Interpreting the 6 tests
The 6 Tests™ provide a means of assessing the function of the three subsystems that interact to determine the dynamic stability of the foot and leg.
Tests 1 and 2 relate to the Passive Subsystem.
Tests 3 and 4 relate to the Active Subsystem.
Tests 5 and 6 relate to the Neural Subsystem.
The findings of the 6 tests™ may seem to be inconsistent. Some patients have more obvious problems of biomechanical alignment (tests 1 and 2), other have more obvious overloading of the active subsystem (tests 3 and 4) and still others show evidence of Neural Dysfunction (tests 5 and 6) with poor balance and stability. Understanding these differences is very useful in choosing the most appropriate device for the individual patient and problem being treated.
A balanced orthotic of hard material provides strict biomechanical control but may not enhance neuro-motor function as well as a more flexible total contact device. Patients with symptoms of overuse of the supinating muscles should have devices that reduce supination resistance and activate the Windlass Mechanism. A more flexible total contact orthosis, with posts if required, has more effect on Neuro-Motor Facilitation and proprioception for patients with poor balance or recurring ankle sprains.
Flexible, total contact orthoses can be as effective as harder balanced devices and are usually less expensive. It is practical to begin with more simple and less expensive devices and then move on to harder, more technical ones if the problem requires them.
Read on: Treatment Method: 6 StepsTM
