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ankle mobilization |
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Ask a PT
Senior Member Joined: Jul 07 2008 Status: Offline Points: 954 |
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Posted: Dec 07 2011 at 8:58am |
Our user asked: "I am one year post op from a syndesmotic injury where i broke my fibula and tore the ligaments in my ankle. I have heeled well, but my dorsiflexation in my ankle is about 2/3 of what it used to be. I get a pressure, mostly anterior, but sometimes interior, between my fib (tib for the interior) and foot. Is this something that ankle mobilzation can help. I tried a little self mobilatzation by twisting my fib with a strap and flexing it seemed relieve some of that pressure. At one year post op, can excpect to improve my current dorsiflexation? thanks"
Ask a PT Response: "Did you have full ROM dorsiflexion prior to your injury and is your ankle DF ROM at your involved ankle limited compared to the uninvolved ankle? In most instances a minimum of 10degrees of DF is required for normal gait. DF occurs at the talocrural joint and mobilization at this joint will most likely be more effective in achieving improved arthokinematics for DF compared to mobilizing the tib fib joint. Another thing to consider is if you have sufficient strength of your dorsiflexors in order to achieve the full ROM?"
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