Efecto cinemático durante la marcha de la modificación medial sobre ortesis plantares de la técnica de adaptación en directo en el pie plano flexible infantil: a propósito de un caso clínico

• Autores: Moises Pardos Barrado, Daniel García García
• Localización: Revista española de podología, ISSN 0210-1238, Vol. 31, Nº. 2, 2020, págs. 126-132
• Idioma: español
• DOI: 10.20986/revesppod.2020.1581/2020
• Títulos paralelos:
  • Kinematic effect during walking of medial modification on plantar orthoses of direct adaptation technique on a child whit flexible flat foot: purpose of a clinical case
• Enlaces
  • Texto completo (pdf)
• Resumen
  • español

    Se presenta una modificación de la Técnica de Adaptación en Directo (TAD), en el tratamiento conservador ortésico en un caso clínico de pie plano flexible infantil. En este caso clínico se comparó la eficacia de la ortesis de resina realizada con la TAD tradicional con una ortesis realizada mediante la modificación MEDIAL TAD. Esta modificación consiste en la creación de una cuña supinadora intrínseca en la ortesis de resina, y se presentan dos opciones para ello. Para la cuantificación del efecto se utilizó un sistema de captura del movimiento de tipo óptico, constatándose en ambos pies un mayor control de pronación con la plantilla obtenida a partir de la TAD modificada. Los beneficios de esta modificación podrían abarcar desde un pie pronado con un MEDIAL TAD hasta un pie supinado con un LATERAL TAD.

  • English

    A modification of the Direct Adaptation Technique (TAD) is presented, for the conservative orthotic treatment in a clinical case of pediatric flexible flatfoot. In this clinical case, the efficacy of the resin orthosis made with the traditional TAD was compared with an orthosis made using the MEDIAL TAD modification. This modification consists of the creation of an intrinsic supination wedge in the resin orthosis, and two options are presented for this modification. To quantify the effect, an optical type motion capture system was used to assess its effect with a greater pronation control in both feet with the template obtained from the modified TAD. The benefits of this modification could range from a pronated foot with a MEDIAL TAD to a supinated foot with a LATERAL TAD

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