes
Postulation
THE BODY WILL ADAPT As long as the applied stress is not greater
than its capacity to adapt
Arthroses and running (2013-Williams 2012-Cha 2012-Kelly 2012-Subburaj 2012-Hansen 2010-VanGinckel 2009-Boocock 2008(P)-Lamontagne 2008-Chakravarty 2008-Krampla 2008-Stahi 2005-Kersting
2007(L)-Price 2007-Baumgarten 2007-Hanna 2006-Schmitt 2006-OrsquoKane 2006-Shakoor 2006-Cymet 2006-Kessler 2006-Weidekamm 2005-Weidekamm 2005-Hohmann 2004-Shrier 2004-Eckstein 2004-Walther 2004-Hohmann 2003(CR)-Brosseau 2003(SR)-Jordan 2002-Conaghan 2001-Krampla 2000-Cheng 1998-Otterness 1997-Lequesne 1996-Cole
2001 et 1995-Nigg)
bull Studies do not show more cartilage degeneration (arthroses) in runners than in non-runners
bull A repetitive and progressive stress on joint cartilage will contribute to its thickening and strengthening
OUR TARGET
THE TARGET
bull Spreads throughout the body in a 3-
dimensional web from head to foot without
interruption
bull Surrounds every muscle bone nerve
blood vessel and organ of the body down
to the cellular level
bull Forms a body wide mechano-signaling
network Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIA
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
The transformation of fascia from a
more dense lsquogelrsquo state to a more fluid
lsquosolrsquo state
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE
bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
External force
producing an electric
charge which alters
fibroblastic activity
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
bull Studies also indicate that although fascial
ldquomayrdquo respond to compressive forces it clearly
responds favourably to the application of
TENSION
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
The mistey of bipedalism 1
Richmond BG Begun DR Strait DS Origin of human bipedalism The knuckle-walking hypothesis revisited Am J Phys Anthropol 2001Suppl 3370-105
Evolution
The mistery of bipedalism 2
Evolution
The mistery of bipedalism 3
Involution
Evolution of Man (Bramble et Lieberman Department of Anthropology Harvard University)
bull Our species (Homo Erectus) set itself apart from others 2 million years ago by its capacity for long distance running
bull A humanrsquos maximum endurance speed is exceptionally high
bull Characteristic anatomical adaptations ndash Short arms and long legs short parallel toes
Achilles tendon large glutes etc
Feet blocked in the shoes and static works change
support
equilibrium
center of pressure
Ghosh K Robati S Sharp O The effects of a semi-rigid soled shoe compared to walking barefoot on knee adduction moment J Orthop 2015 Jun 2513(3)220-4 Hettigama IS Punchihewa HK Heenkenda NK Ergonomic footwear for Sri Lankan primary schoolchildren a review of the literature Work 2016 Oct 1755(2)285-295 Almeida JS Vanderlei FM Pastre EC Martins RA Padovani CR Filho GC Comparison of two types of insoles on musculoskeletal symptoms and plantar pressure distribution in a work environment a randomized clinical trial Clin Med Res 2016 Jun14(2)67-74
Possible causes of problems postural
orthopedic
Jastifer J Kent R Crandall J Sherwood C Lessley D McCullough KA Coughlin MJ Anderson RB The Athletic Shoe in Football Sports Health 2017 MarApr9(2)126-131 Ford KR Manson NA Evans BJ Myer GD Gwin RC Heidt RS Jr Hewett TE Comparison of in-shoe foot loading patterns on natural grass and synthetic turf J Sci Med Sport 2006 Dec9(6)433-40
Footwear is part of clothing of athletes are designed to provide comfort and performance improvements
Being the contact between the forces produced by the athlete and the playing surface represent the first accident prevention tool
Taylor SA1 Fabricant PD Khair MM Haleem AM Drakos MC A review of synthetic playing surfaces the shoe-surface interface and lower extremity injuries in athletes Phys Sportsmed 2012 Nov40(4)66-72 OʼKane JW1 Gray KE Levy MR Neradilek M Tencer AF Polissar NL Schiff MA Shoe and Field Surface Risk Factors for Acute Lower Extremity Injuries Among Female Youth Soccer Players Clin J Sport Med 2016 May26(3)245-50
But the surfaces are not all the same
Synthetic playing surfaces and athlete health Drakos MC Taylor SA Fabricant PD Haleem AM J Am Acad Orthop Surg 2013 May21(5)293-302 Taylor SA1 Fabricant PD Khair MM Haleem AM Drakos MC A review of synthetic playing surfaces the shoe-surface interface and lower extremity injuries in athletes Phys Sportsmed 2012 Nov40(4)66-72
Forces and perturbations change respect the surface
Swaminathan R Williams JM Jones MD Theobald PS A kinematic analysis of the spine during rugby scrummaging on natural and synthetic turfs J Sports Sci 201634(11)1058-66 Lewis LM Naunheim R Standeven J Naunheim KS Quantitation of impact attenuation of different playground surfaces under various environmental conditions using a tri-axial accelerometer J Trauma 1993 Dec35(6)932-5
Why the running injuries happen
Moore IS Is there an economical running technique A review of modifiable biomechanical factors affecting running economy Sports Med 2016 Jun46(6)793-807
Many running injuries are due to the previous injuries to the lower limb
Dallinga JM1 Benjaminse A Lemmink KA Which screening tools can predict injury to the lower extremities in team sports a systematic review Sports Med 2012 Sep 142(9)791-815
Assessment of postural oscillations Is a predictive test for ankle injury
Dynamic Assessment
Koch M Lunde LK Ernst M Knardahl S Veiersted KB
Validity and reliability of pressure-measurement insoles for vertical ground reaction force assessment in field situations
Appl Ergon 2016 Mar53 Pt A44-51
In real situation
With the shoes
Postulation
THE BODY WILL ADAPT As long as the applied stress is not greater
than its capacity to adapt
Arthroses and running (2013-Williams 2012-Cha 2012-Kelly 2012-Subburaj 2012-Hansen 2010-VanGinckel 2009-Boocock 2008(P)-Lamontagne 2008-Chakravarty 2008-Krampla 2008-Stahi 2005-Kersting
2007(L)-Price 2007-Baumgarten 2007-Hanna 2006-Schmitt 2006-OrsquoKane 2006-Shakoor 2006-Cymet 2006-Kessler 2006-Weidekamm 2005-Weidekamm 2005-Hohmann 2004-Shrier 2004-Eckstein 2004-Walther 2004-Hohmann 2003(CR)-Brosseau 2003(SR)-Jordan 2002-Conaghan 2001-Krampla 2000-Cheng 1998-Otterness 1997-Lequesne 1996-Cole
2001 et 1995-Nigg)
bull Studies do not show more cartilage degeneration (arthroses) in runners than in non-runners
bull A repetitive and progressive stress on joint cartilage will contribute to its thickening and strengthening
OUR TARGET
THE TARGET
bull Spreads throughout the body in a 3-
dimensional web from head to foot without
interruption
bull Surrounds every muscle bone nerve
blood vessel and organ of the body down
to the cellular level
bull Forms a body wide mechano-signaling
network Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIA
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
The transformation of fascia from a
more dense lsquogelrsquo state to a more fluid
lsquosolrsquo state
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE
bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
External force
producing an electric
charge which alters
fibroblastic activity
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
bull Studies also indicate that although fascial
ldquomayrdquo respond to compressive forces it clearly
responds favourably to the application of
TENSION
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
The mistery of bipedalism 2
Evolution
The mistery of bipedalism 3
Involution
Evolution of Man (Bramble et Lieberman Department of Anthropology Harvard University)
bull Our species (Homo Erectus) set itself apart from others 2 million years ago by its capacity for long distance running
bull A humanrsquos maximum endurance speed is exceptionally high
bull Characteristic anatomical adaptations ndash Short arms and long legs short parallel toes
Achilles tendon large glutes etc
Feet blocked in the shoes and static works change
support
equilibrium
center of pressure
Ghosh K Robati S Sharp O The effects of a semi-rigid soled shoe compared to walking barefoot on knee adduction moment J Orthop 2015 Jun 2513(3)220-4 Hettigama IS Punchihewa HK Heenkenda NK Ergonomic footwear for Sri Lankan primary schoolchildren a review of the literature Work 2016 Oct 1755(2)285-295 Almeida JS Vanderlei FM Pastre EC Martins RA Padovani CR Filho GC Comparison of two types of insoles on musculoskeletal symptoms and plantar pressure distribution in a work environment a randomized clinical trial Clin Med Res 2016 Jun14(2)67-74
Possible causes of problems postural
orthopedic
Jastifer J Kent R Crandall J Sherwood C Lessley D McCullough KA Coughlin MJ Anderson RB The Athletic Shoe in Football Sports Health 2017 MarApr9(2)126-131 Ford KR Manson NA Evans BJ Myer GD Gwin RC Heidt RS Jr Hewett TE Comparison of in-shoe foot loading patterns on natural grass and synthetic turf J Sci Med Sport 2006 Dec9(6)433-40
Footwear is part of clothing of athletes are designed to provide comfort and performance improvements
Being the contact between the forces produced by the athlete and the playing surface represent the first accident prevention tool
