I wondered, do I really need a heel cup and arch when these elements were always the ones I was having to adjust for best comfort and control. For as simple as a Graceyfeet insole is to look at, the science behind it is quite extensive. Graceyfeet works because pronation and bony alignment in and of themselves do not cause pain unless there is existing physical trauma or excessive mechanical stress to the tissues. Poor alignment does produce high plantar pressures that transmit excessive vertical forces through the joints of the foot and ankle and up the chain; that is what causes the pain and prolongs healing times. This is why, for example, we place a valgus wedge (or 1st ray cut-out) under the forefoot in the presence of a plantarflexed, hypo-mobile first ray. But what if there was a material that blocked the ground reaction force (GRF), allowed the 1st ray to drop, and molded to the heel and met-heads so well that it dispersed the pressures over a larger surface-area without the need for a heelcup or special pads? This is exactly what Graceyfeet does in a 3/16" thin, flat insole. Graceyfeet drops the pressure that causes pain, maintains a preferred joint movement path, and can be used in the presence of gross deformity and existing pathology. The full-length Kevlar turns vertical forces into horizontal forces while the PPT/SRP stores and returns energy under load. If the GRF is blocked and not allowed to reach the foot, where does it go? It stays in the cleat/ground interface. This results in improved grip on dirt, turf, and court surfaces. Faster acceleration times, quicker jumps, sharper cuts, powerful push-offs, etc....This stuff digs hard and releases perfectly. This in-turn, instills confidence in a player's base of support. But they should practice in it first! Immediately he will experience what the advantages feel like, and soon they will become second nature; freeing your player's mind to focus on his assignments of play, not his feet.
Now don't get me wrong, I do believe orthotics (Heel cup, posts, wedges, MLA pads, custom molded shells, etc.) work to reduce pain, improve balance and alter the kinetics and kinematics of gait! Graceyfeet is a tool for the toolbox to control pain and improve function. It can be complimentary to existing orthotic devices or for athletes who have soured on the use of orthotics altogether. It can go next to the skin and be cut for cast shoes, wrist pads, crown pads for helmets, slide pads, glove/mitt pads, chest pads, shoulder pads, and anywhere reduced pressures are desired. It's anti-microbial and anti-bacterial! It can be washed and dried in a machine! I can silkscreen a logo or player's name on it! It's very cool stuff. So, you've read this far. Congratulations! You've earned the right to know more... 1. Baitch SP, Blake RL, Fineagan PL, Senatore J: Biomechanical analysis of running with 25 degree inverted orthotic devices. JAPMA, 81:647-652, 1991. 2. Bates BT, Osternig LR, Mason B, James LS: Foot orthotic devices to modify selected aspects of lower extremity mechanics. Am J Sp Med, 7:328-31, 1979. 3. Blake RL, Denton JA: Functional foot orthoses for athletic injuries: A retrospective study. JAPMA, 75:359-362, 1985. 4. Blake RL: Inverted functional orthoses. JAPMA, 76:275-276, 1986. 5. Blake RL, Ferguson H: Foot orthoses for the severe flatfoot in sports. JAPMA, 81:549, 1991. 6. Blake RL, Ferguson H: The inverted orthotic technique: Its role in clinical biomechanics., pp. 465-497, in Valmassy, R.L.(ed.), Clinical Biomechanics of the Lower Extremities, Mosby-Year Book, St. Louis, 1996. 7. Butler RJ, McClay-Davis IS, Laughton CM, Hughes M. Dual-function foot orthosis: Effect on shock and control of rearfoot motion. Foot Ankle Intl, 24:410-414, 2003. 8. Chalmers AC, Busby C, Goyert J, Porter B, Schulzer M: Metatarsalgia and rheumatoid arthritis-a randomized, single blind, sequential trial comparing two types of foot orthoses and supportive shoes. J Rheum, 27:1643-1647, 2000. 9. Cheung JT, Zhang M: A 3-dimensional finite element model of the human foot and ankle for insole design. Arch Phys Med Rehabil, 86:353-358, 2005. 10. Dananberg HJ, Guiliano M: Chronic low-back pain and its response to custom-made foot orthoses. 89:109-117, 1999. 11. D’Ambrosia RD: Orthotic devices in running injuries. Clin. Sports Med., 4:611-618, 1985. 12. Donnatelli R, Hurlbert C, et al: Biomechanical foot orthotics: A retrospective study. J Ortho Sp Phys Ther, 10:205-212, 1988. 