Embryological Development of the Talar Bone


I was the first researcher to suggest that the etiology (cause) of Rothbarts Foot is directly linked to the ontogenetic (embryological) development of the talus (the bone that sits on top of the heel bone).  I published my findings in the Journal of Bodywork and Movement Therapies in 2002 (5).

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.

Measuring 1006 Egyptian feet, Sewell (1) was the first to publish on the substantial twist between the talar head relative and its surgical neck.  Straus (2) reported angles (a twist) ranging from 26 degrees to 43 degrees.  McPoil (3) reported angles ranging between 24 and 51 degrees and Sarrafian (4) between 30 and 65 degrees.  This twist between the talar head and its surgical neck is referred to as Talar Supinatus.

I suggest (Journal of Bodyworks and Movement Therapy, 2002) that the degree of twist between the talar head and its surgical neck determines the position of the entire medial column (inside) of the foot:

  • If the talar twist is (approximately) less than 35 degrees (referred to as Talar Supinatus), it results in the Primus Metatarsus Supinatus (Rothbarts Foot).
  • If the talar twist is (approximately) greater than 40 degrees (e.g., the talar head has sufficiently unwound), it results in a plantargrade foot (the first metatarsal and hallux rest on the ground when the subtalar joint is placed into its anatomical neutral position).




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


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References

     (1) Sewell RS 1906. A Study of the Astragalus (Talus). Part IV. Journal of Anatomy and Physiology. 40:152.
     (2) Strauss WL 1927.  Growth of the human foot and its evolutionary significance.  Contributions in Embryology. 19:95, Vols 21, 32, 34.  Washington DC. Carnegie Institution of Washington.

     (3) McPoil T et al 1987.  Anatomical characteristics of the talus in realtion to forefoot deformities.  Journal American Podiatric Medical Association. 77:77-81.
     (4)
Sarrafian SK 1983.  Anatomy of the foot and Ankle.  JB Lippincott, Philadelphia.
         (5)  Rothbart BA, 2002. Medial Column Foot Systems: An Innovative Tool for Improving Posture. Journal of Bodywork and Movement Therapies (6)1:37-46

 

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