Taylor SA1 Fabricant PD Khair MM Haleem AM Drakos MC A review of synthetic playing surfaces the shoe-surface interface and lower extremity injuries in athletes Phys Sportsmed 2012 Nov40(4)66-72 OʼKane JW1 Gray KE Levy MR Neradilek M Tencer AF Polissar NL Schiff MA Shoe and Field Surface Risk Factors for Acute Lower Extremity Injuries Among Female Youth Soccer Players Clin J Sport Med 2016 May26(3)245-50
But the surfaces are not all the same
Synthetic playing surfaces and athlete health Drakos MC Taylor SA Fabricant PD Haleem AM J Am Acad Orthop Surg 2013 May21(5)293-302 Taylor SA1 Fabricant PD Khair MM Haleem AM Drakos MC A review of synthetic playing surfaces the shoe-surface interface and lower extremity injuries in athletes Phys Sportsmed 2012 Nov40(4)66-72
Forces and perturbations change respect the surface
Swaminathan R Williams JM Jones MD Theobald PS A kinematic analysis of the spine during rugby scrummaging on natural and synthetic turfs J Sports Sci 201634(11)1058-66 Lewis LM Naunheim R Standeven J Naunheim KS Quantitation of impact attenuation of different playground surfaces under various environmental conditions using a tri-axial accelerometer J Trauma 1993 Dec35(6)932-5
Why the running injuries happen
Moore IS Is there an economical running technique A review of modifiable biomechanical factors affecting running economy Sports Med 2016 Jun46(6)793-807
Many running injuries are due to the previous injuries to the lower limb
Dallinga JM1 Benjaminse A Lemmink KA Which screening tools can predict injury to the lower extremities in team sports a systematic review Sports Med 2012 Sep 142(9)791-815
Assessment of postural oscillations Is a predictive test for ankle injury
Dynamic Assessment
Koch M Lunde LK Ernst M Knardahl S Veiersted KB
Validity and reliability of pressure-measurement insoles for vertical ground reaction force assessment in field situations
Appl Ergon 2016 Mar53 Pt A44-51
In real situation
With the shoes
Postulation
THE BODY WILL ADAPT As long as the applied stress is not greater
than its capacity to adapt
Arthroses and running (2013-Williams 2012-Cha 2012-Kelly 2012-Subburaj 2012-Hansen 2010-VanGinckel 2009-Boocock 2008(P)-Lamontagne 2008-Chakravarty 2008-Krampla 2008-Stahi 2005-Kersting
2007(L)-Price 2007-Baumgarten 2007-Hanna 2006-Schmitt 2006-OrsquoKane 2006-Shakoor 2006-Cymet 2006-Kessler 2006-Weidekamm 2005-Weidekamm 2005-Hohmann 2004-Shrier 2004-Eckstein 2004-Walther 2004-Hohmann 2003(CR)-Brosseau 2003(SR)-Jordan 2002-Conaghan 2001-Krampla 2000-Cheng 1998-Otterness 1997-Lequesne 1996-Cole
2001 et 1995-Nigg)
bull Studies do not show more cartilage degeneration (arthroses) in runners than in non-runners
bull A repetitive and progressive stress on joint cartilage will contribute to its thickening and strengthening
OUR TARGET
THE TARGET
bull Spreads throughout the body in a 3-
dimensional web from head to foot without
interruption
bull Surrounds every muscle bone nerve
blood vessel and organ of the body down
to the cellular level
bull Forms a body wide mechano-signaling
network Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIA
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
The transformation of fascia from a
more dense lsquogelrsquo state to a more fluid
lsquosolrsquo state
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE
bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
External force
producing an electric
charge which alters
fibroblastic activity
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
bull Studies also indicate that although fascial
ldquomayrdquo respond to compressive forces it clearly
responds favourably to the application of
TENSION
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
The mistery of bipedalism 3
Involution
Evolution of Man (Bramble et Lieberman Department of Anthropology Harvard University)
bull Our species (Homo Erectus) set itself apart from others 2 million years ago by its capacity for long distance running
bull A humanrsquos maximum endurance speed is exceptionally high
bull Characteristic anatomical adaptations ndash Short arms and long legs short parallel toes
Achilles tendon large glutes etc
Feet blocked in the shoes and static works change
support
equilibrium
center of pressure
Ghosh K Robati S Sharp O The effects of a semi-rigid soled shoe compared to walking barefoot on knee adduction moment J Orthop 2015 Jun 2513(3)220-4 Hettigama IS Punchihewa HK Heenkenda NK Ergonomic footwear for Sri Lankan primary schoolchildren a review of the literature Work 2016 Oct 1755(2)285-295 Almeida JS Vanderlei FM Pastre EC Martins RA Padovani CR Filho GC Comparison of two types of insoles on musculoskeletal symptoms and plantar pressure distribution in a work environment a randomized clinical trial Clin Med Res 2016 Jun14(2)67-74
Possible causes of problems postural
orthopedic
Jastifer J Kent R Crandall J Sherwood C Lessley D McCullough KA Coughlin MJ Anderson RB The Athletic Shoe in Football Sports Health 2017 MarApr9(2)126-131 Ford KR Manson NA Evans BJ Myer GD Gwin RC Heidt RS Jr Hewett TE Comparison of in-shoe foot loading patterns on natural grass and synthetic turf J Sci Med Sport 2006 Dec9(6)433-40
Footwear is part of clothing of athletes are designed to provide comfort and performance improvements
Being the contact between the forces produced by the athlete and the playing surface represent the first accident prevention tool
Taylor SA1 Fabricant PD Khair MM Haleem AM Drakos MC A review of synthetic playing surfaces the shoe-surface interface and lower extremity injuries in athletes Phys Sportsmed 2012 Nov40(4)66-72 OʼKane JW1 Gray KE Levy MR Neradilek M Tencer AF Polissar NL Schiff MA Shoe and Field Surface Risk Factors for Acute Lower Extremity Injuries Among Female Youth Soccer Players Clin J Sport Med 2016 May26(3)245-50
But the surfaces are not all the same
Synthetic playing surfaces and athlete health Drakos MC Taylor SA Fabricant PD Haleem AM J Am Acad Orthop Surg 2013 May21(5)293-302 Taylor SA1 Fabricant PD Khair MM Haleem AM Drakos MC A review of synthetic playing surfaces the shoe-surface interface and lower extremity injuries in athletes Phys Sportsmed 2012 Nov40(4)66-72
Forces and perturbations change respect the surface
Swaminathan R Williams JM Jones MD Theobald PS A kinematic analysis of the spine during rugby scrummaging on natural and synthetic turfs J Sports Sci 201634(11)1058-66 Lewis LM Naunheim R Standeven J Naunheim KS Quantitation of impact attenuation of different playground surfaces under various environmental conditions using a tri-axial accelerometer J Trauma 1993 Dec35(6)932-5
Why the running injuries happen
Moore IS Is there an economical running technique A review of modifiable biomechanical factors affecting running economy Sports Med 2016 Jun46(6)793-807
Many running injuries are due to the previous injuries to the lower limb
Dallinga JM1 Benjaminse A Lemmink KA Which screening tools can predict injury to the lower extremities in team sports a systematic review Sports Med 2012 Sep 142(9)791-815
Assessment of postural oscillations Is a predictive test for ankle injury
Dynamic Assessment
Koch M Lunde LK Ernst M Knardahl S Veiersted KB
Validity and reliability of pressure-measurement insoles for vertical ground reaction force assessment in field situations
Appl Ergon 2016 Mar53 Pt A44-51
In real situation
With the shoes
Postulation
THE BODY WILL ADAPT As long as the applied stress is not greater
than its capacity to adapt
Arthroses and running (2013-Williams 2012-Cha 2012-Kelly 2012-Subburaj 2012-Hansen 2010-VanGinckel 2009-Boocock 2008(P)-Lamontagne 2008-Chakravarty 2008-Krampla 2008-Stahi 2005-Kersting
2007(L)-Price 2007-Baumgarten 2007-Hanna 2006-Schmitt 2006-OrsquoKane 2006-Shakoor 2006-Cymet 2006-Kessler 2006-Weidekamm 2005-Weidekamm 2005-Hohmann 2004-Shrier 2004-Eckstein 2004-Walther 2004-Hohmann 2003(CR)-Brosseau 2003(SR)-Jordan 2002-Conaghan 2001-Krampla 2000-Cheng 1998-Otterness 1997-Lequesne 1996-Cole
2001 et 1995-Nigg)
bull Studies do not show more cartilage degeneration (arthroses) in runners than in non-runners
bull A repetitive and progressive stress on joint cartilage will contribute to its thickening and strengthening
OUR TARGET
THE TARGET
bull Spreads throughout the body in a 3-
dimensional web from head to foot without
interruption
bull Surrounds every muscle bone nerve
blood vessel and organ of the body down
to the cellular level
bull Forms a body wide mechano-signaling
network Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIA
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
The transformation of fascia from a
more dense lsquogelrsquo state to a more fluid
lsquosolrsquo state
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE
bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
External force
producing an electric
charge which alters
fibroblastic activity
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
bull Studies also indicate that although fascial
ldquomayrdquo respond to compressive forces it clearly
responds favourably to the application of
TENSION
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Evolution of Man (Bramble et Lieberman Department of Anthropology Harvard University)
bull Our species (Homo Erectus) set itself apart from others 2 million years ago by its capacity for long distance running
bull A humanrsquos maximum endurance speed is exceptionally high
