Short foot

Short foot according to Janda or Proprioceptive Sensomotor Facilitation (PSF) is an exercise in manual therapy and physiotherapy with which reflexively weakened, inhibited muscle chains are activated by intensifying the contact with the sole of the foot on the ground and physiologically favorable movement patterns can be relearned and poor posture reduced through regular repetitions . The exercise is named after the Czech neurologist Vladimir Janda (1928–2003).

This form of (self) treatment is intended to train the sensorimotor skills and activate the muscles that stabilize the spine and are not associated with voluntary motor skills. According to the therapists, knee and knee joint problems as well as malpositions of the foot ( arched foot , arched foot , splayfoot ) are positively influenced. This form of treatment is also used in the case of KISS syndrome (head joint-induced symmetry disorder) and KiDD syndrome (head joint-induced dyspraxia and dysgnosia).

The patient has to feel the three pressure points of his foot while sitting (later also in other postures) ( heel , ball of the big toe and ball of the little toe) by placing the heel firmly on the floor, pressing the ball of the ball firmly and the previously spread and stretched toes on the floor touches down. Tension can now be built up by pulling the forefoot towards the body or pushing the heel forward without moving the foot. Then he flexes his knees outwards. By repeating the exercise several times (about ten seconds) with regular repetitions, the posture and symptoms can be sustainably improved or alleviated. In addition, dynamic and static activities such as B. Scapula Pattern or Stabilizing Reversal (PNF) can be performed.

literature

• Vladimir Janda, Marie Vavrova: Sensory motor stimulation. In: Craig Liebenson (ed.): Rehabilitation of the Spine. A Practitioner's Manual. Lippincott Williams & Wilkins, New York 1995, pp. 322-323. ISBN 978-0-7817-2997-0 .