A Biomechanical Paradigm Shift: Part I: Transforming Lower Extremity Biomechanics Terminology, Nomenclature and Science as an Upgrade to “STJ Neutral” and “Normal” Biomechanics

Abstract

C. Let’s enshrine the iconic biomechanical terminology and nomenclature (that has served its purpose) that is now inert, unscientific, poorly defined, poorly evidenced, poorly understood that is acting as a wedge to growth of the science. Let’s start with jettisoning terminology like subtalar joint neutral position & casting, forefoot valgus, forefoot varus, pronation, hyperpronation, the arches of the foot, normal and neutral in no special order when it comes to biomechanics and orthotics. For decades, there have been few if any high level peer reviewed clinically applicable additions to the literature. This is due to the inability for researchers to develop cohorts that produce evidence that is clinically viable and applicable and the lack of consensus surrounding CFO’s in the biomedical engineering community.