bull Characteristic anatomical adaptations ndash Short arms and long legs short parallel toes
Achilles tendon large glutes etc
Feet blocked in the shoes and static works change
support
equilibrium
center of pressure
Ghosh K Robati S Sharp O The effects of a semi-rigid soled shoe compared to walking barefoot on knee adduction moment J Orthop 2015 Jun 2513(3)220-4 Hettigama IS Punchihewa HK Heenkenda NK Ergonomic footwear for Sri Lankan primary schoolchildren a review of the literature Work 2016 Oct 1755(2)285-295 Almeida JS Vanderlei FM Pastre EC Martins RA Padovani CR Filho GC Comparison of two types of insoles on musculoskeletal symptoms and plantar pressure distribution in a work environment a randomized clinical trial Clin Med Res 2016 Jun14(2)67-74
Possible causes of problems postural
orthopedic
Jastifer J Kent R Crandall J Sherwood C Lessley D McCullough KA Coughlin MJ Anderson RB The Athletic Shoe in Football Sports Health 2017 MarApr9(2)126-131 Ford KR Manson NA Evans BJ Myer GD Gwin RC Heidt RS Jr Hewett TE Comparison of in-shoe foot loading patterns on natural grass and synthetic turf J Sci Med Sport 2006 Dec9(6)433-40
Footwear is part of clothing of athletes are designed to provide comfort and performance improvements
Being the contact between the forces produced by the athlete and the playing surface represent the first accident prevention tool
Taylor SA1 Fabricant PD Khair MM Haleem AM Drakos MC A review of synthetic playing surfaces the shoe-surface interface and lower extremity injuries in athletes Phys Sportsmed 2012 Nov40(4)66-72 OʼKane JW1 Gray KE Levy MR Neradilek M Tencer AF Polissar NL Schiff MA Shoe and Field Surface Risk Factors for Acute Lower Extremity Injuries Among Female Youth Soccer Players Clin J Sport Med 2016 May26(3)245-50
But the surfaces are not all the same
Synthetic playing surfaces and athlete health Drakos MC Taylor SA Fabricant PD Haleem AM J Am Acad Orthop Surg 2013 May21(5)293-302 Taylor SA1 Fabricant PD Khair MM Haleem AM Drakos MC A review of synthetic playing surfaces the shoe-surface interface and lower extremity injuries in athletes Phys Sportsmed 2012 Nov40(4)66-72
Forces and perturbations change respect the surface
Swaminathan R Williams JM Jones MD Theobald PS A kinematic analysis of the spine during rugby scrummaging on natural and synthetic turfs J Sports Sci 201634(11)1058-66 Lewis LM Naunheim R Standeven J Naunheim KS Quantitation of impact attenuation of different playground surfaces under various environmental conditions using a tri-axial accelerometer J Trauma 1993 Dec35(6)932-5
Why the running injuries happen
Moore IS Is there an economical running technique A review of modifiable biomechanical factors affecting running economy Sports Med 2016 Jun46(6)793-807
Many running injuries are due to the previous injuries to the lower limb
Dallinga JM1 Benjaminse A Lemmink KA Which screening tools can predict injury to the lower extremities in team sports a systematic review Sports Med 2012 Sep 142(9)791-815
Assessment of postural oscillations Is a predictive test for ankle injury
Dynamic Assessment
Koch M Lunde LK Ernst M Knardahl S Veiersted KB
Validity and reliability of pressure-measurement insoles for vertical ground reaction force assessment in field situations
Appl Ergon 2016 Mar53 Pt A44-51
In real situation
With the shoes
Postulation
THE BODY WILL ADAPT As long as the applied stress is not greater
than its capacity to adapt
Arthroses and running (2013-Williams 2012-Cha 2012-Kelly 2012-Subburaj 2012-Hansen 2010-VanGinckel 2009-Boocock 2008(P)-Lamontagne 2008-Chakravarty 2008-Krampla 2008-Stahi 2005-Kersting
2007(L)-Price 2007-Baumgarten 2007-Hanna 2006-Schmitt 2006-OrsquoKane 2006-Shakoor 2006-Cymet 2006-Kessler 2006-Weidekamm 2005-Weidekamm 2005-Hohmann 2004-Shrier 2004-Eckstein 2004-Walther 2004-Hohmann 2003(CR)-Brosseau 2003(SR)-Jordan 2002-Conaghan 2001-Krampla 2000-Cheng 1998-Otterness 1997-Lequesne 1996-Cole
2001 et 1995-Nigg)
bull Studies do not show more cartilage degeneration (arthroses) in runners than in non-runners
bull A repetitive and progressive stress on joint cartilage will contribute to its thickening and strengthening
OUR TARGET
THE TARGET
bull Spreads throughout the body in a 3-
dimensional web from head to foot without
interruption
bull Surrounds every muscle bone nerve
blood vessel and organ of the body down
to the cellular level
bull Forms a body wide mechano-signaling
network Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIA
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
The transformation of fascia from a
more dense lsquogelrsquo state to a more fluid
lsquosolrsquo state
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE
bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
External force
producing an electric
charge which alters
fibroblastic activity
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
bull Studies also indicate that although fascial
ldquomayrdquo respond to compressive forces it clearly
responds favourably to the application of
TENSION
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Feet blocked in the shoes and static works change
support
equilibrium
center of pressure
Ghosh K Robati S Sharp O The effects of a semi-rigid soled shoe compared to walking barefoot on knee adduction moment J Orthop 2015 Jun 2513(3)220-4 Hettigama IS Punchihewa HK Heenkenda NK Ergonomic footwear for Sri Lankan primary schoolchildren a review of the literature Work 2016 Oct 1755(2)285-295 Almeida JS Vanderlei FM Pastre EC Martins RA Padovani CR Filho GC Comparison of two types of insoles on musculoskeletal symptoms and plantar pressure distribution in a work environment a randomized clinical trial Clin Med Res 2016 Jun14(2)67-74
Possible causes of problems postural
orthopedic
Jastifer J Kent R Crandall J Sherwood C Lessley D McCullough KA Coughlin MJ Anderson RB The Athletic Shoe in Football Sports Health 2017 MarApr9(2)126-131 Ford KR Manson NA Evans BJ Myer GD Gwin RC Heidt RS Jr Hewett TE Comparison of in-shoe foot loading patterns on natural grass and synthetic turf J Sci Med Sport 2006 Dec9(6)433-40
Footwear is part of clothing of athletes are designed to provide comfort and performance improvements
Being the contact between the forces produced by the athlete and the playing surface represent the first accident prevention tool
Taylor SA1 Fabricant PD Khair MM Haleem AM Drakos MC A review of synthetic playing surfaces the shoe-surface interface and lower extremity injuries in athletes Phys Sportsmed 2012 Nov40(4)66-72 OʼKane JW1 Gray KE Levy MR Neradilek M Tencer AF Polissar NL Schiff MA Shoe and Field Surface Risk Factors for Acute Lower Extremity Injuries Among Female Youth Soccer Players Clin J Sport Med 2016 May26(3)245-50
But the surfaces are not all the same
Synthetic playing surfaces and athlete health Drakos MC Taylor SA Fabricant PD Haleem AM J Am Acad Orthop Surg 2013 May21(5)293-302 Taylor SA1 Fabricant PD Khair MM Haleem AM Drakos MC A review of synthetic playing surfaces the shoe-surface interface and lower extremity injuries in athletes Phys Sportsmed 2012 Nov40(4)66-72
Forces and perturbations change respect the surface
Swaminathan R Williams JM Jones MD Theobald PS A kinematic analysis of the spine during rugby scrummaging on natural and synthetic turfs J Sports Sci 201634(11)1058-66 Lewis LM Naunheim R Standeven J Naunheim KS Quantitation of impact attenuation of different playground surfaces under various environmental conditions using a tri-axial accelerometer J Trauma 1993 Dec35(6)932-5
Why the running injuries happen
Moore IS Is there an economical running technique A review of modifiable biomechanical factors affecting running economy Sports Med 2016 Jun46(6)793-807
Many running injuries are due to the previous injuries to the lower limb
Dallinga JM1 Benjaminse A Lemmink KA Which screening tools can predict injury to the lower extremities in team sports a systematic review Sports Med 2012 Sep 142(9)791-815
Assessment of postural oscillations Is a predictive test for ankle injury
Dynamic Assessment
Koch M Lunde LK Ernst M Knardahl S Veiersted KB
Validity and reliability of pressure-measurement insoles for vertical ground reaction force assessment in field situations
Appl Ergon 2016 Mar53 Pt A44-51
In real situation
With the shoes
Postulation
THE BODY WILL ADAPT As long as the applied stress is not greater
than its capacity to adapt
Arthroses and running (2013-Williams 2012-Cha 2012-Kelly 2012-Subburaj 2012-Hansen 2010-VanGinckel 2009-Boocock 2008(P)-Lamontagne 2008-Chakravarty 2008-Krampla 2008-Stahi 2005-Kersting
2007(L)-Price 2007-Baumgarten 2007-Hanna 2006-Schmitt 2006-OrsquoKane 2006-Shakoor 2006-Cymet 2006-Kessler 2006-Weidekamm 2005-Weidekamm 2005-Hohmann 2004-Shrier 2004-Eckstein 2004-Walther 2004-Hohmann 2003(CR)-Brosseau 2003(SR)-Jordan 2002-Conaghan 2001-Krampla 2000-Cheng 1998-Otterness 1997-Lequesne 1996-Cole
2001 et 1995-Nigg)
bull Studies do not show more cartilage degeneration (arthroses) in runners than in non-runners
bull A repetitive and progressive stress on joint cartilage will contribute to its thickening and strengthening
OUR TARGET
THE TARGET
bull Spreads throughout the body in a 3-
dimensional web from head to foot without
interruption
bull Surrounds every muscle bone nerve
