Biomechanical Assessments

Biomechanics involves the assessment of the structure, alignment and function of the feet, ankles, legs, thighs, hips and lower back. 

The lower extremity is truly an engineering masterpiece. However, when one or more components of the interlinked “walking machine” are misaligned or functioning abnormally, the remainder of the musculoskeletal system needs to compensate in some way. This examination aims to identify and treat all aspects of any biomechanical abnormality discovered, allowing us to diagnose and aid in the treatment of many foot problems such as over-pronation or issue orthotics to ease the pain of bunions.

What happens at a biomechanical assessment?

Our biomechanical assessment consists of five segments. First, you lie face down on a flat examination couch with your feet and ankles slightly extended over the edge. Measurements related to your forefoot, mid-foot, rear foot and ankle joints are taken. Next, you’ll be asked to lie on your back, with your head resting on a pillow. In this position, measurements of your anklebones, leg rotation (internal & external), quadriceps (thigh) muscle strength and limb lengths will be made. Other muscle groups will be tested as well. Also, a functional examination of your knee will be undertaken.

The third segment takes place with you standing barefoot on the floor. At this time, your shoulders, upper back, middle back, lower back and pelvis position will be assessed. Following this, you’ll be asked to step up two stairs onto an examination platform. Here, a series of foot and leg measurements will be made. First from the back and subsequently from the front. Also, in this position, several digital video segments will be recorded. Finally, you’ll be asked to walk on a treadmill (at a pace you select) for about 5-6 minutes. During this time, digital video will be recorded from three separate positions: from the front, the side and from the back.

Upon completion of your assessment, all findings will be explained in detail using a combination of demonstrations, diagrams and slow-motion digital video segments. For each abnormality detected, a solution for treatment will be presented. Typically, casting for appropriate custom-made orthotics will follow this consultation.