A forward leaning posture
Home IDEL Diagnostic Programme Test for Abnormal Posture
IDEL test 12 of 13Test for Abnormal Posture and our feet
Basically, if you are born with a defect of the feet, as many people are which causes hyperpronation (a leaning of the body), then this will affect the spine and your posture.
01Abnormal posture and our feet
Why some patients need so many adjustments
I have been working with chiropractors and osteopaths for a number of years now and always wondered why some patients needed to go back for more adjustments so many times per year. During my research to find out the answer I came across Professor Rothbart’s work on hyperpronation and the relationship between the feet and posture.
Basically, if you are born with a defect of the feet, as many people are which causes hyperpronation (a leaning of the body), then this will affect the spine and your posture. This will result in many of the symptoms that you go to a chiropractor for – low back pain, knee pain, neck pain, muscle pains and an increased propensity for musculoskeletal injuries. Headaches, plantar fasciitis, shin splints, blisters and calluses are all common problems of hyperpronation.

02Hyperpronation
A collapsing posture: bio-implosion
As we age and become more sedentary, our muscles become weaker and it becomes harder to maintain the body as upright as possible – this is called hyperpronation. Over time the body moves toward a collapsing posture – bio-implosion: a forward leaning posture, head forward of the spine, rounded shoulders, forward rotated pelvis, knees travelling inward, collapsing ankles, and an unstable gait. All of these changes are visible. Some are less pronounced than others, but to the experienced observer it is obvious.

Visible signs
Head forward of the spine
Rounded shoulders
Forward rotated pelvis
Knees travelling inward
Collapsing ankles
An unstable gait
03Dr. Rothbart’s discovery
From surgery to a simple insole
- More than three decades ago
The mechanics of hyperpronation
More than three decades ago, Dr. Brian Rothbart DPM was running a very successful surgical podiatry practice in California. He too was seeing too many of his patients redeveloping the problems that were corrected during surgery. Dr. Rothbart started thinking laterally and by combining biomechanics and 21st Century 3-D computer modeling he described the complex motion of the bones in the foot and lower extremity during normal gait and was able to clearly demonstrate the mechanics of hyperpronation.
- The origin
A congenital problem
Noting that as many infants hyperpronate, as do children and adults, Dr. Rothbart suspected that it was a congenital problem and not a condition developed during childhood as he noted that many infants and children were hyperpronaters. In further studying clinical features on the development and growth of the fetus, Dr. Rothbart was able to fully explain the origin of hyperpronation and support all his biomechanical findings.
- The correction
Proprioceptive insoles
He was also able to adjust the problem by designing and patenting proprioceptive insoles that are easy to fit into the patient’s shoes and will rectify the hyperpronation and the body posture will return to normal and the symptoms related to the bad body posture will basically disappear (www.rothbart.org)
- Named after him
Rothbart’s Foot Structure (RFS)
Now that he had discovered the cause of the hyperpronation, the tools to correct it became evident, and he was able to give up surgery for something a lot simpler. These foot mechanics have now been named after him, “Rothbart’s Foot Structure” (RFS).

At the Da Vinci Holistic Health Centre
Dr. George Georgiou
At the Da Vinci Holistic Health Centre we can examine the patient for RFS and find the solution to these chronic problems by fitting Posture Control Insoles (PCI). We have worked with athletes with amazing success to their performance and efficiency, as well as many other chronic pain conditions.
Dr. Georgiou has been trained by Prof. Rothbart in the safe fitting of proprioceptive insoles for Primus Metatarsus Supinatus (PMS) foot types.
05Watch
Posture and feet on video
IDEL test 12 of 13
The posture test is part of your diagnostic day
Complete the PATIENT ASSESSMENT FORM and email this to [email protected] – we will respond with specifics to your case.
Tel: (+357) 24-82 33 22 Fax: (+357) 24-82 33 21 Aradippou, Larnaca, Cyprus



