Inventor and Designer of Postural Control Insoles

Iatrogenic Insoles - inappropriate proprioceptive insoles dispensed to patient

(2)  Increased Forward Lean

In the above example, the head immediately shifts forward when the incorrect proprioceptive signal is placed under the patient's feet.

  • Proprioceptive Insole designed for a Rothbarts Foot was used on this patient with a PreClinical Clubfoot Deformity

This forward head position increases the strain on the neck muscles, resulting in debilitating headaches.

(5)  Global Distortion of Posture

(3)  Stomach Distension/Protrusion 

(1)  Increased Forward Head Position

In the above example, there is an immediate distension/protrusion (See Arrow B) of the stomach when the incorrect proprioceptive signal is placed under the patient's feet.

  • The proprioceptive signal used was too weak

Abdominal distension (due to the weakness in the abdominal muscles) is frequently linked to gastrointestinal symptoms such as diarrhea, nauseousness, constipation, abdominal pain and/or vomiting (e.g., G.I. Dysfunction).  

If the wrong type of proprioceptive insole is used, it can actually increase the postural distortion, and with it, the patient's subjective symptoms.

Below, a patient was originally fitted with a KS Italia insole to reverse a postural distortion resulting from a severe Rothbarts Foot.  This type of insole should never be dispensed to patients with a Rothbarts Foot.

  • Note the increased forward shift in posture (a negative shift). 

When the correct proprioceptive insole was used (e.g., Rothbart's Insole), the forward shift in posture reduced (a positive shift).

In the above example, there is an immediate increase in the forward lean when the incorrect proprioceptive signal is placed under the patient's feet.

  • The proprioceptive signal used was too strong

The anterior lean increases the load and asymmetrical positioning of the weight-bearing joints.  This results in uneven cartilaginous wear patterns withing the joints (much like a car with an alignment problem - resulting in the tires wearing unevenly).

Anterior lean patterns frequently are linked to chronic joint pain (ankle, knee, hip, back and/or jaw).

Four examples when the wrong type of insole or incorrect strength of signal is used to treat the Rothbarts Foot or the PreClinical Clubfoot Deformity

(4)  Ks Italia increases Forward Lean

Global postural distortion

Insole designed for Rothbarts Foot fitted on a patient diagnosed with a PreClinical Clubfoot Deformity

1.  Increased Lordosis

2.  Stomach Protrusion (weakened abdominal muscles)

3.  Increased Anterior Pelvic Tilt 

4.  Knee Hyperextended

Both of the above two patients were diagnosed as having the PreClinical Clubfoot Deformity.  

  • The patient on the above left was test fitted with a 3.5mm wedge
  • The patient on the above right was fitted with a 6.0mm Postural Control Insole

Note the postural deterioration (forward body lean) in both patients