blood vessel and organ of the body down
to the cellular level
bull Forms a body wide mechano-signaling
network Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIA
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
The transformation of fascia from a
more dense lsquogelrsquo state to a more fluid
lsquosolrsquo state
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE
bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
External force
producing an electric
charge which alters
fibroblastic activity
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
bull Studies also indicate that although fascial
ldquomayrdquo respond to compressive forces it clearly
responds favourably to the application of
TENSION
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Possible causes of problems postural
orthopedic
Jastifer J Kent R Crandall J Sherwood C Lessley D McCullough KA Coughlin MJ Anderson RB The Athletic Shoe in Football Sports Health 2017 MarApr9(2)126-131 Ford KR Manson NA Evans BJ Myer GD Gwin RC Heidt RS Jr Hewett TE Comparison of in-shoe foot loading patterns on natural grass and synthetic turf J Sci Med Sport 2006 Dec9(6)433-40
Footwear is part of clothing of athletes are designed to provide comfort and performance improvements
Being the contact between the forces produced by the athlete and the playing surface represent the first accident prevention tool
Taylor SA1 Fabricant PD Khair MM Haleem AM Drakos MC A review of synthetic playing surfaces the shoe-surface interface and lower extremity injuries in athletes Phys Sportsmed 2012 Nov40(4)66-72 OʼKane JW1 Gray KE Levy MR Neradilek M Tencer AF Polissar NL Schiff MA Shoe and Field Surface Risk Factors for Acute Lower Extremity Injuries Among Female Youth Soccer Players Clin J Sport Med 2016 May26(3)245-50
But the surfaces are not all the same
Synthetic playing surfaces and athlete health Drakos MC Taylor SA Fabricant PD Haleem AM J Am Acad Orthop Surg 2013 May21(5)293-302 Taylor SA1 Fabricant PD Khair MM Haleem AM Drakos MC A review of synthetic playing surfaces the shoe-surface interface and lower extremity injuries in athletes Phys Sportsmed 2012 Nov40(4)66-72
Forces and perturbations change respect the surface
Swaminathan R Williams JM Jones MD Theobald PS A kinematic analysis of the spine during rugby scrummaging on natural and synthetic turfs J Sports Sci 201634(11)1058-66 Lewis LM Naunheim R Standeven J Naunheim KS Quantitation of impact attenuation of different playground surfaces under various environmental conditions using a tri-axial accelerometer J Trauma 1993 Dec35(6)932-5
Why the running injuries happen
Moore IS Is there an economical running technique A review of modifiable biomechanical factors affecting running economy Sports Med 2016 Jun46(6)793-807
Many running injuries are due to the previous injuries to the lower limb
Dallinga JM1 Benjaminse A Lemmink KA Which screening tools can predict injury to the lower extremities in team sports a systematic review Sports Med 2012 Sep 142(9)791-815
Assessment of postural oscillations Is a predictive test for ankle injury
Dynamic Assessment
Koch M Lunde LK Ernst M Knardahl S Veiersted KB
Validity and reliability of pressure-measurement insoles for vertical ground reaction force assessment in field situations
Appl Ergon 2016 Mar53 Pt A44-51
In real situation
With the shoes
Postulation
THE BODY WILL ADAPT As long as the applied stress is not greater
than its capacity to adapt
Arthroses and running (2013-Williams 2012-Cha 2012-Kelly 2012-Subburaj 2012-Hansen 2010-VanGinckel 2009-Boocock 2008(P)-Lamontagne 2008-Chakravarty 2008-Krampla 2008-Stahi 2005-Kersting
2007(L)-Price 2007-Baumgarten 2007-Hanna 2006-Schmitt 2006-OrsquoKane 2006-Shakoor 2006-Cymet 2006-Kessler 2006-Weidekamm 2005-Weidekamm 2005-Hohmann 2004-Shrier 2004-Eckstein 2004-Walther 2004-Hohmann 2003(CR)-Brosseau 2003(SR)-Jordan 2002-Conaghan 2001-Krampla 2000-Cheng 1998-Otterness 1997-Lequesne 1996-Cole
2001 et 1995-Nigg)
bull Studies do not show more cartilage degeneration (arthroses) in runners than in non-runners
bull A repetitive and progressive stress on joint cartilage will contribute to its thickening and strengthening
OUR TARGET
THE TARGET
bull Spreads throughout the body in a 3-
dimensional web from head to foot without
interruption
bull Surrounds every muscle bone nerve
blood vessel and organ of the body down
to the cellular level
bull Forms a body wide mechano-signaling
network Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIA
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
The transformation of fascia from a
more dense lsquogelrsquo state to a more fluid
lsquosolrsquo state
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE
bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
External force
producing an electric
charge which alters
fibroblastic activity
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
bull Studies also indicate that although fascial
ldquomayrdquo respond to compressive forces it clearly
responds favourably to the application of
TENSION
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Jastifer J Kent R Crandall J Sherwood C Lessley D McCullough KA Coughlin MJ Anderson RB The Athletic Shoe in Football Sports Health 2017 MarApr9(2)126-131 Ford KR Manson NA Evans BJ Myer GD Gwin RC Heidt RS Jr Hewett TE Comparison of in-shoe foot loading patterns on natural grass and synthetic turf J Sci Med Sport 2006 Dec9(6)433-40
Footwear is part of clothing of athletes are designed to provide comfort and performance improvements
Being the contact between the forces produced by the athlete and the playing surface represent the first accident prevention tool
Taylor SA1 Fabricant PD Khair MM Haleem AM Drakos MC A review of synthetic playing surfaces the shoe-surface interface and lower extremity injuries in athletes Phys Sportsmed 2012 Nov40(4)66-72 OʼKane JW1 Gray KE Levy MR Neradilek M Tencer AF Polissar NL Schiff MA Shoe and Field Surface Risk Factors for Acute Lower Extremity Injuries Among Female Youth Soccer Players Clin J Sport Med 2016 May26(3)245-50
But the surfaces are not all the same
Synthetic playing surfaces and athlete health Drakos MC Taylor SA Fabricant PD Haleem AM J Am Acad Orthop Surg 2013 May21(5)293-302 Taylor SA1 Fabricant PD Khair MM Haleem AM Drakos MC A review of synthetic playing surfaces the shoe-surface interface and lower extremity injuries in athletes Phys Sportsmed 2012 Nov40(4)66-72
Forces and perturbations change respect the surface
Swaminathan R Williams JM Jones MD Theobald PS A kinematic analysis of the spine during rugby scrummaging on natural and synthetic turfs J Sports Sci 201634(11)1058-66 Lewis LM Naunheim R Standeven J Naunheim KS Quantitation of impact attenuation of different playground surfaces under various environmental conditions using a tri-axial accelerometer J Trauma 1993 Dec35(6)932-5
Why the running injuries happen
Moore IS Is there an economical running technique A review of modifiable biomechanical factors affecting running economy Sports Med 2016 Jun46(6)793-807
Many running injuries are due to the previous injuries to the lower limb
Dallinga JM1 Benjaminse A Lemmink KA Which screening tools can predict injury to the lower extremities in team sports a systematic review Sports Med 2012 Sep 142(9)791-815
Assessment of postural oscillations Is a predictive test for ankle injury
Dynamic Assessment
Koch M Lunde LK Ernst M Knardahl S Veiersted KB
Validity and reliability of pressure-measurement insoles for vertical ground reaction force assessment in field situations
Appl Ergon 2016 Mar53 Pt A44-51
In real situation
With the shoes
Postulation
THE BODY WILL ADAPT As long as the applied stress is not greater
than its capacity to adapt
Arthroses and running (2013-Williams 2012-Cha 2012-Kelly 2012-Subburaj 2012-Hansen 2010-VanGinckel 2009-Boocock 2008(P)-Lamontagne 2008-Chakravarty 2008-Krampla 2008-Stahi 2005-Kersting
2007(L)-Price 2007-Baumgarten 2007-Hanna 2006-Schmitt 2006-OrsquoKane 2006-Shakoor 2006-Cymet 2006-Kessler 2006-Weidekamm 2005-Weidekamm 2005-Hohmann 2004-Shrier 2004-Eckstein 2004-Walther 2004-Hohmann 2003(CR)-Brosseau 2003(SR)-Jordan 2002-Conaghan 2001-Krampla 2000-Cheng 1998-Otterness 1997-Lequesne 1996-Cole
2001 et 1995-Nigg)
bull Studies do not show more cartilage degeneration (arthroses) in runners than in non-runners
bull A repetitive and progressive stress on joint cartilage will contribute to its thickening and strengthening
OUR TARGET
THE TARGET
bull Spreads throughout the body in a 3-
dimensional web from head to foot without
interruption
bull Surrounds every muscle bone nerve
blood vessel and organ of the body down
to the cellular level
bull Forms a body wide mechano-signaling
network Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIA
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
The transformation of fascia from a
more dense lsquogelrsquo state to a more fluid
lsquosolrsquo state
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE
bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
External force
producing an electric
charge which alters
fibroblastic activity
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
bull Studies also indicate that although fascial
ldquomayrdquo respond to compressive forces it clearly
