European Stars And Stripes (Newspaper) - November 8, 1988, Darmstadt, Hesse                                To your health running despite leg length discrepancy by Marc Bloom new York times i n 19b4, Isablle Carmichael of new York a lop Road racer qualified Tor the first olympic Marathon trial for women. Later that year she developed recurring lightness in her right Teg that caused her fool to grow numb. Forced to Cut her High level training to Mere jogging she dose Oraleta sought a medical solution to her problem. Saw a Tot of different doctors including one who gave me injections in the Tower Back Carmichael Oaid. Nothing  ii was not until this past summer that Carmichael. 38, began to Lind Relief or Garry Sherman an Englewood n.j., podiatrist who has treated other runners successfully found. Thai Carmichael had a leg length discrepancy her left leg is about a half Inch Shorter than her right and prescribed Crl Holic inserts o be placed in her shoes Carmichael wears the inserts not Only while running bul at All other limes As Well. I would nol be comfortable running without them she said. The symptoms have diminished. They Are less intense and hey appear less  while Carmichael a recovery is far from Complete she is Cyl another example of a runner frustrated by a n who seems o have been saved by orthotics. What was once a hit or miss Art practice by a handful of specialists orthotics use is Standard practice in podiatric sports Medicine. Its design and. Application Are being refined by increasingly sophisticated methods including computer technology. In evaluating Carmichael Shormari used.  in which sensors Are placed on the foot a microprocessor is attached to the Back and information is fed into a computer. The resulting data provided a borne Chancel profile of Carmichael to be considered in treatment. This process has been called an egg of the loot. With orthotics says Sherman tie doctor errs if he deals exclusively with the fool. The whole body must to taken into account he said. The hips the Back. All systems Are  this recognition has led to some fancy footwork on the pad of researchers and orthotics specialists Peter a Cavanagh director of the Canter for locomotion studies at penh state University recently opened a running injury clinic Al which High Speed film of Pat Lens and other instruments pinpoint the subtleties of running form. The computer measurements reduce the modifications in orthotics bringing us closer to \ perfection laser Cavanagh said. Doctors have found that a variety of ailments irom runner s knee to Shin splints can be treated Elie timely with orthotics these so called toot. Appliances Correct biomechanical weakness that causes pain under the stress of running. For example an Odh Olic will prevent a High arched foot from flattening resulting in knee Strain. While some runners do experience immediate Success orthotics do not perform miracles said or. Justin Wernick a podiatrist and co founder of larger biomechanics in Deer Park n.y., the largest orthotics supplier in the United slates the runner has to give it time arid accept some  Wernick says running shoes must have Heel. Counters that Are deep enough and Strong enough to accommodate an Orch Pic. Matching the shoe to the orthotic is As critical As the Odh Olic itself and runners sometimes end up switching from preferred brands what s left of the Guesswork in orthotics May be further reduced by a new computer scanner developed by or. John Bergman a North held Iii. Podiatrist and she Ammon corp of Mesa Art. The scanner says Bergman produces a topographical image at the fool and allows for More precise construction and Fine tuning. Also instead of the traditional Piaster cast Bergman uses a Wax cast which he said permits greater variety in the use of materials. These Bells and whistles come at no extra Cost insists Bergman. The Steep Price of Ortho Ici has Hep Runnels on guard however. Langer and Bergman declined to say what they charge doctors but according to or Paul Taylor o Silver Spring md., president of the american Academy of podiatric sports Medicine fab foes Range from $60 to More than $100.for an initial visit casting the orthotics and follow up work the Cost to the runner patient can come to several Hundred dollars. Or. Richard schuster offers the following observations on running and orthotics the Type of pain that begins alter about a mile or so can almost certainly be cured by orthotics. While pain May strike in the leg knee or nip. Typically it emanates from a structural imbalance in the foot. Vulnerable runners tend to develop pain when some runners experience immediate inc cent Buta thaties does t perform my Clef. Runners must give it time accept some . Thor training reaches 30 to 35 Miles a week properly made orthotics extend to the forefoot As opposed to ending before the Ball of the foot. Orthotics use should be one remedy among Many to promote pain free running others include change in running shoes stretching exercises reduction in running intensity change in running surface avoidance o Hills. Snoozing is Good for you by Janet d Agostino medical writer. Taking a Short siesta in the afternoon is a break Mother nature intended human beings to take advantage of and enjoy. In fact snoozing several times a Day is probably closer to nature s master plan governing when people should Steep and when they should awaken according to a German researcher however modern industrialized societies have forced people to forgo napping for one Long period of sleep at night said Jurgen Pultey. A psychologist who does research on sleep and the circadian Cycle the body s internal clock at the Wax Planck Institute Lor psychiatry in Munich. Pulley s research showed that even Atler a night s sleep the natural tendency is for humans to Nap about every four hours. Pulley and american researcher Scott Campbell were awarded the . Hess prize irom tha european Socie by for sleep research in 1986.  strongest urge to sleep is Between noon and. 1 p.m., Pulley said in a Telephone. Interview from Munici the body also is inclined to sleep in the morning Between 9 and 10 and later in the afternoon Between five and six. Eating lunch does not cause the desire to sleep a noontime he said. A r these natural proper Silies Tor Steep Are overcame by work school shopping and other activities demanded by a Busy modern society he said. As a result people sleep for one Long period Al night stilling yawns and trying to ignore heavy eyelids during the Day. In Western cultures sleeping during the Day a / crowned upon while in Eastern cultures such As on lha Island of new Guinea in the malay archipelago napping is common arid considered pleasurable Pulley said siesta Are not unheard of in Europe especially in the Mediterranean countries and even in the Rural areas of Northern european countries Pulley said. Afternoon naps Are not inappropriate or impractical in an industrialized society because As Little As 10 minutes of sleep or rest can help rejuvenate a tired mind or body. Pulley said. It is not necessary to All into a deep sleep to reap the benefits of a Nap. In act a Short Nap is belter than a Long one although the reason in t Clear he said. When Pulley and Campbell did their research they were trying Lodo Termine How behaviour affects sleep test subjects were isolated torn the environment for three. Days Al a Lime in an underground room  did nol give them any instructions As  they should sleep Tulloy said the subjects had no Opportunity to do any Normal activities such As Reading listening to music or watching television. Basically they. Were Only allowed to sleep and eat. One test group was allowed to walk around the room but another group could Only lie Down in bed. Pulley said. Tha researchers found that the fewer activities the subjects were allowed to do the More they slept and that they slept in a predictable pattern. Tests subjects who were allowed to walk in the isolation room usually slept twice a Day at night and around noon. But test subjects who could Onty lie Down slept at night and three times during the Day at about Lour hour intervals Pulley Sard. The test subjects slept for slightly Shorter periods at night and often  around 3 . The results Oltha research should not have been surprising Ullay said. Animals never have Long periods of wakefulness in the Day and humans As babies sleep on and Oil throughout the Day Pulley is now studying the effects of shift work on people s sleeping patterns. The stars and stripes Page 17