Paul McMullan is our specialist in biomechanical assessments. He has studied biomechanics to masters level and has previously practiced in the NHS. He is a strong advocate of using the latest technological advances to further enhance our standard of assessment.
A Biomechanical Assessment at Head To Toe Practice will begin with a consultation to understand your concerns.
During the assessment, the podiatrist will take an in-depth look at your posture looking at muscle strength, flexibility, joint range of motion, movement patterns and foot/leg/pelvic alignment.
What to bring to your assessment:
- Shorts or loose trousers
- Most commonly worn shoes (including any sports shoes)
- Any MRI or X-Ray reports
The examination begins with questions about the patient's medical history, medication and the history of the injury.
The next part of the assessment will involve analysing gait. We use a force plate and Optogait system. The Podiatrist will be able to assess imbalances and exactly how our foot strikes the ground. For example, one foot may overpronate (ankle rolls inwards) whilst the other foot may over supinate (ankle rolls outwards).
Leg length discrepancies, muscle imbalances, faulty movement patterns and issues with core function all contribute towards pain and injury. With the findings from the assessment, the Podiatrist is then able to guide you to the appropriate management plan, using a variety of techniques to bring the body back into balance,
Treatment may include joint mobilization and manipulation, muscle corrections, footwear guidance, corrective exercise, and foot orthotics if required. The podiatrist will also look at your footwear and discuss if Orthotics (specialised shoe inserts) are needed to improve foot alignment.
Our force plate system is used for the measurement and analysis of foot plantar pressure during movement as well as while standing. The system supplies quantitative information about maximum pressure, average pressure, and center of pressure, though the foot during static stance and dynamic gait.
These measurements are reliable, accurate, instantaneous and repeatable and allow us to detect any aberrant foot and lower limb mechanics during walking.
How it works:
The Foot scanner performs static stabilometry and dynamic gait analysis.
In order to perform the stabilometric analysis, the patient is asked to step on a plate and stand, in a natural and relaxed position, for the evaluation of foot contact – approx. 5 seconds.
The patient is then asked to walk in order to evaluate dynamics: the system records consequential step movements and elaborates the centers of pressure of each foot and for each step phase (from the back of heel to the lifting of the fore foot).