(1) Locating the Subtalar Joint Neutral Position
(2) Protocol for recording Primus Metatarsus Supinatus values
A microwedge is used to measure the Primus Metatarsus Supinatus value (PMSv) - recorded in mm of vertical deficit (distance between the ground and the first metatarsal head when the foot is positioned in its anatomical neutral position)
- F1 - Foot is pronated
- F2 - Foot is placec into its anatomical neutral position (where the joint surfaces of the subtalar joint are congruous)
- F3 - Microwedge is placed under the first metatarsal head / hallux - measurement is recorded
The inter and intra-rater reliability of this measuring technique has been confirmed by Cummings et al 1997
Cummints GS, Higbie EJ 1997. A weight bearing ethod for determining forefoot posting for orthotic fabrication. Physio Research Intern, Vol 2(1): 42-50.
Professor/Dr Brian A Rothbart
Director of Research, International Academy RPT