PENDA assessments. What is PENDA and why do I want to have this done?
The Digital Pelvic Inclinometer is most often used as part of a clinical protocol to assess pelvic adaptation to leg length inequality, as part of the Pelvic Equilibrium theory or PENDA test.
Here at Heal and Soul Podiatry, we are trained to assess the relationship between the foot and the pelvis and to detect any leg length difference being compensated for. Once any difference is corrected, patterns of injury can be resolved.
The Musculo-Skeletal adaptions create issues for modern living
The geophysics has NOT changed. Our adaptive capability has NOT changed. The need to establish ‘The essential T’ has NOT changed. What HAS changed is…
Our under-foot environment. Concrete has high energy return. Energy release. Now our natural intrinsic asymmetry becomes the main driver for adaption. We therefore use the same evolved adaptions to achieve the same end goal: cerobellovestibular balance. The difference is the duration (temporal parameters) of a single adaption. They can last for a much longer period of time.
Instantaneous adaptions: There is no plan for what happens after the adaption! Natural surfaces constantly change as you move. Therefore, adaptions are constantly changing. Modern surfaces change less. Therefore, your adaptions change less.
The ‘Pelvic Equilibrium Theory’ tells us that: If your aim is to improve motion patterns and reduce injury risk, you should consider: understanding the global adaptive pathways & balancing the pelvis
Pelvic adaptions are still widely misunderstood. It appears that all ambulant individuals may function around one of four pelvic positions. This new protocol may change our understanding of pelvic function. It may change how we treat pelvic, SIJ and spinal dysfunction. The relationship between pelvic motion and lower limb function requires further research. More reliability studies are required. Pelvic function has to be assessed as part of an MSK consultation. Not understanding the role of the pelvis in MSK repetitive injury may leave significant causative factors untreated.
Most Podiatrists do not assess the Pelvic function and motion at all. This is NOT something taught in University and further courses and qualifications are needed to gain good understanding about these methods and theories.