responds favourably to the application of
TENSION
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Being the contact between the forces produced by the athlete and the playing surface represent the first accident prevention tool
Taylor SA1 Fabricant PD Khair MM Haleem AM Drakos MC A review of synthetic playing surfaces the shoe-surface interface and lower extremity injuries in athletes Phys Sportsmed 2012 Nov40(4)66-72 OʼKane JW1 Gray KE Levy MR Neradilek M Tencer AF Polissar NL Schiff MA Shoe and Field Surface Risk Factors for Acute Lower Extremity Injuries Among Female Youth Soccer Players Clin J Sport Med 2016 May26(3)245-50
But the surfaces are not all the same
Synthetic playing surfaces and athlete health Drakos MC Taylor SA Fabricant PD Haleem AM J Am Acad Orthop Surg 2013 May21(5)293-302 Taylor SA1 Fabricant PD Khair MM Haleem AM Drakos MC A review of synthetic playing surfaces the shoe-surface interface and lower extremity injuries in athletes Phys Sportsmed 2012 Nov40(4)66-72
Forces and perturbations change respect the surface
Swaminathan R Williams JM Jones MD Theobald PS A kinematic analysis of the spine during rugby scrummaging on natural and synthetic turfs J Sports Sci 201634(11)1058-66 Lewis LM Naunheim R Standeven J Naunheim KS Quantitation of impact attenuation of different playground surfaces under various environmental conditions using a tri-axial accelerometer J Trauma 1993 Dec35(6)932-5
Why the running injuries happen
Moore IS Is there an economical running technique A review of modifiable biomechanical factors affecting running economy Sports Med 2016 Jun46(6)793-807
Many running injuries are due to the previous injuries to the lower limb
Dallinga JM1 Benjaminse A Lemmink KA Which screening tools can predict injury to the lower extremities in team sports a systematic review Sports Med 2012 Sep 142(9)791-815
Assessment of postural oscillations Is a predictive test for ankle injury
Dynamic Assessment
Koch M Lunde LK Ernst M Knardahl S Veiersted KB
Validity and reliability of pressure-measurement insoles for vertical ground reaction force assessment in field situations
Appl Ergon 2016 Mar53 Pt A44-51
In real situation
With the shoes
Postulation
THE BODY WILL ADAPT As long as the applied stress is not greater
than its capacity to adapt
Arthroses and running (2013-Williams 2012-Cha 2012-Kelly 2012-Subburaj 2012-Hansen 2010-VanGinckel 2009-Boocock 2008(P)-Lamontagne 2008-Chakravarty 2008-Krampla 2008-Stahi 2005-Kersting
2007(L)-Price 2007-Baumgarten 2007-Hanna 2006-Schmitt 2006-OrsquoKane 2006-Shakoor 2006-Cymet 2006-Kessler 2006-Weidekamm 2005-Weidekamm 2005-Hohmann 2004-Shrier 2004-Eckstein 2004-Walther 2004-Hohmann 2003(CR)-Brosseau 2003(SR)-Jordan 2002-Conaghan 2001-Krampla 2000-Cheng 1998-Otterness 1997-Lequesne 1996-Cole
2001 et 1995-Nigg)
bull Studies do not show more cartilage degeneration (arthroses) in runners than in non-runners
bull A repetitive and progressive stress on joint cartilage will contribute to its thickening and strengthening
OUR TARGET
THE TARGET
bull Spreads throughout the body in a 3-
dimensional web from head to foot without
interruption
bull Surrounds every muscle bone nerve
blood vessel and organ of the body down
to the cellular level
bull Forms a body wide mechano-signaling
network Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIA
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
The transformation of fascia from a
more dense lsquogelrsquo state to a more fluid
lsquosolrsquo state
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE
bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
External force
producing an electric
charge which alters
fibroblastic activity
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
bull Studies also indicate that although fascial
ldquomayrdquo respond to compressive forces it clearly
responds favourably to the application of
TENSION
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
But the surfaces are not all the same
Synthetic playing surfaces and athlete health Drakos MC Taylor SA Fabricant PD Haleem AM J Am Acad Orthop Surg 2013 May21(5)293-302 Taylor SA1 Fabricant PD Khair MM Haleem AM Drakos MC A review of synthetic playing surfaces the shoe-surface interface and lower extremity injuries in athletes Phys Sportsmed 2012 Nov40(4)66-72
Forces and perturbations change respect the surface
Swaminathan R Williams JM Jones MD Theobald PS A kinematic analysis of the spine during rugby scrummaging on natural and synthetic turfs J Sports Sci 201634(11)1058-66 Lewis LM Naunheim R Standeven J Naunheim KS Quantitation of impact attenuation of different playground surfaces under various environmental conditions using a tri-axial accelerometer J Trauma 1993 Dec35(6)932-5
Why the running injuries happen
Moore IS Is there an economical running technique A review of modifiable biomechanical factors affecting running economy Sports Med 2016 Jun46(6)793-807
Many running injuries are due to the previous injuries to the lower limb
Dallinga JM1 Benjaminse A Lemmink KA Which screening tools can predict injury to the lower extremities in team sports a systematic review Sports Med 2012 Sep 142(9)791-815
Assessment of postural oscillations Is a predictive test for ankle injury
Dynamic Assessment
Koch M Lunde LK Ernst M Knardahl S Veiersted KB
Validity and reliability of pressure-measurement insoles for vertical ground reaction force assessment in field situations
Appl Ergon 2016 Mar53 Pt A44-51
In real situation
With the shoes
Postulation
THE BODY WILL ADAPT As long as the applied stress is not greater
than its capacity to adapt
Arthroses and running (2013-Williams 2012-Cha 2012-Kelly 2012-Subburaj 2012-Hansen 2010-VanGinckel 2009-Boocock 2008(P)-Lamontagne 2008-Chakravarty 2008-Krampla 2008-Stahi 2005-Kersting
2007(L)-Price 2007-Baumgarten 2007-Hanna 2006-Schmitt 2006-OrsquoKane 2006-Shakoor 2006-Cymet 2006-Kessler 2006-Weidekamm 2005-Weidekamm 2005-Hohmann 2004-Shrier 2004-Eckstein 2004-Walther 2004-Hohmann 2003(CR)-Brosseau 2003(SR)-Jordan 2002-Conaghan 2001-Krampla 2000-Cheng 1998-Otterness 1997-Lequesne 1996-Cole
2001 et 1995-Nigg)
bull Studies do not show more cartilage degeneration (arthroses) in runners than in non-runners
bull A repetitive and progressive stress on joint cartilage will contribute to its thickening and strengthening
OUR TARGET
THE TARGET
bull Spreads throughout the body in a 3-
dimensional web from head to foot without
interruption
bull Surrounds every muscle bone nerve
blood vessel and organ of the body down
to the cellular level
bull Forms a body wide mechano-signaling
network Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIA
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
The transformation of fascia from a
more dense lsquogelrsquo state to a more fluid
lsquosolrsquo state
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE
bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
External force
producing an electric
charge which alters
fibroblastic activity
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
bull Studies also indicate that although fascial
ldquomayrdquo respond to compressive forces it clearly
responds favourably to the application of
TENSION
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Synthetic playing surfaces and athlete health Drakos MC Taylor SA Fabricant PD Haleem AM J Am Acad Orthop Surg 2013 May21(5)293-302 Taylor SA1 Fabricant PD Khair MM Haleem AM Drakos MC A review of synthetic playing surfaces the shoe-surface interface and lower extremity injuries in athletes Phys Sportsmed 2012 Nov40(4)66-72
Forces and perturbations change respect the surface
Swaminathan R Williams JM Jones MD Theobald PS A kinematic analysis of the spine during rugby scrummaging on natural and synthetic turfs J Sports Sci 201634(11)1058-66 Lewis LM Naunheim R Standeven J Naunheim KS Quantitation of impact attenuation of different playground surfaces under various environmental conditions using a tri-axial accelerometer J Trauma 1993 Dec35(6)932-5
Why the running injuries happen
Moore IS Is there an economical running technique A review of modifiable biomechanical factors affecting running economy Sports Med 2016 Jun46(6)793-807
Many running injuries are due to the previous injuries to the lower limb
Dallinga JM1 Benjaminse A Lemmink KA Which screening tools can predict injury to the lower extremities in team sports a systematic review Sports Med 2012 Sep 142(9)791-815
Assessment of postural oscillations Is a predictive test for ankle injury
Dynamic Assessment
Koch M Lunde LK Ernst M Knardahl S Veiersted KB
Validity and reliability of pressure-measurement insoles for vertical ground reaction force assessment in field situations
Appl Ergon 2016 Mar53 Pt A44-51
In real situation
With the shoes
Postulation
THE BODY WILL ADAPT As long as the applied stress is not greater
than its capacity to adapt
Arthroses and running (2013-Williams 2012-Cha 2012-Kelly 2012-Subburaj 2012-Hansen 2010-VanGinckel 2009-Boocock 2008(P)-Lamontagne 2008-Chakravarty 2008-Krampla 2008-Stahi 2005-Kersting
2007(L)-Price 2007-Baumgarten 2007-Hanna 2006-Schmitt 2006-OrsquoKane 2006-Shakoor 2006-Cymet 2006-Kessler 2006-Weidekamm 2005-Weidekamm 2005-Hohmann 2004-Shrier 2004-Eckstein 2004-Walther 2004-Hohmann 2003(CR)-Brosseau 2003(SR)-Jordan 2002-Conaghan 2001-Krampla 2000-Cheng 1998-Otterness 1997-Lequesne 1996-Cole
