Measuring the Severity of Rothbarts Foot
I was the first researcher to devise a measuring technique for determining the severity of the Primus Metatarsus Supinatus (Rothbarts) Foot. I published this protocol, for determining the PMs Value, in the Italian Journal Sports Medicine (online), 2004.
This research was part of a series of discoveries that ultimately led to a therapy that, in many cases, permanently eliminates chronic musculoskeletal pain without the use of drugs or surgery. This therapy is called Rothbart Proprioceptive Therapy, in which I use a series of tests, proprietary computer analyses, custom designed Rothbart Proprioceptive Insoles and ongoing monitoring to address all of the changes in the patients condition and necessary changes in prescriptions, until the chronic muscle and/or joint pain is eliminated.
Protocol for measuring the Primus Metatarsus supinatus (PMs) Value (e.g., the severity of Rothbarts Foot):
Right Foot:
- Patient Standing, Vision Straight Forward. Locate the medial talocalcaneal (subtalar) joint. This easily palpable joint is approximately one finger width below and in front of the medial malleolus (21).
- Keeping your finger on the medial subtalar joint, have your patient slowly rotate their hips, first counterclockwise and then clockwise. This will pronate (evert) and supinate (invert) the right foot respectively.
- Guide the foot through this range of motion until the upper and lower margins of the subtalar joint feel congruous (parallel) to one another (22).
- This is the anatomical neutral position (nP) of the subtalar joint.
- If the subtalar joint is pronated or supinated, the joint space will feel collapsed (obliterated) or cavernous respectively.
- While maintaining this STJ nP, slide the microwedge (30) underneath the 1st metatarsal head until slight resistance is encountered from the bottom of the foot.
- Record the Primus Metatarsus supinatus (PMs) value (vertical displacement between the 1st metatarsal head and ground). PMs values between 11mm and 30mm are pathognomonic of Rothbarts Foot.
- Repeat this protocol for the left foot.
Discussion:
As the PMs Values increase, clinically we see a:
- (1) more severe pronation pattern
- (2) more severe postural distortion pattern
- (3) more severe pattern of chronic musculoskeletal pain
Reference
Rothbart BA 2004. Pressure Plate Analysis of the Medial Column Foot Insole. A Statistical Study. Online Journal of Sports Medicine (Italian), November Issue.
Professor/Dr. Brian A. Rothbart
Chronic Pain Elimination Specialist
Discovered the Rothbarts Foot and PreClinical Clubfoot Deformity
Developer of Rothbart Proprioceptive Therapy
Designer of Rothbart Proprioceptive Insoles
Founder of International Academy of Rothbart Proprioceptive Therapy
Author of Forever Free From Chronic Pain
Sign Up Now to get your free chapter from Professor Rothbart's book, Forever Free From Chronic Pain
Posted by rothbart at 4/6/2009 12:17 PM 
Categories: Biomechanics (Technical)
Tags: Rothbarts Foot Primus Metatarsus Supinatus (PMs) Values Measuring
Categories: Biomechanics (Technical)
Tags: Rothbarts Foot Primus Metatarsus Supinatus (PMs) Values Measuring
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