13. Dorland’s Illustrated Medical Dictionary, 25th ed., W.B. Saunders, Philadelphia, 1974. 14. Duffin AC, Kidd R, Chan A, Donaghue KC: High plantar pressure and callus in diabetic adolescents. Incidence and treatment. JAPMA, 93:214-220, 2003. 15. Dugan RC, D’Ambrosia RD: The effect of orthotics on the treatment of selected running injuries. Foot Ankle, 6:313, 1986. 16. Eggold JF: Orthotics in the prevention of runner’s overuse injuries. Phys. Sports Med., 9:181-185, 1981. 17. Fuller EA: Center of pressure and its theoretical relationship to foot pathology. JAPMA, 89 (6):278-291, 1999. 18. Fuller EA: Reinventing biomechanics. Podiatry Today, 13:(3), December 2000. 19. Gross ML, Davlin LB, Evanski PM: Effectiveness of orthotic shoe inserts in the long distance runner. Am. J. Sports Med., 19:409-412, 1991. 20. Gross MT, Byers JM, Krafft JL, Lackey EJ, Melton KM: The impact of custom semirigid foot orthotics on pain and disability for individuals with plantar fasciitis. J Ortho Sp Phys Ther, 32:149-157, 2002. 21. Guskiewicz KM, Perrin DH: Effects of orthotics on postural sway following inversion ankle sprain. J Orthop Sp Phys Ther, 23:326-331, 1996. 22. Hertel J, Denegar CR, Buckley WE, Sharkey NA, Stokes WL: Effect of rearfoot orthotics on postural control in healthy subjects. J Sport Rehabil, 10:36-47, 2001. 23. Kilmartin TE, Wallace WA: The scientific basis for the use of biomechanical foot orthoses in the treatment of lower limb sports injuries-a review of the literature. Br. J. Sports Med., 28:180-184, 1994. Thank you Kevin Kirby, you are the gold standard. 24. Kirby KA: Methods for determination of positional variations in the subtalar joint axis. JAPMA, 77: 228-234, 1987. 25. Kirby KA: Rotational equilibrium across the subtalar joint axis. JAPMA, 79: 1-14, 1989. 26. Kirby KA, Green DR: Evaluation and Nonoperative Management of Pes Valgus, pp. 295-327, in DeValentine, S.(ed), Foot and Ankle Disorders in Children. Churchill-Livingstone, New York, 1992. 27. Kirby KA: The medial heel skive technique: improving pronation control in foot orthoses. JAPMA, 82: 177-188, 1992. 28. Kirby KA.: Foot and Lower Extremity Biomechanics: A Ten Year Collection of Precision Intricast Newsletters. Precision Intricast, Inc., Payson, Arizona, 1997. 29. Kirby KA.: Biomechanics and the treatment of flexible flatfoot deformity in children. PBG Focus, J. Podiatric Biomechanics Group, 7:10-11, 1999. 30. Kirby KA: Conservative treatment of posterior tibial dysfunction. Podiatry Management, 19:73-82, 2000. 31. Kirby KA: Subtalar joint axis location and rotational equilibrium theory of foot function. JAPMA, 91:465-488, 2001. 32. Kirby KA: Foot and Lower Extremity Biomechanics II: Precision Intricast Newsletters, 1997-2002. Precision Intricast, Inc., Payson, AZ, 2002. 33. Kirby KA: Lateral heel skive orthosis technique. Precision Intricast Newsletter. Precision Intricast, Inc., Payson, AZ, September 2004. 34. Laughton CA, McClay-Davis IS, Hamill J: Effect of strike pattern and orthotic intervention on tibial shock during running. J Appl Biomech, 19:153-16, 2003. 35. Lee WE: Podiatric biomechanics: an historical appraisal and discussion of the Root model as a clinical system of approach in the present context of theoretical uncertainty. Clin Pod Med Surg, 18:555-684, 2001. 36. Li CY, Imaishi K, Shiba N, Tagawa Y, Maeda T, Matsuo S, Goto T, Yamanaka K: Biomechanical evaluation of foot pressure and loading force during gait in rheumotod arthritic patients with and without foot orthoses. Kurume Med J, 47:211-217, 2000. 37. Lobmann R, Kayser R, Kasten G, Kasten U, Kluge K, Neumann W, Lehnert H: Effects of preventative footwear on foot pressure as determined by pedobarography in diabetic patients: a prospective study. Diabet Med, 18:314-319, 2001. 38. MacLean CL, Hamill J: Short and long-term influence of a custom foot orthotic intervention on lower extremity dynamics in injured runners. Annual ISB Meeting, Cleveland, September 2005. 39. McCulloch MU, Brunt D, Linden DV: The effect of foot orthotics and gait velocity on lower limb kinematics and temporal events of stance. J Ortho Sp Phys Ther, 17:2-10, 1993. 40. McPoil TG, Hunt GC: Evaluation and management of foot and ankle disorders: Present problems and future directions. JOSPT, 21:381-388, 1995. 41. Mejjad O, Vittecoq O, Pouplin S, Grassin-Delyle L, Weber J, Le Loet X: Foot orthotics decrease pain but do not improve gait in rheumatoid arthritis patients. Joint Bone Spine, 71:542-545, 2004. 