National Shoe Fit Certification Course

A quote made by a loyal follower on social media:

“someone asked for the best certification/certificate programs out there, and I posted this with a link to your YouTube promo video, even though I haven’t even went through it, yet. Hopefully this drives a handful of coaches your way. There are over 6k coaches in the group.
“National Shoe Fit Program. The most unknown program out there. 2 overwhelmingly smart biomechanical clinicians put together a program to teach people how to integrate foot and shoe anatomy, then apply that to the various foot types to get people standing, walking, running and moving as correctly as they can on a basic level. Good luck trying to correct most of the squatting, deadlifting and Olympic lifting compensations without addressing how the foot interacts with the ground. Good luck trying to improve fitness without addressing gait. Good luck addressing gait without addressing foot types and shoes.”

thanks Michael !  

we blush

Shoe lacing problems, things you need to know (that you don’t).

How you lace your shoes does truly matter (according to this study).
We have talked about shoe lacing on more than one occasion. Everyone has played around with different laces and lacing strategies at one time or another. And, every shoe seems to lace just a little differently. Some shoes lace far into the forefoot, some have the potential to lace high up into the ankle.  But just because there are eyelets there, doesn’t mean  you have to thread a lace through the hole. It is about fit the majority of the time.  Some of our runners will use “skip” lacing to avoid pressure over the dorsum of the foot, especially if they have a saddle exostosis or hot tendon in that area, much of the time this works to alleviate the pain and pressure there. Just remember, impaired ankle rocker often via weakness of the anterior compartment muscles (toe extensors, tibialis anterior, peroneus tertius) will force dorsiflexion moments into the midfoot and can cause some joint-related compressive pressure on the dorsal foot which can seemingly (and mistakenly) come from shoes tied too tight across the top of the foot. Be sure to consider this fact before you “skip lace” your shoes, it is a big player, one we see all of the time.
In today’s journal article found below, we discover some other factors in a controlled study.  Here they look into the effects of lacing on biomechanics in running, specifically rearfoot runners. The results of the study showed reduced loading rates and pronation velocities as well as lowest peak pressures under the heel and lateral midfoot in the tightest and highest laced shoes. Whereas, the lower laced shoes resulted in lower impacts and lower peak pressures under the 3rd and 4th metatarsal heads (they proposed that this was from forward foot slide in the shoe because of this lacing). The study authors concluded 

 A firm foot-to-shoe coupling with higher lacing leads to a more effective use of running shoe features and is likely to reduce the risk of lower limb injury.

Remember, this is just data for you to cogitate over. It can help you work through some possible issues with your feet and your sport, however it does not translate to everyone as a standard protocol. Remember this, we have been known to say, “your problem is not often the shoe, it is the thing in the shoe (you and your faulty biomechanics)”. However, blaming your problems on you is not good shoe manufacturer advertising, so many shoe companies will offer a plethora of shoes choices for you to accommodate to your variables. This does not necessarily mean the problem is solved, rather it is often managed by a “better” shoe choice that seems to work for your variables. This is a good thing most of the time, if you understand shoes, shoe anatomy, and human anatomy (foot types) so that you can pair them up for a best outcome. The problem may lie in the fact that your shoe fitter is not likely to have all of the necessary pieces to put your perfectly matched picture together, including understanding your total body biomechanics and possibly understanding why a weak glute is impairing hip extension and thus limiting ankle rocker motion, causing premature heel rise, and thus forcing too much dorsiflexion into the arch of the foot and premature forefoot loading causing what seems to be too tightly tied shoes.  
What we truly need an e-Harmony for matching shoes and feet ! But since that perfect scenario doesn’t often exist at the shoe store level or gait analysis level, here at The Gait Guys we have put together the next best thing, The National Shoe Fit Certification Program if you care to take this all to the next level. 
Shoe fitting is an art, and lacing is just another paint brush you can  use to get the job done. You just have to know what brush to use for each given piece of art (ie. the athlete). 
Shawn and Ivo, The gait guys
J Sports Sci. 2009 Feb 1;27(3):267-75. doi: 10.1080/02640410802482425.

Effects of different shoe-lacing patterns on the biomechanics of running shoes.

 

Shoe lacing problems, things you need to know (that you don’t).

How you lace your shoes does truly matter (according to this study).
We have talked about shoe lacing on more than one occasion. Everyone has played around with different laces and lacing strategies at one time or another. And, every shoe seems to lace just a little differently. Some shoes lace far into the forefoot, some have the potential to lace high up into the ankle.  But just because there are eyelets there, doesn’t mean  you have to thread a lace through the hole. It is about fit the majority of the time.  Some of our runners will use “skip” lacing to avoid pressure over the dorsum of the foot, especially if they have a saddle exostosis or hot tendon in that area, much of the time this works to alleviate the pain and pressure there. Just remember, impaired ankle rocker often via weakness of the anterior compartment muscles (toe extensors, tibialis anterior, peroneus tertius) will force dorsiflexion moments into the midfoot and can cause some joint-related compressive pressure on the dorsal foot which can seemingly (and mistakenly) come from shoes tied too tight across the top of the foot. Be sure to consider this fact before you “skip lace” your shoes, it is a big player, one we see all of the time.
In today’s journal article found below, we discover some other factors in a controlled study.  Here they look into the effects of lacing on biomechanics in running, specifically rearfoot runners. The results of the study showed reduced loading rates and pronation velocities as well as lowest peak pressures under the heel and lateral midfoot in the tightest and highest laced shoes. Whereas, the lower laced shoes resulted in lower impacts and lower peak pressures under the 3rd and 4th metatarsal heads (they proposed that this was from forward foot slide in the shoe because of this lacing). The study authors concluded 

