Article

The prevalence of foot and ankle (F&A) disorders is high. While chronic and
recurrent F&A disorders are broadly documented in the literature, their
underlying mechanisms have not been well defined. Currently, patho-anatomical,
biomechanical and signs and symptoms (Si&Sy) models are widely used to diagnose
and classify musculoskeletal F&A disorders. Within a multi-factorial
bio-psychosocial framework, these models have limitations in identifying the
underlying mechanisms that maintain chronic pain and disability. Therefore, a new
approach to the diagnosis and classification of chronic F&A disorders is
suggested in this Masterclass. This new approach is based on identifying the
underlying mechanisms of the F&A disorder. This Masterclass aims to define and
describe patterns of directional motor control and movement impairment of the F&A
region based on the principal author's clinical observations. Such definition and
description should lead to improved identification of consistent patterns. The
basis of directional motor control and movement impairment patterns is proposed.
As an example, one motor control and one movement impairment pattern is described
in more detail. This Masterclass can be regarded as a prerequisite for future
validation studies investigating the clinical applicability of adapting and
implementing this novel classification system.
CI - Copyright (c) 2011 Elsevier Ltd. All rights reserved.

Langue : ANGLAIS