Dr. Kaiman specializes in the evaluation and treatment of gait disorders by a process referred to as Dynamic Gait Analysis.

Information is obtained about the way in which you walk by:

• Video Analysis
• Orthopedic Foot and Leg Evaluation (Static Biomechanical Evaluation) and
• Computerized Gait Analysis

A specially designed walking platform with strategically placed video cameras is used to acquire moving images of one's gait. 

The images are then evaluated in slow motion and freeze-frame fashion in order to visualize components of the gait cycle which occur naturally and repeatedly at 1/100 to 1/1000th of a second. An average person walks about 7000 to 10,000 steps per day. This powerful tool helps us appreciate the significance of this activity as it relates to the presenting signs and symptoms or gait related problems.

Sensors are then placed in one's shoes in order to determine the forces being generated when one walks. These forces are referred to as ground reactive forces (GRFs). Gravity is responsible for these forces. Data is collected by a computer and interpreted. This reflection of how our body reacts to gravity is translated into data which in turn is extrapolated to provide information on how one reacts or compensates for these GRFs. It is our ability, or lack thereof, to mitigate the effects of these forces which can lead to pathology. 

Quantitative and qualitative data obtained from Computerized Gait Analysis (CGA) is then used to determine the underlying contributing mechanism precipitating symptoms. Depending on the pathologic process, solutions are then formulated to create symmetry, reduce force, alter timing, and change the integral of gait.  

One cannot ignore the biomechanical static examination. The patient is evaluated for joint range of motion, strength, deformities and relationships of the body's segments contituting the postural complex. Limitation of motion, or even excessive motion at one joint effects motion at adjacent joints. These relationships must be determined.

DYNAMIC GAIT ANALYSIS= VGA + CGA + Static Examination

The information obtained from CGA, VGA and the patient examination is then consolidated to formulate a picture, or in essence, a three dimensional image of the interrelationship of structure function and timing. It is the physician's goal to effect a change in these parameters in order to reduce and even eliminate pathology associated with abnormalities of gait, to reduce morbidity and provide for a healthier lifestyle.

This is achieved by means of custom fabricated orthotic devices, accomodative innersoles, balance orthoses, physical therepy, shoe gear, etc.