Tag Archives: apma

How does stuff like this make it into professional journals?

Any publication with the title of A Novel Treatment Approach to Over-Pronation Dysfunction is going to get my attention, mostly because of the nonsensical understanding of “overpronation”. I was not disappointed and it was as bad as I expected.

Even before I got the full paper, just reading bits like this in the preview: “The literature supports a forefoot varus as the most frequent cause of over-pronation compensation. 1,2“. The two cited references did not show that and one was him quoting himself saying that. The alarm bells start going off about a lack of academic rigour and lack of critical thinking skills. A true forefoot varus (based on the textbook definition) is actually quite rare and far from being a common casue of “overpronation”.

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The APMA are taking some heat for this advice on childrens shoes and its hard to defend

On the website of the American Podiatric Medical Association, is this advice regarding children’s footwear with this graphic provided by the children’s shoe manufacturer, StrideRite.
children's shoes
It is not too dissimilar to the advice that I have seen being widely given for the use of children’s shoes. Where a problem arises is that I periodically come across comments in social media calling out the APMA on what they are advising, asking how robust the advice is and what is the evidence supporting the advice that they are given. I have yet to ever see the APMA respond. Here the most recent couple that I have seen:

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JAPMA lets us down again: Shock wave for mortons neuroma

Back in 2009, the Journal of the American Podiatric Medical Association (JAPMA) published this impressively titled study: Extracorporeal Shockwave Therapy for Interdigital Neuroma: A Randomized, Placebo-Controlled, Double-Blind Trial that found:

The treatment group showed a significant difference before and after extracorporeal shockwave therapy (P < .0001). The sham group did not have a significant difference after 12 weeks (P = .1218).

and as such concluded

Conclusions: Extracorporeal shockwave therapy is a possible alternative to surgical excision for Morton’s neuroma

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