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.
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
Continuing Education regulations may change. Please verify information with your licensure board.
Athletic Trainers: WebExercises is an approved provider for the BOC, provider P10199. This course is approved in all states for Athletic Trainers. WebExercises is approved in Florida and Arizona and attendance will be filed with CE Broker. Topic: Essential
Physical Therapy Approval for this course: This course has been approved by the Arkansas Board of Physical Therapy. The course abides by regulatory guidelines for continuing education or is approved by virtue of approval by the Arkansas Physical Therapy board. Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, Delaware, District of Columbia, Georgia, Idaho, Iowa, Kansas, Kentucky (Category 1) Maine, Massachusetts, Michigan, Mississippi (self-study), Missouri, Montana, Nebraska, New Hampshire, North Carolina, North Dakota, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Virginia, Washington, Wisconsin, Wyoming.
Doctor of Chiropractic course approval: (see approval information below) Alaska, Colorado, Connecticut, Delaware, District of Columbia, Georgia (approval 2021-676 Examination Procedure/Diagnoses), Idaho, Illinois, Iowa, Kansas, Maine, Maryland, Massachusetts, Michigan, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Virginia, Washington, Wyoming. PACE approval: ID # 9438 – 1 hour
WebExercises is recognized by the PACE program of the Federation of Chiropractic Licensing Boards. PACE (Providers of Approved Continuing Education) is a Federation of Chiropractic Licensing Boards (FCLB) organization. Approved providers offer the highest standards of education and abide by guidelines and standards outlined by PACE to maintain approval status. Courses need to be listed with PACE and receive an approval number. PACE approved providers are accepted by the following Chiropractic State Boards: Alaska, Connecticut, DC, Idaho, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oregon, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Virginia, Washington, Wyoming.
CCE accredited Chiropractic College: WebExercises is sponsored by a CCE accredited Chiropractic College, Cleveland University-Kansas City. This course meets the appropriate standards for continuing education and qualifies for 1 CEUs (hour) in the following states: Colorado, Delaware, Illinois, Michigan.
Occupational Therapy: Course abides by regulatory guidelines of your board for continuing education. Please review your board guidelines before taking a course for CE credit to make sure the course is germane to your profession and fulfills requirements. Arkansas, Idaho, Maine, Massachusetts, Michigan, Nebraska, North Dakota, South Carolina, Texas, Virginia, Wisconsin.