2001 et 1995-Nigg)
bull Studies do not show more cartilage degeneration (arthroses) in runners than in non-runners
bull A repetitive and progressive stress on joint cartilage will contribute to its thickening and strengthening
OUR TARGET
THE TARGET
bull Spreads throughout the body in a 3-
dimensional web from head to foot without
interruption
bull Surrounds every muscle bone nerve
blood vessel and organ of the body down
to the cellular level
bull Forms a body wide mechano-signaling
network Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIA
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
The transformation of fascia from a
more dense lsquogelrsquo state to a more fluid
lsquosolrsquo state
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE
bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
External force
producing an electric
charge which alters
fibroblastic activity
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
bull Studies also indicate that although fascial
ldquomayrdquo respond to compressive forces it clearly
responds favourably to the application of
TENSION
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Forces and perturbations change respect the surface
Swaminathan R Williams JM Jones MD Theobald PS A kinematic analysis of the spine during rugby scrummaging on natural and synthetic turfs J Sports Sci 201634(11)1058-66 Lewis LM Naunheim R Standeven J Naunheim KS Quantitation of impact attenuation of different playground surfaces under various environmental conditions using a tri-axial accelerometer J Trauma 1993 Dec35(6)932-5
Why the running injuries happen
Moore IS Is there an economical running technique A review of modifiable biomechanical factors affecting running economy Sports Med 2016 Jun46(6)793-807
Many running injuries are due to the previous injuries to the lower limb
Dallinga JM1 Benjaminse A Lemmink KA Which screening tools can predict injury to the lower extremities in team sports a systematic review Sports Med 2012 Sep 142(9)791-815
Assessment of postural oscillations Is a predictive test for ankle injury
Dynamic Assessment
Koch M Lunde LK Ernst M Knardahl S Veiersted KB
Validity and reliability of pressure-measurement insoles for vertical ground reaction force assessment in field situations
Appl Ergon 2016 Mar53 Pt A44-51
In real situation
With the shoes
Postulation
THE BODY WILL ADAPT As long as the applied stress is not greater
than its capacity to adapt
Arthroses and running (2013-Williams 2012-Cha 2012-Kelly 2012-Subburaj 2012-Hansen 2010-VanGinckel 2009-Boocock 2008(P)-Lamontagne 2008-Chakravarty 2008-Krampla 2008-Stahi 2005-Kersting
2007(L)-Price 2007-Baumgarten 2007-Hanna 2006-Schmitt 2006-OrsquoKane 2006-Shakoor 2006-Cymet 2006-Kessler 2006-Weidekamm 2005-Weidekamm 2005-Hohmann 2004-Shrier 2004-Eckstein 2004-Walther 2004-Hohmann 2003(CR)-Brosseau 2003(SR)-Jordan 2002-Conaghan 2001-Krampla 2000-Cheng 1998-Otterness 1997-Lequesne 1996-Cole
2001 et 1995-Nigg)
bull Studies do not show more cartilage degeneration (arthroses) in runners than in non-runners
bull A repetitive and progressive stress on joint cartilage will contribute to its thickening and strengthening
OUR TARGET
THE TARGET
bull Spreads throughout the body in a 3-
dimensional web from head to foot without
interruption
bull Surrounds every muscle bone nerve
blood vessel and organ of the body down
to the cellular level
bull Forms a body wide mechano-signaling
network Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIA
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
The transformation of fascia from a
more dense lsquogelrsquo state to a more fluid
lsquosolrsquo state
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE
bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
External force
producing an electric
charge which alters
fibroblastic activity
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
bull Studies also indicate that although fascial
ldquomayrdquo respond to compressive forces it clearly
responds favourably to the application of
TENSION
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Why the running injuries happen
Moore IS Is there an economical running technique A review of modifiable biomechanical factors affecting running economy Sports Med 2016 Jun46(6)793-807
Many running injuries are due to the previous injuries to the lower limb
Dallinga JM1 Benjaminse A Lemmink KA Which screening tools can predict injury to the lower extremities in team sports a systematic review Sports Med 2012 Sep 142(9)791-815
Assessment of postural oscillations Is a predictive test for ankle injury
Dynamic Assessment
Koch M Lunde LK Ernst M Knardahl S Veiersted KB
Validity and reliability of pressure-measurement insoles for vertical ground reaction force assessment in field situations
Appl Ergon 2016 Mar53 Pt A44-51
In real situation
With the shoes
Postulation
THE BODY WILL ADAPT As long as the applied stress is not greater
than its capacity to adapt
Arthroses and running (2013-Williams 2012-Cha 2012-Kelly 2012-Subburaj 2012-Hansen 2010-VanGinckel 2009-Boocock 2008(P)-Lamontagne 2008-Chakravarty 2008-Krampla 2008-Stahi 2005-Kersting
2007(L)-Price 2007-Baumgarten 2007-Hanna 2006-Schmitt 2006-OrsquoKane 2006-Shakoor 2006-Cymet 2006-Kessler 2006-Weidekamm 2005-Weidekamm 2005-Hohmann 2004-Shrier 2004-Eckstein 2004-Walther 2004-Hohmann 2003(CR)-Brosseau 2003(SR)-Jordan 2002-Conaghan 2001-Krampla 2000-Cheng 1998-Otterness 1997-Lequesne 1996-Cole
2001 et 1995-Nigg)
bull Studies do not show more cartilage degeneration (arthroses) in runners than in non-runners
bull A repetitive and progressive stress on joint cartilage will contribute to its thickening and strengthening
OUR TARGET
THE TARGET
bull Spreads throughout the body in a 3-
dimensional web from head to foot without
interruption
bull Surrounds every muscle bone nerve
blood vessel and organ of the body down
to the cellular level
bull Forms a body wide mechano-signaling
network Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIA
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
The transformation of fascia from a
more dense lsquogelrsquo state to a more fluid
lsquosolrsquo state
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE
bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
External force
producing an electric
charge which alters
fibroblastic activity
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
bull Studies also indicate that although fascial
ldquomayrdquo respond to compressive forces it clearly
responds favourably to the application of
TENSION
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Moore IS Is there an economical running technique A review of modifiable biomechanical factors affecting running economy Sports Med 2016 Jun46(6)793-807
Many running injuries are due to the previous injuries to the lower limb
Dallinga JM1 Benjaminse A Lemmink KA Which screening tools can predict injury to the lower extremities in team sports a systematic review Sports Med 2012 Sep 142(9)791-815
Assessment of postural oscillations Is a predictive test for ankle injury
Dynamic Assessment
Koch M Lunde LK Ernst M Knardahl S Veiersted KB
Validity and reliability of pressure-measurement insoles for vertical ground reaction force assessment in field situations
Appl Ergon 2016 Mar53 Pt A44-51
In real situation
With the shoes
Postulation
THE BODY WILL ADAPT As long as the applied stress is not greater
than its capacity to adapt
Arthroses and running (2013-Williams 2012-Cha 2012-Kelly 2012-Subburaj 2012-Hansen 2010-VanGinckel 2009-Boocock 2008(P)-Lamontagne 2008-Chakravarty 2008-Krampla 2008-Stahi 2005-Kersting
2007(L)-Price 2007-Baumgarten 2007-Hanna 2006-Schmitt 2006-OrsquoKane 2006-Shakoor 2006-Cymet 2006-Kessler 2006-Weidekamm 2005-Weidekamm 2005-Hohmann 2004-Shrier 2004-Eckstein 2004-Walther 2004-Hohmann 2003(CR)-Brosseau 2003(SR)-Jordan 2002-Conaghan 2001-Krampla 2000-Cheng 1998-Otterness 1997-Lequesne 1996-Cole
2001 et 1995-Nigg)
bull Studies do not show more cartilage degeneration (arthroses) in runners than in non-runners
bull A repetitive and progressive stress on joint cartilage will contribute to its thickening and strengthening
OUR TARGET
THE TARGET
bull Spreads throughout the body in a 3-
dimensional web from head to foot without
interruption
bull Surrounds every muscle bone nerve
blood vessel and organ of the body down
to the cellular level
bull Forms a body wide mechano-signaling
network Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIA
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
The transformation of fascia from a
more dense lsquogelrsquo state to a more fluid
lsquosolrsquo state
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE
bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
External force
producing an electric
charge which alters
fibroblastic activity
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
bull Studies also indicate that although fascial
ldquomayrdquo respond to compressive forces it clearly
responds favourably to the application of
TENSION
