Dr Emily Splichal

NABOSO: FEEL THE FORCE

To Dr. Emily Splichal

In recognition of Dr. Emily Splichal’s contribution to my knowledge and through the knowledge gleaned from the use or her pioneering NABOSO surface science technology I am dedicating this post to her as my teacher, mentor and inspiration. Thank you Dr. Splichal.


In this post I am going to discuss how NABOSO surface science technology gave me the feedback mechanism to confirm the optimal ramp angle I needed to transition to a higher level of skier performance.

Optimal Ramp Angles starts with Stance Training

My transition started with refinements to my stance that came from incorporating Dr. Splichal’s principles of foot-to-core sequencing (that connects the feet with the pelvic core) and body fascial tensioning (that unifies the body). Prior to these changes my stance is what I would now define as good but not optimal. The huge improvement resulting from the refinements served as the impetus for a series of posts on the sequencing process required to assume a fascially tensioned stance with foot to core sequencing. I called this the SR Stance. The reason I chose this name was to draw reader attention to the stance posts by making the stance seem innovative, but not intimidating.

KIS is the Stance Kiss of Death

In reviewing material on ski technique, a skier’s stance is described as anything from an athletic stance, a relaxed stance, a ready stance, a balanced stance, a centered stance or a whatever feels good stance. A focus on selling skiing as easy with the KIS principle (Keep It Simple) has resulted in stance being perceived as less than critical to good technique. This leaves most skiers with the impression that a ski stance should feel similar to a relaxed upright stance on two feet with weight equally distributed between both feet and the heels and forefoot of each foot. This is interpreted by skiers as meaning they are balanced or in balance. So it follows that in actual skiing there should be even ‘pressure’ everywhere with no sensation of pressure on any specific area of the foot.

If I ask a typical skier to stand on a ramped surface and assume their ski stance they will find the sweet spot where their weight feels evenly distributed and identify it with their ski stance regardless of the  angle of the surface

So the first challenge to transitioning to a higher level of skier peformance is accepting that a strong ski stance must be learned and consistently rehearsed by doing drills as I do every time I go skiing. It’s like pre-flight check. NABOSO provide the conscious and subconscious CNS feedback that tells me when I am cleared for take off.

The NABOSO Effect

In my post NABOSO PROPRIOCEPTIVE STIMULATION INSOLES, I stated that the principle proprioceptive neural activity associated with balance responses occurs across the plantar plane. It is strongest in the 1st MPJ (big toe joint) and big toe. The fast acting small FA II nerves in this area are activated by pressure and skin stretch both of which occur in the late phase of Mid Stance. Optimal ramp angle is critical because it maximizes both pressure and skin stretch thereby potentiating the sensory input required to initiate controlled movement.

Assuming a NABOSO is trimmed, if necessary, to fit a shoe, there will be a positive effect on plantar proprioceptive stimulation. But my experience to date has been that the plantar proprioceptive stimulation will be much more pronounced in a minimal, zero drop shoe with adequate width for fascial forefoot tensioning and correct alignment of the big toe.

The big breakthrough for me came after I started using NABOSO insoles in shoes with different heel raises (drops). It turned out that I had the highest perception of  pressure under the ball of my foot in late mid stance phase with shoes with zero ramp (drop). When I put NABOSO insoles in my ski boots to test them I could hardly perceive any pressure under the ball of my outside foot during skiing no matter how I adjusted my stance or the tensions in my boot closures. This told me that my ramp angle of almost 3 degrees was far too great. As soon as I reduced the angle to 1.2 degrees (which is what I tested best at on my dynamic ramp angle device) it is no exaggeration to state the the whole world changed. But the transition effect didn’t kick into high gear until this ski season after my brain had time to delete a lot of the bad programming from the old ramp angle.

NABOSO 1.0 on the left. NABOSO 1.5 on the right. I use 1.5 in my ski boots. I purchase the large size and trim to fit.

Tentative Conclusions

  • A system that provides continuous subconscious sensory input to the CNS with the ability to consciously sense sensory input during drills in executive mode is important.
  • Stance training should be incorporated into racer training programs at an early stage and optimal stance ramp angle identified and implemented.
  • Once optimal ramp angle has been implemented the boot should be set up to the skier’s functional specification which I will discuss in future posts.
  • Stance ramp angle should be retested on a periodic basis to confirm the requirements have not changed.
  • Adjustments should be made as soon as possible after the end of a competitive season and no further changes made during the subsequent competitive season.

