Lower Leg, Ankle and Foot

The1stmetatarsaland1stcuneiformequalthe 1stray

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Unformatted text preview: tates Midtarsal joint hypermobile Cuboid pulley is less efficient Peroneal tendon less functional First ray hypermobile 2nd and 3rd metatarsals bear too much weight Metatarsals splay apart Bunions, fractures and calluses Ankle and Foot Functional Anatomy and Biomechanics and Effects of Midtarsal joint position during supination • • • • • • • Talus abducts/dorsiflexes Lower extremity externally rotates Midtarsal joint hypomobile Cuboid pulley is less mobile Peroneal tendon held more rigid First ray hypomobile 1st and 5th metatarsals bear most weight Ankle and Foot Functional Anatomy and Biomechanics and The Tarsometatarsal joint consist of Known as the Lisfrancs’ joint Cuboid, 1st – 3rd cuneiform, and base of metatarsal bones • Provides a locking device that enhances foot stability • • Ankle and Foot Functional Anatomy and Biomechanics and Ankle and Foot Functional Anatomy and Biomechanics and The Metatarsal joints • Foot stabilization depends on the function of this joint. • The 1st metatarsal and 1st cuneiform equal the 1st ray • 1st ray moves independently and is a main weight bearer Ankle and Foot Functional Anatomy and Biomechanics and Ankle and Foot Functional Anatomy and Biomechanics and Biomechanics of Normal Gait • Two phases Stance or support phase and swing or recovery phase • Stance phase Starts with intial contact at heel strike and ends at toe­off. • Swing phase Time immediately after toe­off in which the leg is moved from behind the body to a position in front of the body in preparation for heel strike. Ankle and Foot Functional Anatomy and Biomechanics and Rehabilitation Techniques Rehabilitation Seated BAPS (Biomechanical Ankle Platform System) are an AROM exercise used to regain normal AROM in the ankle Rehabilitation Techniques Rehabilitation Stretching Exercises • Plantarflexors of the ankle Gastrocnemius Soleus Stretching on Slantboard Rehabilitation Techniques Rehabilitation Stretching Exercises • Plantarflexors of the ankle Seated gastrocnemius stretch with a towel Seated soleus stretch with a towel Rehabilitation Techniques Rehabilitation Stretching Exercises • Dorsiflexors of the ankle Standing tibialis anterior stretch Kneeling tibialis anterior stretch Rehabilitation Techniques Rehabilitation Stretching Exercises • Plantar Fascia Manual stretch Floor stretch Prostretch Rehabilitation Techniques Rehabilitation Isometric Strengthening Exercises Isometric Inversion •With a rolled pillow in between the feet, press the inner borders of the feet toward the pillow •Hold for 6 – 10 seconds, relax, and repeat •Repeat 10 times Isometric Eversion •With a rolled pillow against a wall, press outer border of the foot against the pillow •Hold for 6 – 10 seconds, relax, and repeat •Repeat 10 times Rehabilitation Techniques Rehabilitation Isometric Strengthening Exercises Isometric Plantarflexion •With a rolled pillow against a wall, press foot towards pillow •Hold for 6 – 10 seconds, relax, and repeat •Repeat 10 times Isometric Dorsiflexion •Place a towel over the affected ankle, then place good foot on top •Squeeze together and hold for 6 – 10 seconds, relax, and repeat •Repeat 10 times Rehabilitation Techniques Rehabilitation Isotonic Strengthening Exercises Isotonic Eversion w/ Theraband Isotonic Inversion w/ Theraband Rehabilitation Techniques Rehabilitation Isotonic Strengthenin...
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