Ankle Dorsiflexion: The What, Why, and How is a recent post from Adam Kelly, ATC at www.eatrunrehabiliate.com.
I like this post for a number of reasons: First, I recently had an ankle sprain myself and like a true physical therapist, failed to take the necessary and appropriate rehab measures. I am now dealing with the chronic side-effects of an ankles sprain and am constantly working on my ankle ROM and mechanics. Second, Adam does an excellent job reviewing the anatomy, kinesiology, and mechanics of the ankle. He incorporates the importance of assessing the whole lower chain as well identifying proximal and distal impairments in his patients. Third, he presents a case scenario explaining how deficits at the talocrural joint could affect the average person. Finally, Adam references other professional links and videos, allowing the reader to have a much more comprehensive understanding of evaluation and treatment of the ankle.
Some take home points from the the post:
1) When a person lacks ankle mobility, you may not see an immediate decline in functional mobility. The human body has an amazing ability to compensate. It is our ability as practitioners to find these subtle substitutions.
2) When it comes to increasing ankle mobility with manual interventions, a multi-faceted approach is important. We must be dynamic during our treatment sessions. What is successful for one patient may not be appropriate for another patient with similar impairments.
3) Do not forget the above and below. Regional interdependence is so important. As competent clinicians, evaluating tibial torsions, hip mechanics, and mobility of the rearfoot and midfoot must all be considered as contributing impairments.
Thanks for the post Adam!
James Heafner PT, DPT, OCS:
Owner and lead physical therapist at Heafner Health, cash-based physical therapy in Boulder, CO. Areas of expertise include orthopedic and manual therapy, functional movement, pain science, and movement science.
In May 2013, I earned my Doctorate in Physical Therapy from Saint Louis University. After graduating from the Harris Health Systems Orthopedic Residency in October 2014, I moved to Boulder, CO. Since living in Boulder, I have started my own cash-based PT practice, earned my OCS certification, and teach for the OPTIM Fellowship and COMT program in Houston TX and Scottsdale, AZ.
Chris Fox PT, DPT, OCS: Physical therapist at Foothills Sports Medicine & Physical Therapy in Scottsdale, AZ and regularly lectures at the Phoenix Campus for NAU's DPT program and for Optim Manual Therapy's COMT program. Completed multiple advanced manual therapy courses implementing aspects of biomechanical analysis. He received his DPT from Saint Louis University in 2013. Completed Scottsdale Healthcare's Orthopaedic Residency (now Honor Health) in July 2014. He became a Board Certified Orthopaedic Specialist in 2015. Level I Expert in FMS and SFMA , Kinetacore FDN Level 1 certification, and IASTM Technique course completion. He would like to pursue further education in McKenzie Technique, Dry Needling, Strength & Conditioning, Orthopaedic and Manual Therapy.
Brian Schwabe PT, DPT, SCS, CSCS:
- Board Certified Sports Physical Therapist (SCS) at Elite OrthoSport in Santa Monica, CA which specializes in treating collegiate/professional athletes and clientele from the Beverly Hills, Hollywood, and Santa Monica areas.
- USC Sports Residency Trained Physical Therapist (<1% of all PT's residency trained)
- DPT from Saint Louis University
- Future plans/interest include:
1. USAW, SFMA & Catapult Systems technology for NBA teams
2. Pursuing a position as a sports physical therapist &/or Strength coach for a Division 1 athletic medicine department or professional sport team.
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