In my next post I will discuss Dr. Splichal’s protocol for using NABOSO insoles and matts in training.


Disclosure

I am not involved in any form of business association or affiliation or any have business interest or investment with Dr. Splichal/NABOSO/EBFA. Nor do I receive any form of compensation from the sale of NABOSO. Prior to marketing her NABOSO insoles Dr. Splichal provided me with a small sample of NABOSO material at her cost to cut insoles from for testing.

 

 

NABOSO: FIRST SKI TEST RESULTS

I finally got a chance to test Dr. Emily Splichal’s surface science small nerve stimulating NABOSO insoles (1.)

Naboso (meaning “barefoot” in Czech) is the first-ever small nerve proprioceptive material commercially available in the health and fitness industry. The skin on the bottom of the foot contains thousands of (small nerve) proprioceptors, which are sensitive to different stimuli including texture, vibration, skin stretch, deep …

As I typically do, I used a one on one test protocol with a NABOSO 1.5 insole in my left ski boot and my normal insole in my right boot. The results were nothing short of amazing. There was almost no difference in the feeling under the sole of my left (NABOSO) foot compared to the sole of my right (normal insole) foot. The NABOSO Effect (as I call it) in my left ski boot was nothing like the effect I experience in similar tests in my Xero Prios or Lems Primal 2 minimal shoes. You’re probably wondering why I was amazed if NABOSO was no better than my normal insoles. The fact that I felt little difference told me that something was seriously wrong with my ski boots.

The first thing I suspected was that there was too much ramp angle (aka zeppa) in the boot boards in my Head 335 World Cup boots. I can’t recall what the factory ramp angle. But I lowered the heel a lot and the reduced ramp angle seemed to work well compared to the original ramp angle. As a reference, the boot board zeppa angle in the Head RD boot is 4.0 according to Head literature. The zeppa in recreational ski boots can be as much as 7 degrees. Since 1978, I have known that too much boot board ramp angle can cause significant balance and ski control issues for skiers. But I had no way of accurately determining what the optimal zeppa angle should be. What appears to work well for one skier does not necessarily work for another skier. Zeppa is a crap shoot, a good guess, a lottery. A few skiers win the zeppa lottery. But most skiers lose. I decided that I had to find an accurate way to determine the optimal personal zeppa angle for skiers and especially racers.

Necessity is the mother of invention.

I had a need to know situation. In my next post I will describe the Dynamic Ramp Angle assessment  device that I designed and fabricated and the incredible results that happen when zeppa angle is in the optimal range and the NABOSO Effect kicks in. Prepare to be shocked by the results. I was. I am still in shock. If the results hold up, optimal boot board ramp angle will be a big miss for the ski industry.


  1. http://nabosotechnology.com

THE ZEPPA TIPPING POINT PROBLEM

A recent post on The Foot Collective FaceBook page titled Humans aren’t meant to walk on ramps!, highlighted the problems caused by elevating the heel above the forefoot known in the footwear industry as drop. Like the author of the post, I also wear zero drop shoes like Xero and Lems exclusively  (with NABOSO insoles) and spend all of my time indoors barefoot. Like the author, I too have experienced an immediate, unnatural and a sense of disorientation in terms of a connection with the ground, when I have worn dress shoes and winter boots with moderate drop.

While some amount of boot board ramp angle or zeppa appears to necessary for a strong, tensioned stance (what I refer to as a planted or rooted stance), the amount of zeppa is turning to be much less than I originally thought. It may be less than 1.5 degrees total (zeppa + delta). Assuming zero delta, there appears to be a very narrow range within which zeppa is optimal after which a tipping point is reached in terms of adverse effects on the motor control and balance systems.

It has also become apparent that some racers are tuning ski response by adjusting binding delta. Zeppa and delta each have a different effect on ski response especially edge control and the ability of a skier to resist the forces acting on them in the load phase of a turn. I will discuss issue this in a future post.


Humans aren’t meant to walk on ramps!

