centre@medicol.ch
+41 21 510 33 48
  • Access
    Access
    Avenue d'Ouchy 41
    1006 Lausanne
    Views of the entrance
    Ouchy Orthopedic Center - Entrance photo
    Ouchy Orthopedic Center - Entrance photo
    Public transport
    • Bus: No. 2 (Maladière-Désert), stop “Croix d'Ouchy”
    • Metro: M2, “Délices” station
    • Train: CFF Station, Lausanne
    Car and parking
    The Bois-Cerf Clinic has a limited number of paid parking spaces. Public parking and parking areas are available around the clinic (blue zones, Royal Savoy Hotel parking lot).
Jobs
English (UK)
English (UK)
Français
Online appointments
logo
  • Doctors
  • Diseases and treatments
    Shoulder and elbow
    Hip
    Knee
    Foot and ankle
    Back
    Sports medicine
    Discover functional assessments
  • Training
    • Referring physicians
    • Partner doctors
    Competence Center

    We offer diagnostic and treatment options for common and complex medical conditions

    • Our training courses
    • Referring physicians
  • About Us
logo
  • Welcome
  • Orthopedic Doctors
  • Diseases and treatments
    • Knee
    • Hip
    • Shoulder and elbow
    • Foot and ankle
    • Back
    • Sports medicine
  • Training
    • Our training courses
  • About the Center
  • Contact
  • FR
|
  • IN
Ouchy Orthopedic Center - Logo

Ouchy Orthopedic Center
Avenue d'Ouchy 41
1006 Lausanne

Online appointments
Call the center

English | French

Educational video

Origins of human bipedalism

Dr. Vallotton traces the history of human bipedalism through an anthropological approach, exploring the evolution of the foot, its function in locomotion, and its aquatic origins.

Doctors

Topics

Treatments

Advice

  • Dr Jacques Vallotton
  • History of bipedalism
  • Evolution of the foot
  • Differences with monkeys
  • Aquatic origins
    • Permanent bipedalism
    • Reptilian foot
    • Aquatic origin
    • Anatomy of the foot

    Information

    Video type:

    Educational video

    Anatomy:

    Foot

    Surgery:

    ##Type_of_surgery##

    Thematic:

    Anatomy and symptoms

    Pathology:

    ##Pathology##
    Consultation at the center

    Why our feet make us bipeds

    Bipedalism is not simply about "walking on two feet." It requires a stable foot, capable of providing propulsion and balance, and of organizing the lumbopelvic chain. The evolutionary history of the human foot sheds light on this stability: ancient, adapted, and specialized structures enabled efficient and repeated walking, freeing the hand for grasping and fine-grained tasks.

    Understanding this lineage helps to better reason modern clinical assessment, from the simple gesture of walking to sporting demands.

    From distant origins to modern walking

    Fossil footprints and comparative analysis suggest a long-standing bipedalism, distinguishing our lineage from mere "occasional bipedism." The linear progression and management of trunk swing reflect a foot oriented for prolonged walking. Over time, this pattern shaped the entire skeleton and statics, from the ankle to the spine.

    This continuity explains the sensitivity of the kinetic chain: a distal restriction leads to proximal adaptations.

    Our foot makes us a true permanent biped.

    A “primitive”, specific and effective foot

    The human foot retains ancient features while exhibiting unique characteristics. Its function is not to grasp, but to provide stable support, efficient propulsion, and precise guidance of the lower limb. This orientation explains the importance of the forefoot, midfoot, and subtalar joints in controlling the gait cycle.

    From this perspective, the slightest local dysfunction can resonate remotely on the knee, the hip and the spine.

    Dorsiflexion and role of the metatarsophalangeals

    In humans, a significant portion of the dorsiflexion needed for propulsion occurs at the metatarsophalangeal joints, particularly the big toe. This mechanism determines the entry into supination at the end of support, stabilizes the foot lever, and prepares for knee and hip extension. When this movement is limited, the entire synchronization shifts and the walking movement becomes disorganized.

    The functional assessment of the forefoot is therefore an essential part of the assessment.

    The stability of the foot freed the man's hand.

    Aquatic origins: what this changes

    The hypothesis of aquatic origins emphasizes functional traits (breath control, skin adaptation, hair removal) that may have favored the emergence of a particular locomotor pattern. Without settling the debates, this reading reminds us that the function is part of a history, and that stable support was decisive in relieving the hand and favoring the use of tools and then language.

    For clinical practice, the message is simple: preserving the support function means preserving the entire chain.

    Contemporary clinical implications

    Foot examination is always considered holistically: posture, segmental mobility, inter-joint synchronization, and motor control. Preventing gait disorders involves maintaining forefoot mobility, working on the plantar tripod, and pelvic control. This biomechanical approach, informed by evolution, supports both performance and joint longevity.

    bipedalism
    human foot
    evolution
    anthropology
    primitive foot

    Pathologies treated at the center

    Online appointments

    Shoulder

    Back

    Hip

    Knee

    Foot

    FHL

    Hallux Limitus
    Functional

    Explore the biomechanics of movement and discover innovative solutions to preserve your mobility!
    Visit the site
    Functional assessments
    I would like a review
    Why do a functional assessment?

    Your pain has a cause.The balance sheet allows us to understand it.

    • Gait analysis
    • Posture Assessment
    • Guidance on the right treatment
    • Study of plantar supports and supports
    • Detection of compensations
    • Pain–movement correlation

    The functional assessment allows us to understand how a joint or postural imbalance can trigger or perpetuate pain. Very often, imaging is normal, but movement is disturbed. By analyzing gait, weight-bearing patterns, or posture, we identify the weak links in the chain and guide targeted treatment adapted to the patient's actual mechanics.

    logo_medicol_header.png
    FMH-logo.png
    EPFL-Lausanne-Medicol.png
    Logo_Functional_Hallux_Limitus.png
    Logo_Hirslanden.jpg
    Logo_partiel_Congres_Medicol.png

    Kneeplus.svgHipplus.svgFootplus.svgShoulderplus.svg

    Kneeplus.svgHipplus.svgFootplus.svgShoulderplus.svgKneeplus.svgHipplus.svgFootplus.svgShoulderplus.svgKneeplus.svgHipplus.svgFootplus.svgShoulderplus.svgKneeplus.svgHipplus.svgFootplus.svgShoulderplus.svgKneeplus.svgHipplus.svgFootplus.svgShoulderplus.svg
    Kneeplus.svgHipplus.svgFootplus.svgShoulderplus.svgKneeplus.svgHipplus.svgFootplus.svgShoulderplus.svgKneeplus.svgHipplus.svgFootplus.svgShoulderplus.svgKneeplus.svgHipplus.svgFootplus.svgShoulderplus.svgKneeplus.svgHipplus.svgFootplus.svgShoulderplus.svg
    logo
    Address:

    Avenue d'Ouchy 41
    1006 Lausanne

    centre@medicol.ch
    +41 21 510 33 48
    Opening hours

    Monday to Friday
    8:00 a.m. – 12:00 p.m.
    1:00 p.m. – 5:00 p.m.

    Telephone reception

    Monday to Friday
    8:00 a.m. – 11:45 a.m.
    2:00 p.m. – 5:00 p.m.

    Follow us
    YoutubeLinkedin-inInstagramFacebook-f
    ISFM Certified Postgraduate Training Establishment

    Online appointments

    Refer a patient

    Copyright © 2025 – Medicol | All rights reserved.
    Legal notices

    Privacy Policy

    Top
    Français Français
    Français Français
    English (UK) English (UK)