 A firm foot-to-shoe coupling with higher lacing leads to a more effective use of running shoe features and is likely to reduce the risk of lower limb injury.

Remember, this is just data for you to cogitate over. It can help you work through some possible issues with your feet and your sport, however it does not translate to everyone as a standard protocol. Remember this, we have been known to say, “your problem is not often the shoe, it is the thing in the shoe (you and your faulty biomechanics)”. However, blaming your problems on you is not good shoe manufacturer advertising, so many shoe companies will offer a plethora of shoes choices for you to accommodate to your variables. This does not necessarily mean the problem is solved, rather it is often managed by a “better” shoe choice that seems to work for your variables. This is a good thing most of the time, if you understand shoes, shoe anatomy, and human anatomy (foot types) so that you can pair them up for a best outcome. The problem may lie in the fact that your shoe fitter is not likely to have all of the necessary pieces to put your perfectly matched picture together, including understanding your total body biomechanics and possibly understanding why a weak glute is impairing hip extension and thus limiting ankle rocker motion, causing premature heel rise, and thus forcing too much dorsiflexion into the arch of the foot and premature forefoot loading causing what seems to be too tightly tied shoes.  
What we truly need an e-Harmony for matching shoes and feet ! But since that perfect scenario doesn’t often exist at the shoe store level or gait analysis level, here at The Gait Guys we have put together the next best thing, The National Shoe Fit Certification Program if you care to take this all to the next level. 
Shoe fitting is an art, and lacing is just another paint brush you can  use to get the job done. You just have to know what brush to use for each given piece of art (ie. the athlete). 
Shawn and Ivo, The gait guys
J Sports Sci. 2009 Feb 1;27(3):267-75. doi: 10.1080/02640410802482425.

Effects of different shoe-lacing patterns on the biomechanics of running shoes.

 

Another IFGEC Certified Doc!

Here is what Dr Brad Hochstein has to say about the National Shoe Fit Certification Program.

“Taking the National Shoe Fit Certification course has introduced me to many things that I didn’t take into consideration when working with my patients. The depth of information introduced is very helpful and presented more clearly than other courses I have taken in the past. I have studied a lot of the concepts that are introduced through the program in the past but struggled to put everything together. This certification did just that for me. It has helped me to link things together and look “outside the box” more than I had in the past.

I am a chiropractor with an extensive functional/biomechanics background and this has added another level of depth to my practice assessment and treatment. I am excited to incorporate the knowledge I have gained through this certification into my practice to give my patients an even better experience!”

Is it time to up your knowledge base and separate yourself from other clinicians, coaches, trainers, therapists and retailers?

Want to know more? Email us at : thegaitguys@gmail.com

Podcast 61: Sweating, Ankle Rocker and Free Radicals & Exercise

A. Link to our server:

Direct Download: 

http://traffic.libsyn.com/thegaitguys/pod_61final.mp3

Permalink: 

http://thegaitguys.libsyn.com/podcast-61-sweating-ankle-rocker

B. iTunes link:

https://itunes.apple.com/us/podcast/the-gait-guys-podcast/id559864138

C. Gait Guys online /download store (National Shoe Fit Certification and more !) :

http://store.payloadz.com/results/results.aspx?m=80204

D. other web based Gait Guys lectures:

www.onlinece.com   type in Dr. Waerlop or Dr. Allen,  ”Biomechanics”

______________

Today’s Show notes:

1. Free Radicals, Exercise and Nutritional Supplements
Free Radic Biol Med. 2011 Jul 15;51(2):327-36. doi: 10.1016/j.freeradbiomed.2011.05.010. Epub 2011 May 14.

Extending life span by increasing oxidative stress.

 
_____________
3. we thank Will, one of our faithful followers for sending this article
 
________
 
 
4. Jack rabbit sports running shoe company in New York !
 
__________

Gabe 11:03am Apr 21

5. Hello Gait Guys,
My name is Gabriel and I am a former patient of Dr. Ivo. I am also a quasi gait geek in the sense that I have read about 90% of your posts and listened to about 80% of your podcasts. I am messaging you today because I am now employed in the REI shoe Department and I would like to get shoe fit certified. If you could explain the shoe fit certification in more detail to me and testing locations, I would greatly appreciate it.
______________
The neurologist with a right short leg from a lower leg reconstruction , barely 90° right ankle dorsiflexion and severe LEFT OA hip
 
Gave him a right to millimeter sole liftft. He doubled the sole lift without telling me. Came in with a raging hot extensor digitorum dorsal foot pain.
 
