The unique biomechanical system
Every AposTherapy® patient’s personalised therapy programme is based around a foot-worn individually adjusted unique biomechanical device. Patients wear this personally adjusted system whilst performing their daily routine tasks, achieving two widely applied rehabilitation principles with every movement.
Firstly, by adjusting the foot’s point of contact with the ground (the centre of pressure), the system changes the forces acting on the various joints of the lower limb and low back. When calibrating the system, the AposTherapist considers which specific structures need to be supported or offloaded, in order to provide the patient with symptom relief. This decision is based upon the findings from the clinical interview, physical assessment and computerised gait-lab, as well as the pain, function and quality of life questionnaire scores.
The second rehabilitation principle is the introduction of micro-instability through perturbation during the entire gait cycle (and any other weight bearing activity). This refines the control of the central nervous system with every movement the patient performs. Again, the introduction of appropriate perturbation for the patient is done at the system’s calibration stage.
Combining correct body alignment with micro-instability represents a breakthrough in the treatment of knee pain. It is only when the patient experiences pain and symptom relief, that is becomes possible to instil optimal patterns of motion. The unique therapeutic effects of the system are achieved with two convex Pertupod™ caps (pods which provide perturbation), inserted under the main weight bearing areas of the foot - heal and forefoot. The AposTherapist adjusts the Pertupod™ caps in every possible direction (anterior, posterior medial and lateral) , as well as adapting their height and resilience.
The appropriate amount of perturbation is introduced by selecting the convexity level of the Pertupod™ caps. This is determined by a number of factors including the patient’s age, overall condition, proprioceptive abilities and neuromuscular control. The goal is to challenge the patient in a manner which is barely perceptible, so that perturbation, creating micro-instability, can be controlled throughout the multiple movement repetitions, performed as part of daily routine.
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