Powerful post by TFC Educator @optimize.physiotherapy
👣
Why do most shoes have a heel on them?
This really hit home the other day when I put on my winter boots (because it snows in November in Canada). Being someone who goes barefoot all day at work and at home (and wears zero drop shoes), it was a very unnatural feeling. It really threw my walking off, and I noticed the effects immediately. It changed the way I walked, stood, and made me use different muscles.
Humans are meant to have a flat base. No other animal wears mini ramps on their feet, but we do. The problem is that your body adapts to having a heel on, and it works different from a biomechanical perspective in any given movement pattern (the higher the heel, the worse the effect…but even most casual, running, and gym shoes have heels)


One thing it really does is affect your ankle/foot function. It has a huge effect on ankle ROM and tissue tension around the ankle. The problem is, when you wear a heel all day at work/at the gym/walking around, your tissues adaptively shorten and you don’t require as much ankle ROM. But then you take your shoes off and walk, go up your stairs, squat down to get things around the house etc. This is where people have issues. Not only at the foot/ankle but all the way upstream at other joints



Ankle ROM is incredibly important, and walking on a ramped surface all the time is incredibly unnatural. So do yourself a favour and spend less time in heeled footwear or get rid of it altogether


The Foot Collective is a group of Canadian physical therapists on a mission to help humans reclaim strong, functional and painfree feet through foot health education.

The Foot Collective are empowering people with the knowledge they need protect their feet from the dangers of modern footwear and the guidance to fix their own feet.

http://www.thefootcollective.com

BEYOND BIOMECHANICS BY DR. EMILY SPLICHAL

The following post appeared on the Evidence Based Fitness Academy (EBFA) fitness blog on February 6, 2018 under the title Beyond Biomechanics | Addressing Foot Pain with Sensory Stimulation (1.).

I have reproduced the post with the kind permission of Dr. Emily Splichal under the title Beyond Biomechanics by Dr. Emily Splichal because her emphasis on the role of sensory stimulation of the plantar foot on foot, lower limb and function of the entire body has both direct application to and implications for, skiing.

I have a theory on what I call The NABOSO Effect that explains how I think NABOSO insoles improve dynamic stability in the biokinetic chain that I will discuss in a future post. I have been testing NABOSO 1.0 and 1.5 for months.


Beyond Biomechanics | Addressing Foot Pain with Sensory Stimulation – by Dr. Emily Splichal

I want you to picture a human foot.   Now picture a person standing barefoot, and then walking barefoot.   Do you see the foot striking the ground and flexing under impact, only to re-stabilize and push off just a few milliseconds later?

Often times when we think of human movement we can’t help but to be drawn to the thought of joints moving and muscles contracting.   Or in the case of foot function we are quick to consider the mechanics of flat feet, high arches, pronation and supination.   However when we delve deeper into the science of human movement there is more than meets the eye.

The Two Sides of Foot Function

When I teach on behalf of EBFA Global or speak to my patients I always emphasize that there are two sides to foot function (and dysfunction) – biomechanical and neuromuscular.    Now both play an important role in foot function which means that both must be appreciated – however to solely treat foot pain with just one belief system in mind is inherently flawed.

In most Podiatric Medical Schools we are taught foot function and foot pathology solely from a biomechanical perspective.

This means that every patient is tested for foot mobility and told to stand statically to determine arch height and foot type.   Based on this foot-focused biomechanical assessment and foot classification system the patient’s cause of injury and treatment protocol is determined.   Some of the favorite treatment recommendations include motion-controlled footwear and custom-posted orthotic both of which are prescribed with the hopes of controlling foot-focused biomechanics and thereby reducing their foot pain.

Beyond Biomechanics

The other side of foot function is one that is driven from a neuromuscular perspective and integrates the science of sensory stimulation and fascial systems.   In the case of neuromuscular function every patient would be assessed for sensitivity of plantar mechanoceptors as well as co-activation patterns between the foot and the core.  The role of minimal footwear, myofascial releasing, breathing patterns and compensation patterns more proximal would all be considered.

So which is more appropriate?  Well it depends.   In certain cases there will be a stronger argument towards a more biomechanical influence and in others it is more sensory.  This means it really is a marriage between the two approaches that provides the greatest patient outcome.

Sensory Stimulation in Foot Pain

My practice and Podiatry career is built around bringing an awareness to the important role sensory stimulation has on foot function and foot pain.