42. Moraros J, Hodge W: Orthotic survey: Preliminary results. JAPMA, 83:139-148, 1993. 43. Morton DJ: The Human Foot: Its Evolution, Physiology and Functional Disorders. Columbia University Press, New York, 1935. 44. Mundermann A, Nigg BM, Humble RN, Stefanyshyn DJ. Foot orthoses affect lower extremity kinematics and kinetics during running. Clin Biomech, 18:254-262, 2003a. 45. Mundermann A, Nigg BM, Humble RN, Stefanyshyn DJ: Orthotic comfort is related to kinematics, kinetics, and EMG in recreational runners. Med Sci Sports Exercise, 35:1710-1719, 2003b. 46. Mundermann A, Wakeling JM, Nigg BM, Humble RN, Stefanyshyn DJ: Foot orthoses affect frequency components of muscle activity in the lower extremity. Gait and Posture, In Press, 2005. 47. Nawoczenski DA, Cook TM, Saltzman CL: The effect of foot orthotics on three-dimensional kinematics of the leg and rearfoot during running. J Ortho Sp Phys Ther, 21:317-327, 1995. 48. Nawoczenski DA, Ludewig PM: Electromyographic effects of foot orthotics on selected lower extremity muscles during running. Arch Phys Med Rehab, 80:540-544, 1999. 49. Nester CJ, Hutchins S, Bowker P: Effect of foot orthoses on rearfoot complex kinematics during walking gait. Foot Ankle Intl, 22:133-139, 2001. 50. Nester CJ, Van Der Linden ML, Bowker P: Effect of foot orthoses on the kinematics and kinetics of normal walking gait. Gait Posture, 17:180-187, 2003. 51. Novick A, Kelley DL: Position and movement changes of the foot with orthotic intervention during loading response of gait. J Ortho Sp Phys Ther, 11:301-312, 1990. Loves me some Benno Nigg! 52. Nigg BM: The role of impact forces and foot pronation: a new paradigm. Clin J Sport Med, 11:2-9, 2001. 53. Payne CB: The past, present, and future of podiatric biomechanics. JAPMA, 88:53-63, 1998. 54. Postema K, Burm PE, Zande ME, Limbeek J: Primary metatarsalgia: the influence of a custom moulded insole and a rockerbar on plantar pressure. Prosthet Orthot Int, 22:35-44, 1998. 55. Powell M, Seid M, Szer IA: Efficacy of custom foot orthotics in improving pain and functional status in children with juvenile idiopathic arthritis: A randomized trial. J Rheum, 32:943-950, 2005. 56. Rome K, Brown CL: Randomized clinical trial into the impact of rigid foot orthoses on balance parameters in excessively pronated feet. Clin Rehab, 18:624-630, 2004. Mas 57. Root ML, Orien WP, Weed JH, RJ Hughes: Biomechanical Examination of the Foot, Volume 1. Clinical Biomechanics Corporation, Los Angeles, 1971. 58. Root ML: How was the Root functional orthotic developed? Podiatry Arts Lab Newsletter, 1981. 59. Saxena A, Haddad J: The effect of foot orthoses on patellofemoral pain syndrome. 93:264-271, 2003. 60. Schuster RO: A history of orthopedics in podiatry. J Am Pod Assoc, 64:332, 1974. 61. Sgarlato TE (ed): A Compendium of Podiatric Biomechanics. California College of Podiatric Medicine, San Francisco, 1971. 62. Slattery M, Tinley P: The efficacy of functional foot orthoses in the control of pain and ankle joint disintegration in hemophilia. JAPMA, 91:240-244, 2001. 63. Smith LS, Clarke TE, Hamill CL, Santopietro F: The effects of soft and semi-rigid orthoses upon rearfoot movement in running. JAPMA, 76:227-232, 1986. 64. Stackhouse CL, Davis IM, Hamill J: Orthotic intervention in forefoot and rearfoot strike running patterns. Clin Biomech, 19:64-70, 2004. 65. Thompson JA, Jennings MB, Hodge W: Orthotic therapy in the management of osteoarthritis. JAPMA, 82:136-139, 1992. 66. Tomaro J, Burdett RG: The effects of foot orthotics on the EMG activity of selected leg muscles during gait. J Ortho Sp Phys Ther, 18:532-536, 1993. 67. Walter JH, Ng G, Stoitz JJ: A patient satisfaction survey on prescription custom-molded foot orthoses. JAPMA, 94:363-367, 2004. 68. Williams DS, McClay-Davis I, Baitch SP: Effect of inverted orthoses on lower extremity mechanics in runners. Med. Sci. Sports Exerc. 35:2060-2068, 2003. 69. Woodburn J, Barker S, Helliwell PS: A randomized controlled trial of foot orthoses in rheumatoid arthritis. J Rheum, 29:1377-1383, 2002. 70. Woodburn J, Helliwell PS, Barker S: Changes in 3D joint kinematics support the continuous use of orthoses in the management of painful rearfoot deformity in rheumatoid arthritis. J Rheum, 30:2356-2364, 2003. So there.
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Chris Gracey MPT, Cped
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