Ankle Mobility Presentation
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Transcript of Ankle Mobility Presentation
Ankle/Foot Mobilization Techniques
Case StudyUsing ankle/foot joint
mobilization techniques in rehabilitation of a talar
fracture
Fracture of the Talar Body
• Patient is 28 year old male• Mechanism of Injury
– Motor Vehicle -High Impact Injury
• Patient is six weeks post op.• Cast remove one day ago.
Orthopedic Procedure
• Internal Fixation with lag screws across the talar body facture to produce anatomic reduction
• Fracture of the talar body must be stably fixed to restore subtalar joint congruity
Rehabilitation Objectives
• Range of Motion– Restore ROM to the ankle
Restore ROM to the subtalar joint
• Restore ROM to the metatarsophalangel joints
• Muscle Strength• Tibialis posterior
• Pernoneus longus & brevis
• Tibialis anterior• Extensor hallucis longus
• Gastrocnemius• Soleus• Flexor digitorum
Important Consideration
Intraarticular fracture of the talar body
involving the subtalar joint may have residual loss of range motion.
Mobilization Techniques
TalocruralAnterior glide of TalusPosterior glide of
Subtalar Joint• Inversion of Calcaneus
• Eversion of Calcaneus
• Calcaneus Distraction
Ankle Joint
• Ankle Distraction good start to restore general motion at the ankle.
Ankle
Anterior glide of talusrestore the component motion for ankle plantar flexion & STJsupination
Ankle Joint
• Posterior glide of talus
• To restore component motion for ankle dorsi flexion & STJ
• pronation.• Position similar to
distraction except you do posterior glide of
talus. See lab disc
Subtalar Joint
• Calcaneal distraction– General technique to restore all motion in the STJ
.
Sub Talar Joint
Calcaneal inversionsubtalar joint inversion
useful to help in restoring push of the foot
Subtalar Joint
Calcaneal eversionsubtalar joint eversion
useful to help in storing pronation at the foot.
Mobilization Techniques
• Mid- tarsal joints– Plantar& Dorsal glides of the cuboid & cuneiforms
Dorsal & plantar glide of the navicular on talus
• Metatarsophalangel– Distraction– Plantar glide-flexion
– Dorsal glide-extension
Mid-tarsal Joint
• Plantar& Dorsal glides of the cuboid & cuneiforms– Restore general mobility of the mid foot Plantar & Dorsal glides of the cuboid & cuneiforms
Mid-tarsal Joints
Dorsal & plantar glide of the navicular on talus.Used to improve ankle dorsi flexion and general motion at the mid foot.
Metatarsophalangel Joints
• Distraction of toes restore joint play
• Good initial technique
for pain& movement.
Metatarsophalangel Joints
• Plantar glide of the MTP, PIP and DIP– To increase flexion of the toes
Metatarsophalangel Joints
• Dorsal Glide of the MTP, PIP and DIP– Useful to increase toe extension ( push off)
Plantar Glide of the MTP, PIP and DIP
MTP Plantar glide shown