Lesson 16: Ankle Joint Actions and Muscles

Quick Summary:

Ankle Joint Actions and the Muscles that Contribute to those Actions

1. Dorsiflexion (Bringing the foot closer to the shin):

• Tibialis Anterior
• Extensor Digitorum Longus
• Extensor Hallucis Longus
• Fibularis Tertius

2. Plantar Flexion (Pointing the foot downward, moving the foot away from the shin):

• Gastrocnemius
• Soleus
• Tibialis Posterior
• Fibularis Longus
• Fibularis Brevis
• Flexor Hallucis Longus
• Flexor Digitorum Longus
• Plantaris (assists)

3. Inversion (Turning the sole of the foot inward):

• Tibialis Posterior
• Tibialis Anterior
• Flexor Hallucis Longus (assists)
• Flexor Digitorum Longus (assists)

4. Eversion (Turning the sole of the foot outward):

• Fibularis Longus
• Fibularis Brevis
• Fibularis Tertius

Course Summary

This course describes the anatomy of the ankle bones and ankle joints. This includes the talocrural joint, also known as the tibiotalar joint, where the tibia (shin bone) meets the talus. As well as, the subtalar joint, also known as the talocalcaneal joint, where the talus meets the calcaneus (heel bone). This course does not include descriptions of the tarsal bones and the transverse tarsal joints (midfoot joints), which will be covered in more advanced courses on the foot. Additionally, this course discusses the joint actions allowed by the mortise created by the ankle bones at the ankle joint, including dorsiflexion (foot closer to tibia), plantar flexion (calcaneus closer to tibia), ankle eversion (sole of foot faces away), and ankle inversion (sole of foot faces inward). Interestingly, more inversion is allowed than eversion because of the normal anatomy of medial malleolus (shorter) and lateral malleolus (longer).

This course includes the muscles crossing the ankle bones and ankle joints, and their contribution to each joint action. The muscles discussed in this course include the gastrocnemius, soleus, tibialis posterior, tibialis anterior, fibularis longus, fibularis brevis, and fibularis tertius. Examples include the gastrocnemius, soleus, tibialis posterior, fibularis longus, and fibularis brevis contributing to ankle plantar flexion during a calf raise, and the tibialis anterior and fibularis tertius contributing to ankle dorsiflexion during heel walks. Note, these muscles also play a role in maintaining optimal posture, optimal arthrokinematics, reducing ankle instability, and maintaining optimal alignment of the ankle joint and knee joint.

Sports medicine professionals (personal trainers, fitness instructors, physical therapists, massage therapists, chiropractors, occupational therapists, athletic trainers, etc.) must be familiar with ankle motion and the muscles of the ankle for detailed analysis of human movement, and the development of sophisticated exercise programs and therapeutic (rehabilitation) interventions. Further, this course is essential knowledge for future courses discussing detailed anatomy (e.g. evertor muscle activity reinforcing the lateral ligaments of the ankle, or the presence of sesamoid bones, or posterior glide of the talus on the tibia), the synergistic function of these muscles with muscles of the big toe/1st toe (e.g. muscle activity of the flexor hallucis longus and tibialis posterior contributing to inversion), prevention and treatment of injury (e.g. ankle sprain, chronic ankle instability, ligament and soft tissue injuries, Achilles tendon rupture – surgery is not always necessary), and sports performance (e.g. muscle strength of the lower extremity/lower limb).

Pre-approved Credits for:

• Certified Personal Trainer (CPT) Certification

Pre-approved for Continuing Education Credits for:

• Athletic Trainers
• Chiropractors
• Group Exercise Instructors
• Massage Therapists
• Occupational Therapists - Introductory
• Personal Trainers
• Physical Therapists
• Physical Therapy Assistants
• Yoga Instructors

This Course Includes:

• AI Tutor
• Video Lecture
• Study Guide
• Text of Material
• Learning Activities
• Practice Exam
• Pre-approved Final Exam

For more advanced anatomy check out our integrated functional anatomy courses:

• Ankle Joint Anatomy
• Soleus
• Tibialis Posterior
• Tibialis Anterior

Caption: A labeled diagram of the bones of the foot, tibia, and fibula

Bibliography

1. Donald A. Neumann, “Kinesiology of the Musculoskeletal System: Foundations of Rehabilitation – 2nd Edition” © 2012 Mosby, Inc.
2. Tom Myers, Anatomy Trains: Second Edition. © Elsevier Limited 2009
3. David G. Simons, Janet Travell, Lois S. Simons, Travell & Simmons’ Myofascial Pain and Dysfunction, The Trigger Point Manual, Volume 1. Upper Half of Body: Second Edition,© 1999 Williams and Wilkens
4. Cynthia C. Norkin, D. Joyce White, Measurement of Joint Motion: A Guide to Goniometry – Third Edition. © 2003 by F.A. Davis Company
5. Cynthia C. Norkin, Pamela K. Levangie, Joint Structure and Function: A Comprehensive Analysis: Fifth Edition © 2011 F.A. Davis Company
6. Carolyn Richardson, Paul Hodges, Julie Hides. Therapeutic Exercise for Lumbo Pelvic Stabilization – A Motor Control Approach for the Treatment and Prevention of Low Back Pain: 2nd Edition (c) Elsevier Limited, 2004
7. Andrew Biel, Trail Guide to the Human Body: 4th Edition, © 2010
8. David B. Jenkins, Hollinshead’s Functional Anatomy of the Limbs and Back: Eighth Edition © 2002 Saunders
9. John V. Basmajian, Carlo J. De Luca. Muscles Alive: Their Function Revealed by ElectroMyography. 1985