Recent E-Mails | ||
On the Shoe Recommendations…Can you help me understand the shoe list better. I am working with someone who is concerned about putting someone in the Evolution or Foundation because her patient is a supinator. My explanation was that the shoe is to help keep the calcaneus/subtalar joint in neutral/mid range as the foot hits the ground. Plus, if you end up putting someone in an orthotic you will need a shoe that is stable enough and has enough motion control to support that orthotic. Also, the shoe’s recommended are to help the whole body get to a neutral state not just the foot type presented. Who the shoe is marketed towards (a pronator, supinator, neutral foot, etc.) is less meaningful, from a PRI mind set, than how the shoe performs under your PRI “stress tests”. Does that sound close to accurate? How could I improve on this explanation? The list of shoes on the PRI recommended list are those that provide good calcaneal support. Many running shoes, at this time, are placing gel or decreasing the heel height on the lateral heel causing people to roll on the outside of their heel. This lateral placement at heel strike does not allow for good calcaneal stability and decreases a person’s ability to press “down” into an arch and shift and push off a big toe. You need to be able to push down into the arch of a shoe to shift into a hip. I feel the Asics Foundations are great for this—-the best I can find with good calcaneal support and ability for a patient to find the arches of their feet. I would caution you, however, in putting your patients in these shoes with an orthotic. I have found the combination of this shoe with the orthotic can provide too much support and push the patient to the lateral border of their feet even more. In that case, I tend to go with Brook Infiniti’s. I always make sure the patient can maintain neutrality through PRI testing with their shoes on and that they feel good heel support and arch contact. So the shoes look more at calcaneal support in addition to motion control, stability and neutral foot position. To view the shoe recommendations, click here! |
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