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Ankle Mobility Presentation
- Added: May, 12th 2011
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- Name: mako
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- Ankle/Foot Mobilization Techniques Case Study Using 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
- Talocrural
- Anterior glide of Talus
- Posterior 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 talus
- restore the component motion for ankle plantar flexion & STJ
- supination
- 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 inversion
- subtalar joint inversion
- useful to help in restoring push of the foot
- Subtalar Joint
- Calcaneal eversion
- subtalar 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
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