replies to post

replies to post

Debra Auten B.S. Orthotist/Prosthetist

2/19/1998

Thanks for your replies- Here is the orginal meg. with replies



Hello all! I need help locating some information. I need articles
>that describe the biomechanics and 3 points pressure systems for a
>UCBL. Also, need a book or any artilces relating to functional upper
>extremity fracture braceing. If anyone knows a particular title of a
>book or JOURNAL ARTICLE please write back. Thank you
>for any information that will help me in my quest.

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contact Orthomerica (1-800-446-6770 or <URL Redacted>are
happy to send reprints of Sarmiento's papers on fracture bracing as
well other
journal reprints on the subject. As far as the 3-point pressure
systems of
the UCB insert, you might check with the Oregon Orthotic System
( <URL Redacted>. While not specifically a UCB, their foot
orthoses are
probably the most succinct expression of that particular pressure
system and
their educational materials (you might have to take their course to
get them)
have elegant drawings of the pressures in question.
Good Luck
Harry Philli[s, C.P.O.
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There are a few articles that I would recommend that you get in
addition
to the articles that are specific to the UCBL. The article that you
are
looking for in particular is an article written in 1974 by Campbell
and
Inman:

Campbell JW, Inman VT. Treatment of plantar fasciitis and calcaneal
spurs with the UC-BL shoe insert. Clin Orthop 1974; 103:57-75.

I beleive that there are a few more published in the old Bulletin of
Prosthetic Research (BPR). I don't have those references available
right
now though.

The other articles that I would highly recommend are :

Hicks JH. The mechanics of the foot. II. The plantar Aponeurosis and
the
arch. J Anat 1954; 88: 25-31

Hicks JH. The foot as a support. Acta Anat 1955; 25:34-45

Sarrafian SK. Functional charateristics of the foot and plantar
aponeurosis under tibiotalar loading, Foot Ankle 1987; 8:4-18

Morris JM. Biomechanics of the foot and ankle,Clin Ortho 1977;
122:10-17

Kogler, GF et al., Biomechanics of the longitudinal arch support
mechanisms in foot orthoses and their effect on plantar aponeurosis
strain, Clinical Biomechanics 1996; 11(5):243-352.

I think that those articles should be a very good start. The Campbell
and
Inman studies are foundational to the biomechanical description of the
UCBL, and the others are essential reading for getting a very good
understanding of the biomechanics of the foot. Definite must haves
for
any orthotist.

Good luck.
----------------------------------------------------------------------
You might want to look at Biomechanical Basis of Orthotic Management
by
Bowker, Condie, Bader and Pratt 1993 Butterworth-Heinneman
Good luck

Adrian Polliack
Rehab Engineering Program
Rancho Los Amigos Medical Center
----------------------------------------------------------------------
 I read an interesting article on PCFO(pronation control foot
orthosis)
     I think it was in JPO summer 1997.

     I myself have a shop here at Fort Riley, Ks. and see more
     hyperpronation than I want to see. Usually UCBL's tend to create
     presure sores on the medial aspect of the foot. I too am
searching
     for the mircle orthotic, so keep me informed.

     Bobby Tindal
     Orthotist
----------------------------------------------------------------------
An orthotic company called Oregon Orthotic Systems , in Oregon has a
lot of
technical info., as well as a great list of references at the end of
each
article. Write back if you need an address and or phone #. Steve Baum
C.O.
----------------------------------------------------------------------
contact John Campbell, C.O. He and Dr. Inman were the people who
worked
on development of the UCBL. I'm sure he will be able to get you copies
of
articles. He can be reached through Campbell/Childs Inc. 1 (800)
446-7233

Steve Childs, BOC P, C.Ped.
----------------------------------------------------------------------
The classic one (from my perspective) is:
An Effective Orthotic Design for Controlling the Unstable Subtalar
Joint by J. Marin Carlson, M.S., C.O. and Gene Berglund. Orthotics
and Prosthetics, Vol. 33, No. 1 pp. 39-49, March 1979.

Another on the efficacy of such treatment:
Corrective Shoes and Inserts as Treatment for Flexible Flatfoot in
Infants and Children. Dennis Wenger, M.D., et al The Journal of
Bone and Joint Surgery, Vol. 71-A, No. 6, July 1989.

Last:
Treatment of Plantar Fascitis and Calcaneal Spurs with the UC-BL
Shoe Insert John W. Campbell, Verne T. Inman, M.D., PhD. Orthotics
and Prosthetics, Vol. 31, No. 2, pp. 23-28, June 1977.
----------------------------------------------------------------------
The Atlas is in print again. It has some pretty good stuff in it.
You might
check the references in the back of chapters in the atlas or other
books
for articles. Or for real specifics check with the manufacturers.
You
also might try recal through MIND.