With every step we take impact forces are entering the foot as vibration.  This vibrational noise stimulates unique mechanoceptors on the bottom of the foot and is used to coordinate the loading of impact forces through coordinated contractions of the intrinsic (small) muscles of the bottom of the foot.   This co-contraction leads to a stiffening or strengthening response of the foot.

Researchers such as Nigg et al. and Robbins et al. have demonstrated a direct relationship between sensory stimulation of the plantar foot and intrinsic muscle strength concluding that one is necessary for the other.   This means that if our footwear or orthotics disconnect us from sensory stimulation – as in the case of cushioned footwear – this can actually weaken our foot making us susceptible to plantar fasciitis, Achilles tendinitis and stress fractures.

Beyond Vibration Stimulation

Vibration stimulation is an extremely important sensory stimulation that enters our foot however it isn’t the only stimulation.   Another important stimulation is the ability for our foot to determine texture and if a surface is rough or smooth.   This information is used to help maintain dynamic balance (think walking on ice).

Enter the merkel disk mechanoceptors.   These superficial sensory nerves are used to determine what’s called 2 point discrimination which is translated to roughness or the texture of a surface.  Surface texture and insole texture is one of the most studied aspects of foot stimulation and posture or gait.  From decreased medial lateral sway in patients with Parkinson’s or MS to reduced prefrontal cortical activity in atheltes post-concusion the applications are promising!

One area that hasn’t been focused on for sensory stimulation and foot function is foot pain.  I am here to change the awareness around this concept and share the powerful application of sensory stimulation and foot pain.

As we mentioned earlier sensory stimulation of the foot leads to a contraction of the intrinsic muscles of the foot.   Intrinsic muscle contraction is not only a criticial step in the damping of impact forces but has also been shown to increase the medial arch and build co-activation contractions in the core.

 The Evolution of Textured Insoles

In October 2017 Naboso Technology launched the first-ever commercially available textured insole!   Naboso Technology essentially brought the science of touch and years of textured insole research to the market place giving new hope to people with foot pain.

Available in two strengths – Naboso 1.0 (1mm texture) and Naboso 1.5 (1.5mm texture) Naboso Insoles are designed to be worn without socks (or at the most very thin socks).  They fit into all footwear, are freely movable in all planes of motion and are only 3mm thick.

FROM THE GROUND UP

Are you barefoot strong?


Learn more about the power of texture! – http://www.nabosostechnology.com

  1. https://barefootstrongblog.com/2018/02/06/beyond-biomechanics-addressing-foot-pain-with-sensory-stimulation/

 

HIRSCHER AND SHIFFRIN WIN BY CROSSING THE LINE

When a World Cup racer wins a GS by a commanding margin, it’s a sure sign they’ve crossed the line and the gravity of the situation is significant. But I’m not talking about  breaking any rules. Instead, I’m referring to Hirscher and Shiffrin mobilizing the force of gravity by jumping across the rise line above the gate and/or minimizing pressure while rotating their skis across the rise line towards the gate so the edges of their outside ski progressively engage and lock up as they extend and incline closing the kinetic chain. Knee extension, in combination with ankle extension, uses the momentum of COM in conjunction with the force of gravity to progressively engage and apply force to the outside ski.

Reilly McGlashan has an excellent YouTube analysis of Marcel Hirscher using this technique in the 2017 Alta Badia GS (1.) The technique Hirscher and now Mikaela Shiffrin are using relates directly to the second rocker/internal rotation, impulse loading mechanism I described in a series of posts. The text below is excerpted from a comment I posted on McGlashan’s YouTube video analysis of Hirscher.

Hirscher progressively engages his edges, especially on his outside ski then hooks a tight arc close to the gate to establish his line. Once he has established his line, he no longer needs his outside ski. He gets off it in milliseconds and uses the rebound energy to project forward with only enough pressure on his uphill (new outside) ski to influence his trajectory of inertia so his COM enters the rise line at a low angle of intersection. He gets rebound energy from the loading  of his outside ski and from what amounts to a plyometric release of muscle tension from the biokinetic chain of muscles extending from the balls of his outside foot to his pelvis. The energy is created by the vertical drop from above the gate to below the gate similar to jumping off a box, landing and then making a plyometric rebound. Hirscher is skiing the optimal way and it shows on the clock and leader board.

