Joint mobility, particularly in the foot and ankle, is necessary for proper loading and unloading of impact forces during ambulation. Any restriction in joint mobility can lead to compensation patterns, transfer stress and increased risk of injury. Join Functional Podiatrist Dr Emily Splichal as she explores some of the most common, but not so obvious, reasons for limited ankle dorsiflexion. Learn how to differentiate between soft tissue and osseous restrictions, as well as how to address the various restrictions in an in-office setting.
Objectives:
1. Describe the osseous and soft tissue anatomy of the talocrural joint
2. Describe the most common compensation patterns for limited ankle dorsiflexion when walking
3. Explain how to differentiate between soft tissue and osseous causes restrictions and to address each appropriately
4. Demonstrate how a structurally short Achilles tendon presents as compared to a tight gastroc or soleus
5. Define how to re-centrate an anteriorly shifted talus to improve ankle dorsiflexion
Course Access: On Demand – the course is available for 1 year. Subscription – the course is available as long as you have the account. You can start and stop the course at any time.
Continuing Education available for: Athletic Trainers, Physical Therapy, Doctor of Chiropractic, Occupational Therapy Prerequisite: None Instructional Level: Intermediate
Disclosure: Dr Emily Splichal is the Founder of the Evidence Based Fitness Academy and Creator of the Barefoot Training Specialist®, BarefootRx® and BARE® Workout Certifications for health and wellness professionals. Dr. Splichal is the founder of Naboso Proprioceptive Insoles & Mats.
Content disclosure: This course does not focus on any product or service.
Outline 1:02:02 (1 hour)
Introduction / Outline – 3 min
The foot anatomy – 10 min
Optimizing Dorsiflexion – 6 min
Open Chain / close chain assessment – 5 min
Late Midstance compensations – 5 min
Common causes of limited ankle dorsiflexion – 7 min
The Talus – 3 min
Demonstration how to re-center the ankle joint, posterior talar mobilization – 10 min
Optimizing Plantar Flexion – 13 min
Doctor of Chiropractic CE Approvals: Cleveland University – DC: AR, CO, DE, HI, IN, PA, WV, BC, ON, NS, NB, MB, SK, AB. PACE – DC: AK, CT, DC, ID, IN, IA, KS, ME, MD, MA, MI, MN, MO, MT, NE, NH, NJ, NY, NC, ND, OH, OR, PR, RI, SC, SD, TN, UT, VT, VA, VI, WA, WY, NS. Georgia Board Of Chiropractic Examiners: (Approval ID: 2024-724 Examination Procedures/Diagnoses) GA.
Athletic Trainers CE Approvals: BOC: AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY. Athletic Trainer Florida: (Approval ID: 20-787100) FL.
Physical Therapy CE Approvals: Arkansas Board of Physical Therapy: AR. Physical Therapy Reciprocity. See below.: (Approval ID: Arkansas Board of Physical Therapy) AL, AK, AZ, CO, CT, DE, DC, GA, HI, ID, IN, IA, KS, ME, MA, MI, MN, MO, MT, NE, NH, NM, NC, ND, OR, PA, RI, SC, SD, TN, UT, VT, VA, WA, WI, WY.
CE Approvals: Occupational Therapy: AR, ID, ME, MA, MI, NE, ND, SC, TX, VA, WI.