Enko Running Shoes

The new entrant into the running footwear market is an original shoe from Enko. These new athletic shoes from France were first publicized in late 2014 and produced through a crowd funding project at Indiegogo at the beginning of 2015.

This shoe features mechanical spring loaded pieces that are included in the midsole. This particular design provides the shoe with increased shock absorption as well as energy return. This is advertised to help increase comfort as well as performance. The springs are interchangeable and are calculated depending on the weight of the runner. Calculations supplied by the company claim that the gains provided by the shock absorbers in terms of mechanical energy is somewhere between 6% and 14% based on the pace of the runner.

It’s not at all obvious if the shoe will likely be widely adopted at this point, but some issues have been expressed about the structure and how it might impact the lower limb biomechanics.

Plantar Fasciitis

Plantar fasciitis is probably the most prevalent condition that impacts the foot. As a result of how frequent it is, there are so many pretending to be “experts” about it on the net providing harmful recommendations on how to deal with this. The typical symptoms of plantar fasciitis are usually soreness under the rearfoot that is more painful when getting up from rest, especially first thing each morning.

Plantar fasciitis is a problem with the plantar fascia (which is a long structure which props up the mid-foot of the feet) when the cumulative load placed on the plantar fascia is higher than what the tissues can take. This means that there are only two important factors that cause plantar fasciitis: the collective force is too high or the tissues are too weak. The load is elevated by body weight, tight leg muscles, activity levels as well as biomechanical reasons. The tissues being too susceptible is due to nutritional issues along with genetic factors.

The reasonable strategy to improve from plantar fasciitis is usually to lessen the stress while increasing the capability of the tissues to accept the load. You reduce the stress by weight loss, using taping as well as foot supports, and stretching out the calf muscles. You increase the ability of the plantar fascia to accept the stress through making sure the dietary status is acceptable and perform progressing loading activities for the plantar fascia. You can’t do anything about the genetics. It really is that simple and there is no need for plantar fasciitis to be a really big issue that it is.

The issue with the cure for plantar fasciitis and all the tips being given on the web for this is that the natural history of plantar fasciitis is to get better without treatment sooner or later. Just check out the placebo groups in the many studies on different treatments for plantar fasciitis; they do improve. Eventually might be a long time and it is painful, so they nonetheless do need to be dealt with rather than wait until it improves. This means that, it doesn’t matter what therapy is used, a particular percent are sure to improve regardless resulting from that natural history. Because of this lousy solutions persist as they all do apparently assist a few, when in reality they didn’t assist any. People who seem to be correctly treated using that treatment are likely to advise that it is very helpful. This also means that the remedies that should be used are those that have been demonstrated to lead to superior results than just the natural history. Because of this we will not get deceived into believing a therapy will work when in fact it might not work any better in comparison to the natural history. We should be cautious taking any recommendations online for virtually any clinical problem.

The Abductory Twist

The abductory twist is an observation which is found during an observation of the walking. Just as the heel starts to unweight or raise up the ground there’s a fast sudden abduction or twist seen of the heel. This is a commonplace finding during a gait evaluation, but its clinical value is of some discussion.

There are a number of reasons for an abductory twist. The first is that because rearfoot is pronating (rolling medially at the rearfoot) this is attempting to internally rotate the leg. Simultaneously the other leg is in the swing period moving forward and is wanting to externally turn the lower limb. The lower limb is ‘battling’ with these two opposite motions. Friction between the floor and the heel holds the heel from moving. The instant weight starts to come off the heel, the external rotation force from above can now abduct the rearfoot and it does so easily. A second explanation is that there is a condition at the great toe joint in which it fails to enable dorsiflexion correctly. This might be a hallux rigidus, a functional hallux limitus or a issue with the windlass mechanism that affects movement at the great toe joint. As this dorsiflexion is difficult to start, the body abducts the heel to maneuver sideways around that joint. Another reason which is often only found in the physical therapy literature is that the problem is as a result of control of motion around the hip joint. In that literature this is described as a medial heel whip.

The cause of debate about the clinical significance of an abductory twist is that it is merely an observation observed when doing a gait assessment that is the result of another thing (for example, the loss of friction with the ground, an issue at the big toe or hallux joint or the hip joint). If it is a problem, then therapy is directed at what is triggering the abductory twist or medial heel whip rather than aimed at the abductory twist itself. The treatment choices to do away with it is going to be very diverse dependent on what is the preferred treatment decision for what’s causing it.