Assessing Foot Flexibility: Part 05 (Modified Coleman Block Test) скачать в хорошем качестве

Assessing Foot Flexibility: Part 05 (Modified Coleman Block Test)

In the final segment about assessing foot flexibility, Vince Mosca, MD covers the Coleman Block test. For more information and videos, please visit: http://global-help.org and http://www.pedorthoacademy.org. Dr. Mosca notes: "This is my modification of the Coleman block test. I have operated on over 500 cavovarus foot deformities and evaluated many others. The underlying etiologies have included CMT, CP, myelomeningocele, arthrogryposis, peripheral nerve injury, and others. It has been my observation that the block test, as described by Coleman, frequently does not reveal the true flexibility of the hindfoot. The reason is that children tend to balance themselves on the block when it’s place under the entire lateral column of the foot, rather than allowing the forefoot to pronate off the inner side of the block. Without full pronation of the forefoot, the hindfoot flexibility cannot be accurately demonstrated. Additionally, children with spasticity are unable to relax their muscles enough to allow the hindfoot to evert when the test is performed in this manner. It’s also uncomfortable to perform the test as Coleman described. I’ve tried it. With the block under the lateral forefoot, the forefoot is automatically and forcefully pronated. It cannot resist. And the hindfoot everts to the extent that it is able with little if any voluntary resistance by the child. In fact, it’s almost impossible to prevent the hindfoot from everting, to the extent possible, when the test is performed in this manner. Even children with spasticity have an easier time demonstrating hindfoot flexibility with this modification. Furthermore, the block under the lateral forefoot feels better on the plantar aspect of the foot than when it’s under the entire lateral column and the foot is trying to fall off the medial side. Comfort will also increase the odds that the child will allow the hindfoot to evert to it’s maximum extent I plan to edit the title and text of this video based on your accurate identification that a modification of the Coleman test is being demonstrated."