The SHIFT Project 16 - Limb Length Discrepancy: From Posture Narratives to Load Signatures
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The SHIFT Project 16 - Limb Length Discrepancy: From Posture Narratives to Load Signatures
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This podcast introduces a kinetic framework for evaluating limb-length discrepancy (LLD), moving away from traditional postural narratives and static measurements. The presenters argue that because small anatomical differences often overlap with measurement errors, clinical focus should shift toward how these inequalities affect asymmetrical loading over time affecting long-term joint health. By utilizing dynamic plantar pressure mapping, practitioners can identify specific load signatures, such as differences in impulse, stance time, and regional force distribution. This methodology prioritizes the mechanical consequences of gait over simple millimetre counts to better manage risks like osteoarthritis. Ultimately, the proposed protocol emphasizes a measure-intervene-remeasure cycle to ensure that orthotic adjustments positively modulate the body's interaction with the ground.