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Dallinga JM1 Benjaminse A Lemmink KA Which screening tools can predict injury to the lower extremities in team sports a systematic review Sports Med 2012 Sep 142(9)791-815
Assessment of postural oscillations Is a predictive test for ankle injury
Dynamic Assessment
Koch M Lunde LK Ernst M Knardahl S Veiersted KB
Validity and reliability of pressure-measurement insoles for vertical ground reaction force assessment in field situations
Appl Ergon 2016 Mar53 Pt A44-51
In real situation
With the shoes
Postulation
THE BODY WILL ADAPT As long as the applied stress is not greater
than its capacity to adapt
Arthroses and running (2013-Williams 2012-Cha 2012-Kelly 2012-Subburaj 2012-Hansen 2010-VanGinckel 2009-Boocock 2008(P)-Lamontagne 2008-Chakravarty 2008-Krampla 2008-Stahi 2005-Kersting
2007(L)-Price 2007-Baumgarten 2007-Hanna 2006-Schmitt 2006-OrsquoKane 2006-Shakoor 2006-Cymet 2006-Kessler 2006-Weidekamm 2005-Weidekamm 2005-Hohmann 2004-Shrier 2004-Eckstein 2004-Walther 2004-Hohmann 2003(CR)-Brosseau 2003(SR)-Jordan 2002-Conaghan 2001-Krampla 2000-Cheng 1998-Otterness 1997-Lequesne 1996-Cole
2001 et 1995-Nigg)
bull Studies do not show more cartilage degeneration (arthroses) in runners than in non-runners
bull A repetitive and progressive stress on joint cartilage will contribute to its thickening and strengthening
OUR TARGET
THE TARGET
bull Spreads throughout the body in a 3-
dimensional web from head to foot without
interruption
bull Surrounds every muscle bone nerve
blood vessel and organ of the body down
to the cellular level
bull Forms a body wide mechano-signaling
network Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIA
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
The transformation of fascia from a
more dense lsquogelrsquo state to a more fluid
lsquosolrsquo state
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE
bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
External force
producing an electric
charge which alters
fibroblastic activity
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
bull Studies also indicate that although fascial
ldquomayrdquo respond to compressive forces it clearly
responds favourably to the application of
TENSION
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Dynamic Assessment
Koch M Lunde LK Ernst M Knardahl S Veiersted KB
Validity and reliability of pressure-measurement insoles for vertical ground reaction force assessment in field situations
Appl Ergon 2016 Mar53 Pt A44-51
In real situation
With the shoes
Postulation
THE BODY WILL ADAPT As long as the applied stress is not greater
than its capacity to adapt
Arthroses and running (2013-Williams 2012-Cha 2012-Kelly 2012-Subburaj 2012-Hansen 2010-VanGinckel 2009-Boocock 2008(P)-Lamontagne 2008-Chakravarty 2008-Krampla 2008-Stahi 2005-Kersting
2007(L)-Price 2007-Baumgarten 2007-Hanna 2006-Schmitt 2006-OrsquoKane 2006-Shakoor 2006-Cymet 2006-Kessler 2006-Weidekamm 2005-Weidekamm 2005-Hohmann 2004-Shrier 2004-Eckstein 2004-Walther 2004-Hohmann 2003(CR)-Brosseau 2003(SR)-Jordan 2002-Conaghan 2001-Krampla 2000-Cheng 1998-Otterness 1997-Lequesne 1996-Cole
2001 et 1995-Nigg)
bull Studies do not show more cartilage degeneration (arthroses) in runners than in non-runners
bull A repetitive and progressive stress on joint cartilage will contribute to its thickening and strengthening
OUR TARGET
THE TARGET
bull Spreads throughout the body in a 3-
dimensional web from head to foot without
interruption
bull Surrounds every muscle bone nerve
blood vessel and organ of the body down
to the cellular level
bull Forms a body wide mechano-signaling
network Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIA
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
The transformation of fascia from a
more dense lsquogelrsquo state to a more fluid
lsquosolrsquo state
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE
bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
External force
producing an electric
charge which alters
fibroblastic activity
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
bull Studies also indicate that although fascial
ldquomayrdquo respond to compressive forces it clearly
responds favourably to the application of
TENSION
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Postulation
THE BODY WILL ADAPT As long as the applied stress is not greater
than its capacity to adapt
Arthroses and running (2013-Williams 2012-Cha 2012-Kelly 2012-Subburaj 2012-Hansen 2010-VanGinckel 2009-Boocock 2008(P)-Lamontagne 2008-Chakravarty 2008-Krampla 2008-Stahi 2005-Kersting
2007(L)-Price 2007-Baumgarten 2007-Hanna 2006-Schmitt 2006-OrsquoKane 2006-Shakoor 2006-Cymet 2006-Kessler 2006-Weidekamm 2005-Weidekamm 2005-Hohmann 2004-Shrier 2004-Eckstein 2004-Walther 2004-Hohmann 2003(CR)-Brosseau 2003(SR)-Jordan 2002-Conaghan 2001-Krampla 2000-Cheng 1998-Otterness 1997-Lequesne 1996-Cole
2001 et 1995-Nigg)
bull Studies do not show more cartilage degeneration (arthroses) in runners than in non-runners
bull A repetitive and progressive stress on joint cartilage will contribute to its thickening and strengthening
OUR TARGET
THE TARGET
bull Spreads throughout the body in a 3-
dimensional web from head to foot without
interruption
bull Surrounds every muscle bone nerve
blood vessel and organ of the body down
to the cellular level
bull Forms a body wide mechano-signaling
network Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIA
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
The transformation of fascia from a
more dense lsquogelrsquo state to a more fluid
lsquosolrsquo state
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE
bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
External force
producing an electric
charge which alters
fibroblastic activity
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
bull Studies also indicate that although fascial
ldquomayrdquo respond to compressive forces it clearly
responds favourably to the application of
TENSION
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Arthroses and running (2013-Williams 2012-Cha 2012-Kelly 2012-Subburaj 2012-Hansen 2010-VanGinckel 2009-Boocock 2008(P)-Lamontagne 2008-Chakravarty 2008-Krampla 2008-Stahi 2005-Kersting
2007(L)-Price 2007-Baumgarten 2007-Hanna 2006-Schmitt 2006-OrsquoKane 2006-Shakoor 2006-Cymet 2006-Kessler 2006-Weidekamm 2005-Weidekamm 2005-Hohmann 2004-Shrier 2004-Eckstein 2004-Walther 2004-Hohmann 2003(CR)-Brosseau 2003(SR)-Jordan 2002-Conaghan 2001-Krampla 2000-Cheng 1998-Otterness 1997-Lequesne 1996-Cole
2001 et 1995-Nigg)
bull Studies do not show more cartilage degeneration (arthroses) in runners than in non-runners
bull A repetitive and progressive stress on joint cartilage will contribute to its thickening and strengthening
OUR TARGET
THE TARGET
bull Spreads throughout the body in a 3-
dimensional web from head to foot without
interruption
bull Surrounds every muscle bone nerve
blood vessel and organ of the body down
to the cellular level
bull Forms a body wide mechano-signaling
network Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIA
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
The transformation of fascia from a
more dense lsquogelrsquo state to a more fluid
lsquosolrsquo state
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE
bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
External force
producing an electric
charge which alters
fibroblastic activity
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
bull Studies also indicate that although fascial
ldquomayrdquo respond to compressive forces it clearly
responds favourably to the application of
TENSION
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
OUR TARGET
THE TARGET
bull Spreads throughout the body in a 3-
dimensional web from head to foot without
interruption
bull Surrounds every muscle bone nerve
blood vessel and organ of the body down
to the cellular level
bull Forms a body wide mechano-signaling
network Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIA
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
The transformation of fascia from a
more dense lsquogelrsquo state to a more fluid
lsquosolrsquo state
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE
bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
External force
producing an electric
charge which alters
fibroblastic activity
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
bull Studies also indicate that although fascial
ldquomayrdquo respond to compressive forces it clearly
responds favourably to the application of
TENSION
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
THE TARGET
bull Spreads throughout the body in a 3-
dimensional web from head to foot without
interruption
bull Surrounds every muscle bone nerve
blood vessel and organ of the body down
to the cellular level
bull Forms a body wide mechano-signaling
network Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIA
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
The transformation of fascia from a
more dense lsquogelrsquo state to a more fluid
lsquosolrsquo state
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE
bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
External force
producing an electric
charge which alters
fibroblastic activity
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