6. New Balance fresh foam shoes:
weighs 9.1oz

25mm in heel; 21mm in forefoot w/ 4mm drop

Podcast 61: Sweating, Ankle Rocker and Free Radicals & Exercise

A. Link to our server:

Direct Download: 

http://traffic.libsyn.com/thegaitguys/pod_61final.mp3

Permalink: 

http://thegaitguys.libsyn.com/podcast-61-sweating-ankle-rocker

B. iTunes link:

https://itunes.apple.com/us/podcast/the-gait-guys-podcast/id559864138

C. Gait Guys online /download store (National Shoe Fit Certification and more !) :

http://store.payloadz.com/results/results.aspx?m=80204

D. other web based Gait Guys lectures:

www.onlinece.com   type in Dr. Waerlop or Dr. Allen,  ”Biomechanics”

______________

Today’s Show notes:

1. Free Radicals, Exercise and Nutritional Supplements
Free Radic Biol Med. 2011 Jul 15;51(2):327-36. doi: 10.1016/j.freeradbiomed.2011.05.010. Epub 2011 May 14.

Extending life span by increasing oxidative stress.

 
_____________
3. we thank Will, one of our faithful followers for sending this article
 
________
 
 
4. Jack rabbit sports running shoe company in New York !
 
__________

Gabe 11:03am Apr 21

5. Hello Gait Guys,
My name is Gabriel and I am a former patient of Dr. Ivo. I am also a quasi gait geek in the sense that I have read about 90% of your posts and listened to about 80% of your podcasts. I am messaging you today because I am now employed in the REI shoe Department and I would like to get shoe fit certified. If you could explain the shoe fit certification in more detail to me and testing locations, I would greatly appreciate it.
______________
The neurologist with a right short leg from a lower leg reconstruction , barely 90° right ankle dorsiflexion and severe LEFT OA hip
 
Gave him a right to millimeter sole liftft. He doubled the sole lift without telling me. Came in with a raging hot extensor digitorum dorsal foot pain.
 
6. New Balance fresh foam shoes:
weighs 9.1oz

25mm in heel; 21mm in forefoot w/ 4mm drop

Holy Hand Grenades! What kind of shoe do I put these feet in?

Take a look at these feet. (* click on each of the photos to see the full photo, they get cropped in the viewer) Pretty bad, eh? How about a motion control shoe to help things along? NOT! OK. but WHY NOT? Let’s take a look and talk about it.

To orient you:

  • top photo: full internal rotation of the Left leg
  • 2nd photo: full internal rotation of the Right leg
  • 3rd photo: full external rotation of the Left leg
  • last photo: full external rotation of the Right leg

Yes, this gal has internal tibial torsion (yikes! what’s that? click here for a review).

Yes, it is worse on the Left side

Yes, she has a moderate genu valgus, bilaterally.

If someone has internal tibial torsion, the foot points inward when the knee is in the saggital plane (it is like a hinge). The brain will not allow us to walk this way, as we would trip, so we rotate the feet out. This moves the knee out of the saggital plane (ie. now it points outward).

What happens when we place a motion control shoe (with a generous arch and midfoot and rearfoot control) under the foot? It lifts the arch (ie it creates supination and it PREVENTS pronation). This creates EXTERNAL rotation of the leg and thigh, moving the knee EVEN FURTHER outside the saggital plane. No bueno for walking forward and bad news for the menisci.

Another point worth mentioning is the genu valgus. What happens when you pick up the arch? It forces the knee laterally, correct? It does this by externally rotating the leg. This places more pressure/compression on the medial aspect of the knee joint (particularly the medial condyle of the femur). Not a good idea if there is any degeneration present, as it will increase pain. And this is no way to let younger clients start out their life either.

So, what type of shoe would be best?

  • a shoe with little to no torsional rigidity (the shoe needs to have some “give”)
  • a shoe with no motion control features
  • a shoe with less of a ramp delta (ie; less drop, because more drop = more supination of the foot (supination is plantarflexion, inversion and adduction)
  • a shoe that matches her sox, so as not to interfere with the harmonic radiation of the colors (OK, maybe not so much…)

Sometimes giving the foot what it appears to need can wreak  havoc elsewhere. One needs to understand the whole system and understand what interventions will do to each part. Sometimes one has to compromise to a partial remedy in one area so as not to create a problem elsewhere. (Kind of like your eye-glass doctor. Rarely do they give you the full prescription you need, because the full prescription might be too much for the brain all at once.  Better to see decent and not fall over, than to see perfectly while face down in the dirt.) 

Want to know more? Consider taking the National Shoe Fit Certification Program. Email us for details: thegaitguys@gmail.com.

We are the Gait Guys, and yes, we like her sox : )