"New Paradigm" replies and a humble apology

"New Paradigm" replies and a humble apology

Kevin Matthews

12/1/2011

In my attempt to be concise I neglected an important part o
Hello all,

In my attempt to be concise I neglected an important part of this dialogue, the person responsible for this line of thought and treatment.  I apologize for the oversight.  I believe anyone that has been exposed to this practice has heard of the infamous Elaine Owens.  She is with the University of Strathclyde in Scottland, and Beverly Cusick did inform us of her groundbreaking work.  My apologies for the error of omission.

I received many replies and quite a few inquiries.  I have literature available to those interested.  Send an e-mail and one of these days I'll send you some quite useful, thoughtful and groundbreaking lkiterature.  This is a very thoughtful approach and should not be taken lightly.  I would definitely recommend the always sold out conference featuring Elaine Owen's work at the Rehabilitation Institute of Chicago.  I have not, but will one day, attend an event.

Following are a few, many were just inquiries, of the replies.


 

Hi Kevin,

I was not in attendance at the meeting where Beverly Cusick taught and so am not privy to what was said.  However, your description of the
client, placing the talocrural joint in PF, inclining the shank and
lifting the contralateral side sounds very familiar to the work done by
Elaine Owen, a Physio who practices in Wales. She started exploring AFO Footwear Combination with Tuning for her Masters at Strathclyde and worked with Roy Bowers, CO and under the tutelage of Barry Meadows, PhD.  Since 1986 she continued to work with AFOFC in a very large
Paediatric Clinic of which she manages.  She started using slow motion
video, but presently uses a Vicon Video Lab with force plate to observe
Ground Reaction Forces.  This was published last year in Prosthetic Orthotic International <URL Redacted>.  The article includes her Clinical Algorithms for decision making.  It is very important to pay careful attention to the way Elaine has
presented this material, she has investigated these ideas very
thoroughly.

Next week will be the 4th year she will have lectured at our hospital, the Rehabilitation Institute of Chicago.  Beverly Cusick and John Russell were in attendance two years ago.  The 3 day course has been full for two months.  She will be returning in
May for an Advanced course - the first of it kind anywhere.  She has
lectured extensively in Europe. Elaine, myself, Stefanie Fatone, PhD, and Deborah Gaebler, MD have presented the material at the last two AACPDM meeting in Las Vegas.  I have presented with some of our Tuning Clinic team at the last ACPOC meeting.

This is a very exciting technique and I am convinced a paradigm shift.  But
there is a learning curve.  It is also very important to recognize these techniques as more than typical orthotic intervention. AFOFC with
Tuning will influence Ground Reaction Forces by small changes in the
AFOFC which have significant influences upon hip and knee flexion and
extension moments.  These influences can have very positive effects on
muscle length and activity which often require excellent physical
therapy and continued orthotic assessment with the slow motion video.  

There is a great deal of information contained in the above article.  I would suggest you read it.  Also Google Elaine and Roy as they have some
other interesting items out there.