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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…
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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 Motor Vehicle -High Impact Injury Patient is six weeks post op. 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 Restore ROM to the subtalar joint Restore ROM to the metatarsophalangel joints Pernoneus longus & brevis Important Consideration Intraarticular fracture of the talar body involving the subtalar joint may have residual loss of range motion. Mobilization Techniques Ankle Joint good start to restore general motion at the ankle. Ankle restore the component motion for ankle plantar flexion & STJ Ankle Joint To restore component motion for ankle dorsi flexion & STJ Position similar to distraction except you do posterior glide of talus . See lab disc Subtalar Joint General technique to restore all motion in the STJ Sub Talar Joint useful to help in restoring push of the foot Subtalar Joint useful to help in storing pronation at the foot. Mobilization Techniques Plantar& Dorsal glides of the cuboid & cuneiforms Dorsal & plantar glide of the navicular on talus 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 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
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