The Biomechanical model ascribes postural shifts solely to gravity. The analogy would be a house built on soft ground. As the foundation shifts, so goes the entire structure (as the foot pronates, so goes the entire postural complex). A very compelling theory, but unfortunately, not true.

For the past 10 years or so, my research has revolved around the Neurophysiological model, as the engine that drives postural shifts:

1 Gravity forces the PreClinical Clubfoot Deformity to roll forward, inward, and downward until the entire plantar surface of the foot rests on the ground.

2 This displaces the CoP patterns medially (I sent you a diagram demonstrating this).

3 This skewed CoP pattern is transmitted to the brain stem.

4 The brain stem has an encoded pattern that it compares to all sensory feedback coming from the feet.

5 If these patterns differ, the brain stem diverts the foot’s sensory feedback to the Cerebellum.

6 The Cerebellum acts on this skewed information and globally distorts the posture.

Do you agree or not?

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