Replicating the mechanism in a static environment is not possible because there is no inertia. But a device I have designed and constructed enables the mechanism to be rehearsed with the same feeling as in skiing.

The key is loading the forebody of the outside ski with a shovel down position as the leg is rotating the ski into the turn. This sets up the second rocker impulse loading mechanism that tips the ski onto its inside edge. Extending the knee and ankle uses momentum to exert a force on the snow with the ski.

The photo below shows the training mechanism head on. The white horizontal arms represent the sidecut of the ski. The platform under the foot can be adjusted transversely to change the sensitivity. Vertical plates set beside the ball of the foot and on the outer corner and behind the heel transfer turntable rotation torque to the ski created by rotating the leg internally with the glutes. The platform will only tilt under impulse loading if the second rocker can engage. Few skiers can use this mechanism because their ski boots do not accommodate second rocker biomechanics.

The link below is to a video that shows the effect of extending the knee and ankle while moving the hips forward and over the support foot (monopedal function). The stack height and minimum profile width of are FIS 93 mm/63 mm. Rotation in itself will not cause the device to tip onto its inside edge if centre of pressure is on the anatomic centre of the foot (through the centre of the heel and ball of the second toe).

Dr. Emily Splichal’s recent webinar on the Science of Sensory Sequencing and Afferent Stimulation (2.) is relevant to motor control and cognitive development associated with high performance skiing. Pay careful attention to Dr. Splichal’s discussion of the role of mechanoceptors and the fact there are none on the inner (medial) aspect of the arches of the feet which is why footbeds or anything that impinges on the inner arch is a bad thing. I will discuss the implications of Dr. Splichal’s webinar in a future post.

In my next post, I will provide detailed information on the training device.


  1. https://youtu.be/OxqEp7LS_24
  2. https://www.youtube.com/watch?v=2qPnrQ85uec&feature=youtu.be

 

 

NABOSO SURFACE SCIENCE INSOLE UPDATE

In June of this year, I posted on my beta testing experience with NABOSO surface science, small nerve, proprioception stimulating technology (1.).

Recently, I received the consumer version of NABOSO called NABOSO 1.0 shown in the photo below.

NABOSO 1.0 has a tighter grid than the NABOSO beta version I have been testing. The pyramid-like texture is also smaller.

The photo below shows NABOSO 1.o on the left and NABOSO beta on the right. The photo was taken before I trimmed NABOSO 1.0 to fit my shoes. 
Here is the information that came with my pair NABOSO 1.0 insoles.

I use both NABOSO 1.0 and NABOSO beta in my Lems Primal 2 and Xero Prio shoes. I immediately sensed better balance with the tighter grid of NABOSO 1.0. But I found it interesting after going back to NABOSO beta, after a period of time in NABOSO 1.o, that NABOSO beta felt more stimulating. Based on this subjective experience, I think there may be some advantage to switching back and forth between different texture grids. Hence my interest in the new NABOSO 1.5.

NABOSO 1.5 can be pre-ordered now for a reduced price of $30 US at orders@nabosotechnology.com

Disclosure: I do not receive any form of compensation from NABOSO or Dr. Emily Splichal. Nor do I hold any shares or have any financial interest in the company. The sole benefit I derive from NABOSO is to my feet and my balance and the efficiency of my movement.

I will be testing NABOSO insoles in my ski boots this winter in conjunction with toe spreaders starting with NABOSO 1.0. I will report on my experience in a future post.


  1. http://wp.me/p3vZhu-27v

NABOSO PROPRIOCEPTIVE STIMULATION INSOLES

For several weeks, I have been testing the first-ever small nerve plantar proprioceptive stimulation insole technology called NABOSO, which means “barefoot” in Czech. The surface science technology was invented by Dr. Emily Splichal and is being marketed by her in conjunction with NABOSO yoga mats and floor tiles.

Introducing Naboso Insoles by Naboso Barefoot Technology. Get ready to experience what it truly means to move from the ground up with the first-ever small nerve proprioceptive insole to hit the footwear industry.

