Changing global postural alignment by via reprogramming the cerebellum, must be done in stages (incrementally). Otherwise, unpleasant side effects may occur which can interefere or subterfuge the proprioceptive therapy.
SERIES #1
Below is a patient diagnosed as having the PreClinical Clubfoot Deformity. On July 25, 2010, after completing a series of computerized postural analyses, the patient was fitted with her first pair of proprioceptive insoles (See Animation A below). Note the immediate automatic improvement in the patient's sagittal plane postural alignment (head moves towards the vertical plumb line).
Animation A - Note the immediate improvement in the global postural alignment resulting from the proprioceptive insole (Rx#1).
For approximately four months the patient reported a continuous improvement (attenuation) in her musculoskeletal pain. Then, abruptly, no further improvement was reported. This is a key indication (sign) that the signal to the cerebellum requires recalibration.
SERIES #2
After completing a second series of computerized postural analyses, the patient was fitted with her second pair of proprioceptive insoles (See Animation B below).
Animation B - Change in global postural alignment. (Rx#1 vs Rx#2). Note that the ear's auricle is now aligned directly over the lateral malleolus.
The change in the Rx (change in strength of plantar stimulation) produced an immediate reduction in the patient's musculoskeletal pain. Note the unconscious change in the patient's countenance.
The (1) patient's weekly pain profile updates and (2) postural indices are key factors in determining when the proprioceptive insoles need to be changed.