Case studies from daily business
Impulse and anatomical line
Sports patient
A passionate athlete and active track and field athlete, Luigi trained almost daily. Until a cruciate ligament injury on his right side threw him off track. And that’s where we came in and Luigi pro-actively approached us. The subsequent examination showed him to have a relatively healthy, mobile foot, which, however, in motion during the phase of load bearing, showed a significant eversion of the calcaneus with a significant drop in the longitudinal arch of the foot – more so on the right than on the left. Therefore, the approach was to intervene via an active foot orthotic approach, thus supporting the plantar fascia muscles to counteract overpronation. In the muscle-link chain – so the theory goes, this should also improve knee tracking and unload the cruciate ligaments.
The medial rearfoot element was constructed to provide support at the sustentaculum tali while simultaneously approximating the tendon of the posterior tibialis muscle at its insertion and origin. This gave the muscle an activation impulse, with each step and as a subconscious training in the shoe.
Today Luigi is symptom-free. He can train regularly again and – very important – cut a good figure for us and others at shootings. Sometimes fate takes good paths.
Pain patient
Today, Julia describes that she has managed her pain well with active foot orthotics in her everyday shoes.
Children
Since early childhood, Johannes has walked with an idiopathic pointed foot gait in everyday situations and during fast movements. He shows a compensatory slightly internally rotated gait pattern and posture defictis (e.g. round neck and scoliosis).
The aim of fitting him with active foot orthotics was to reduce the tonus in the gastrocnemius muscle in order to ensure heel strike. This was accomplished via a retrocapital step and toe bar to detonate the calf muscles. Lightweight rearfoot elements hold and support the foot in the lower ankle.
Over the time he wore the foot orthotics, a training effect developed that in the medium term led to Johannes no longer exhibiting a pointed foot even when walking barefoot. His posture developed extremely good.
“The foot orthotics helped me to achieve freedom from pain in job and especially sports. Since the pain in my forefoot had completely disappeared after several months, my athletic performance has improved enormously. I have been wearing the foot orthotics for 2 years now and can’t imagine life without them.”
Julia K.
Patient of our Sensorimotor Laboratory in Berlin, Germany