The skin on the bottom of the foot contains thousands of (small nerve) proprioceptors, which are sensitive to different stimuli including texture, vibration, skin stretch, deep pressure and light touch. When stimulated these proprioceptors play an important role in how we maintain upright stance, activate our postural muscles and dynamically control impact forces. – Dr. Emily Splichal

http://nabosotechnology.com/about

Dr. Emily Splichal goes on to state:

The skin on the bottom of the foot plays a critical role in balance, posture, motor control and human locomotion. All footwear – including minimal footwear – to some degree blocks the necessary stimulation of these plantar proprioceptors. The result is a delay in the nervous system which can contribute to joint pain, compensations, loss of balance and inefficient movement patterns.

Naboso Insoles are backed by surface science and texture research – and have been shown to not only improve balance but also positively impact gait patterns, ankle proprioception and force production in athletes.

Dr. Splichal stresses that:

This (NABOSO insole) is an insole providing proprioceptive and neuromuscular stimulation – it is not an orthotic providing biomechanical control.

http://nabosotechnology.com/naboso-insoles/

The principle proprioceptive neural activity associated with balance responses occurs across the plantar plane. It is strongest in the 1st MPJ (big toe joint) and big toe.

Dr. Splichal cites studies that found that textured insoles increased the activity of receptors in the plantar surface of the feet with a significant, immediate effect seen in the outcome measures of static (weight bearing) and dynamic (weight symmetry index, strength symmetry) in balance tests  as well as in gait symmetry (single support and swing phases). Thus, the proprioceptive stimulation benefit of textured insoles is carried over into footwear without textured insoles. I have noticed a significant improvement in  plantar proprioceptive sensitivity when barefoot or when my feet are not bearing weight. It is as if my feet have been put to sleep by a local anesthetic which has worn off.

Dr. Splichal’s information on NABOSO states that for the first time ever it is now possible to bring the power of barefoot science and plantar proprioceptive stimulation to all footwear – regardless of support, cushion or heel toe drop.

Assuming a NABOSO is trimmed, if necessary, to fit a shoe, there will be a positive effect on plantar proprioceptive stimulation. But my experience to date has been that the plantar proprioceptive stimulation will be much more pronounced in a minimal, zero drop shoe with adequate width for fascial forefoot tensioning and correct alignment of the big toe. I have experienced the best results with NABOSO in the Xero Prio shoe with the Lems Primal 2 and a Vivobarefoot model, close seconds.

The photo below shows the Xero Prio (blue-grey) with the Lems Primal 2 (black).

Both shoes have thin soles with low resiliency (the material compresses very little). The soles are also very flexible, an important quality. The sole wearing qualities of the Xero are excellent. The Xero Prio has become my all around minimal shoe. I use it for cycling on my mountain bike fit with large flat platform pedals.

The photo below is of the NABOSO insole for my left shoe.

Initially, NABOSO insoles are perceived, but not uncomfortable. After a time, shoes feel strange without them.

Over several weeks, I have done many tests of different shoes and insoles where I compare cushioned, standard insoles to NABOSO and different shoes with and without NABOSO as well as one-on-one comparisons with different shoes on each foot. After an initial walk in period, if I remove a NABOSO insole from one of my Xero Prios, it feels as if sole of the foot with the Xero without the NABOSO is signicantly less sensitive.

The most significant aspect of trying NABOSO insoles in different shoes is that it immediately becomes apparent just how bad some shoes are. The more cushioning, the narrower the fit and the greater the heel to toe elevation of the sole, the worse the shoe feels. For example, when I compared the Xero Prio with zero drop to a Nike Free with a 5 mm drop, I immediately sensed a pronounced negative effect on my posture and muscles of my legs, especially my glutes.

A Game Changer?

Prior to NABOSO, footwear companies could make shoes that have a negative affect on posture, balance and gait because it could be argued that the benefits of protecting the soles of the feet from mechanical damage outweigh any negative effects on balance and increased susceptibility to falls and injury. But the criteria for product liability is that a product must minimize, but not necessarily eliminate, the risk of injury to the consumer. Studies of textured insoles and even thin, low resilency soled footwear have shown dramatic improvements in balance and gait while reducing the risk of falls and potential injury. The inescapable conclusion is that footwear that reduces balance and the efficiency of gait while increasing the risk of falls and potential injury fails to meet this standard. This raises the question, “Will product liability litigation in footwear be the “next shoe to drop?””

NABOSO in  Ski Boots?

I have not yet had an opportunity to test NABOSO ski boots. But 2 racers I am working with are using NABOSO in zero drop minimal shoes. Stay tuned.