bull Studies also indicate that although fascial
ldquomayrdquo respond to compressive forces it clearly
responds favourably to the application of
TENSION
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
The transformation of fascia from a
more dense lsquogelrsquo state to a more fluid
lsquosolrsquo state
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE
bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
External force
producing an electric
charge which alters
fibroblastic activity
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
bull Studies also indicate that although fascial
ldquomayrdquo respond to compressive forces it clearly
responds favourably to the application of
TENSION
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
The transformation of fascia from a
more dense lsquogelrsquo state to a more fluid
lsquosolrsquo state
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE
bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
External force
producing an electric
charge which alters
fibroblastic activity
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
bull Studies also indicate that although fascial
ldquomayrdquo respond to compressive forces it clearly
responds favourably to the application of
TENSION
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
FASCIAL
RESPONSE
bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
External force
producing an electric
charge which alters
fibroblastic activity
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
bull Studies also indicate that although fascial
ldquomayrdquo respond to compressive forces it clearly
responds favourably to the application of
TENSION
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
FASCIAL
RESPONSE bull As previously noted fascia does not respond
in the same way as contractile tissue
bull Studies show load application must be held
for longer periods (gt2 minutes) in order to
induce Thixotropy amp Piezoelectricity
bull Studies also indicate that although fascial
ldquomayrdquo respond to compressive forces it clearly
responds favourably to the application of
TENSION
Functional Range Releasetrade - Copyright copy 2010 by Dr Andreo Spina - All rights reserved
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Cause of overuse injuries
Mechanical
Stress Intrinsic
Factors
Biomechanical vice
Muscle dysfunction
Tissue frailty
Training errors Running shoe
Surface
Extrinsic
Factors
MISADAPTATION
Surface
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Soft Tissue Adaptation
Time
Str
ess
Minimal stress
needed to create
adaptations
Maximal capacity
of the body
to sustain
mechanical stress
laquoUnraquo adaptation
Zone
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Time
Str
ess
Misadaptation
Zone (Less Tolerance)
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Time
Str
ess
Adaptation
Zone
Maximal capacity
of the body
to sustain
mechanical stress
Minimal stress
needed to create
adaptations
Soft Tissue Adaptation
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Tissue Adaptation
Quantification of tissue stress
Tissue
Health
NSAID
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Progression (2007-Buist 2006-Raasch 2005 et 2004-Hreljac 1995-Rochcongar 1992-Macera 1989-Walter 1990-Cook 1977-Henderson)
bull Changes
ndash Seasons hills surfaces
bull Volume
ndash Max 10 more week
ndash Long run max 10 min more week (5rsquo to 15rsquo)
bull Intensity (gt70-85 max HR)
ndash 10 to 20 week max 3 more week
ndash Mechanical stress more important than volume
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Definition
0 100 minimalism
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Evolution of the running shoes
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Evolution of the running shoes
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Evolution of the running shoes
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
hellipincrease the load onhellip
The Maximalist Shoes
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
hellipincrease the load onhellip
The Minimalist Shoes
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
In 2009 80 million
runners were
recorded in Europe
and 33 of women
started running in
that year
THE RUNNING BOOM
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Daniel E Lieberman Harvard University Nature - 2010
Loading rate is the speed at which you apply forces to the body
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Footwear effect bull Change natural biomechanics
bull Change muscular activation
sequence (EMG)
bull vertical loading rate (which is
associated to stress fractures)
bull Weakens foot tissue
bull proprioception and balance
bull O2 consumption and
performance
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
IS ONLY A QUESTION OF SHOES
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Acquisition
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Analysis views
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Rockers
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Values
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Gait Line
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Curve
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Videografy
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Videography
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Comparisons
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Movement of Cop
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Sport and Special Populations
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Older
Davis AM Galna B Murphy AT Williams CM Haines TP
Effect of footwear on minimum foot clearance heel slippage
and spatiotemporal measures of gait in older women
Gait Posture 2016 Feb4443-7
Ikpeze TC Omar A Elfar JH
Evaluating Problems With Footwear in the Geriatric Population
Geriatr Orthop Surg Rehabil 2015 Dec6(4)338-40
Thies SB Price C Kenney LP Baker R
Effects of shoe sole geometry on toe clearance and walking stability in older adults
Gait Posture 2015 Jul42(2)105-9
Howcroft JD Lemaire ED Kofman J McIlroy WE
Analysis of dual-task elderly gait using wearable plantar-pressure insoles and accelerometer
Conf Proc IEEE Eng Med Biol Soc 201420145003-6
Correct distribution of loads and equilibrum prevents falls injuries fractures
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Diabetes and Vasculopathy
Paton J Glasser S Collings R Marsden J Getting the right balance insole design alters the static balance of people with diabetes and neuropathy J Foot Ankle Res 2016 Oct 5940
Paton JS Roberts A Bruce GK Marsden J Does footwear affect balance the views and experiences of people with diabetes and neuropathy who have fallen J Am Podiatr Med Assoc 2013 Nov-Dec103(6)508-15
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Hip and Knee replacement
Ewen AM Stewart S St Clair Gibson A Kashyap SN Caplan N
Post-operative gait analysis in total hip replacement patients-a review of current literature and meta-analysis
Gait Posture 2012 May36(1)1-6
After surgery continue compensation in the gait cycle
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
This problems continue in the follow up at 6 and 12 months after surgery
Agostini V Ganio D Facchin K Cane L Moreira Carneiro S Knaflitz M Gait parameters and muscle activation patterns at 3 6 and 12 months after total hip arthroplasty J Arthroplasty 2014 Jun29(6)1265-72
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
RE-TRAINING
Clansey AC Hanlon M Wallace ES et al Influence of tibial shock feedback training on impact loading and running economy Med Sci Sports Exerc 201446973ndash981
VISUAL BIOFEEDBACK in real time
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Hustedt JW Blizzard DJ Baumgaertner MR Leslie MP Grauer JN Current advances in training orthopaedic patients to comply with partial weight-bearing instructions Yale J Biol Med 2012 Mar85(1)119-25 Epub 2012 Mar 29 Schega L Bertram D Folsch C Hamacher D The influence of visual feedback on the mental representation of gait in patients with THR a new approach for an experimental rehabilitation strategy Clin Rehabil 2014 Jul28(7) 658-68
Immediatly afther replacement surgery The use of biofeedback improve the recovery of the correct disribution of the bodyweight on the lower limbs during deambulation
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
The physical activity is good for the health
But the Power is nothing without the control
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
Contacts
bull wwwsensormedicacom
bull maxsensormedicacom
![Review Paper The biomechanics of running · The gait cycle is the basic unit of measurement in gait analysis [28]. The gait cycle begins when one foot comes in contact with the ground](https://img.pdfslide.net/doc/110x75/5f5d0b862aae11448e7ae475/review-paper-the-biomechanics-of-running-the-gait-cycle-is-the-basic-unit-of-measurement.jpg)
![Predicting gait adaptations due to ankle plantarflexor muscle …€¦ · that could generate various gait patterns, including level walking [21–24] and running [22,24], inclined](https://img.pdfslide.net/doc/110x75/5f13a3a1166ba566d04623bc/predicting-gait-adaptations-due-to-ankle-plantarflexor-muscle-that-could-generate.jpg)
