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Ankle Mobility Presentation
1. Ankle/Foot Mobilization
Techniques
Case Study
Using ankle/foot joint mobilization
techniques in rehabilitation of a talar
fracture
2. 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.
3. 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
4. Rehabilitation Objectives
• Range of Motion • Muscle Strength
– Restore ROM to the • Tibialis posterior
ankle • Pernoneus longus &
brevis
Restore ROM to the • Tibialis anterior
subtalar joint • Extensor hallucis longus
• Restore ROM to the • Gastrocnemius
metatarsophalangel • Soleus
joints • Flexor digitorum
6. Mobilization Techniques
Talocrural Subtalar Joint
Anterior glide of • Inversion of Calcaneus
Talus • Eversion of Calcaneus
Posterior glide of • Calcaneus Distraction
7. Ankle Joint
• Ankle Distraction
good start to restore
general motion at the
ankle.
8. Ankle
Anterior glide of talus
restore the component
motion for ankle
plantar flexion & STJ
supination
9. 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
13. Mobilization Techniques
• Mid- tarsal joints
– Plantar& Dorsal glides of • Metatarsophalangel
the cuboid & cuneiforms – Distraction
Dorsal & plantar glide of – Plantar glide-flexion
the navicular on talus – Dorsal glide-extension
14. Mid-tarsal Joint
• Plantar& Dorsal
glides of the cuboid
& cuneiforms
– Restore general
mobility of the mid
foot Plantar & Dorsal
glides of the cuboid
& cuneiforms
15. Mid-tarsal Joints
Dorsal & plantar glide
of the navicular on
talus.
Used to improve
ankle dorsi flexion
and general motion
at the mid foot.
18. 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