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Joint Manipulation: Ankle, Midfoot and Tibiofibular Joint Audio

Joint manipulations for the ankle, midfoot, and tibiofibular joint. Types of manipulations, manipulations vs. mobilizations of the cuboid, talonavicular, and proximal tibiofibular joint. Optimal intervention for chronic ankle instability, balance, ankle sprains, vertical jump height, heel pain, knee bow in, knee bow out, feet flatten, feet turn out, excessive forward lean, and asymmetrical weight shift. The risk of adverse events, accuracy vs sensitivity, screening, reliability, and validity of ankle, midfoot, and tibiofibular manips.

Joint Manipulation: Ankle, Midfoot and Tibiofibular Joint

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I have almost completed my CPT certification and am half-way through the Human Movement certification to inform my massage practice. The different modalities of reading, watching audiovisual materials, and attending live or recorded webinars have been important to my learning style and for review.

Brookbush Institute has the most detailed, specific and effective tools for online learning for movement and/or bodywork professionals. I love the combination of the videos as well as the text available online.

I recently completed the CPT course. It was demanding yet practical. I would highly recommend it for anyone wanting an education about human movement.

I have my personal trainer certificate through here and am almost finished my human movement specialist certification. Overall, the education that Brookbush has packaged together for clinicians and trainers is invaluable. I am a physio assistant so coming from more of a rehab background I appreciate that this education has been beneficial both as a trainer and in a rehab setting. I love that I have been able to do all learning at my own pace and able to work around my schedule. Thank you for setting up this platform! Highly recommend :)

I have been a massage therapist for 10 yrs and I feel like all the “pieces” I’ve learned throughout the yrs have been put into place and can see the full picture. I am also a member to tons of great content since I love to learn! I plan to get my CPT through them as well.

I have been following Brent Brookbush for nearly a decade- back when I was a personal Trainer and now as a Physical Therapist. BBI is an incredible resource for any movement nerds and corrective exercise specialists! The information is thorough with multiple real world applications. I am looking forward to an in-person Manual Therapist course the second they do one a little bit closer to Virginia ;)

I have taken both the Human Movement Specialist and Certified Personal Trainer certificate programs and have found the value in understanding the how and ways the body moves and functions and from evidence, non-biased, outcome, conceptual, theoretical, and practical approach to helping my clients/patients look better, feel better, and move better.

Over the last years I've returned time and again to Brookbush Institute for stellar coursework as I've worked toward a Human Movement Specialist certification. (I'm currently ACE CPT, and in training with Anatomy Trains for Structural Integration Manual Therapy.) Every Brookbush Institute module is fantastic and each one includes detailed informational videos, written descriptions of how to-do, and, more importantly, why to-do!

I am a 70 yr old chiropractor and no other healthcare provider was able to come up with an exercise protocol particular to my structural and balances and muscle deficits and keep me in the game. And as for continuing education on human skeletal movement, the website is phenomenal full of great exercises for particular mechanical dysfunction.

The H.M.S. is the most valuable certificate I have earned and was a fraction of the the cost of my others. Define the best bang for your buck!

Brookbush is the most efficient Personal Training Certification I have ever come across. All the lessons are well thought out and very straight to the point.

I am getting my Master's degree in Kinesiology, and I would like to say that I have benefited greatly from the rich, comprehensive, well-documented scientific content of Brookbush Institute that links theory to practical applications. Proudly I've got my CPT certificate, and I am on my way to get my HMS certificate.

Having courses count towards different certifications makes it so users can transition seamlessly from one certification to another. In my case, going from earning the BI CPT to earning the BI HMS was an easy decision and I am proud to have earned both certifications. I have also had the pleasure of going to a Live HMS workshop that was well taught by Instructor Boettcher and that was excellent to see how the methods and techniques are implemented.



I have been a member of BBI for years and every course I have taken has been incredibly informative. I learn more from these courses than I do at local CEU courses for my PTA license. I also earned my CPT and HMS certifications through the platform. It was so convenient and the content was top notch! Forever member.

We learn principles in academia, we learn cool new modalities via whatever specialty certification, but BBI really concentrates on the nuances of passive treatment and they do a fantastic job. The format in which BBI instructs soft tissue specialists (DPTs, Chiros, ATs) like myself feels like almost like an apprenticeship. You get a thoroughly detailed explanation of the “why’s”, and a visual comprehension of how to apply. Personally, I believe application is where the good and the great are distinguished.

Brookbush has been incredibly helpful since I was in massage school and now as I’m in my career! I run my own practice and it gives me the resources I need to not only improve what I already know, but also help me navigate better, more efficient ways of treatment.

Totally loving the convenience and affordability of this program with my crazy lifestyle! I feel like I am getting a quality education without a massive cost! My favorite part is the videos I can watch in the courses. I learn so much better that way. Once I really spent more time on the site, I figured out how to maneuver around a lot better! I enjoy the sense of humor, as well as the easy explanation, and short tests. And if I am really tired, I can have the computer read me the lessons. 😁

Challenging concepts are explained in very understandable terms without dumbing down the material, and I find this program to be superior in quality to other personal training programs.

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Integrated Manual Therapist

This course describes joint manipulation techniques for the ankle (tibiotalar or talocrural joint, and talocalcaneal or subtalar joint), midfoot (cuboid, talonavicular, cuneonavicular, etc.), and proximal tibiofibular joints. Various synonyms and definitions have been used to describe the term "manipulation". The Brookbush Institute uses one conventional definition of the term "manipulations;" implying low-amplitude (relatively small motions), high-velocity (quick) techniques, intended to target and reduce the stiffness of specific joints or segments, that exhibit a decrease in passive accessory range of motion (a.k.a. stiffness during arthrokinematic motion; specifically glide). Research does imply that manipulations affect multiple joints simultaneously; however, the Brookbush Institute asserts that efforts to target the stiffest joints or segments will increase the likelihood that the stiffest segments are included in the "multiple joints" affected.

The Brookbush Institute has carefully selected manipulation techniques with the intent to increase the probability of practitioner success. That is, techniques have been chosen that are relatively easy to teach, reliably improve outcomes, and are the most commonly used. The Brookbush Institute does not wish to assert that these manipulation techniques are the only techniques that are effective, and/or that these are the best techniques for every outcome measure. It is possible that a highly complex, and/or advanced technique, may result in better outcomes, or that a particular pathology is better addressed with a rarely used technique.

Note, that the term "mobilization" is reserved for low-velocity techniques that are taught in a separate set of courses.

This course includes manipulation techniques that intend to reduce excessive stiffness of the tibiofibular joints, ankle joints, and transverse tarsal joints, improve dorsiflexion range of motion, medial longitudinal arch height, and normalize altered lower extremity muscle activity. For example, research demonstrates that ankle sprain may result in long-term loss of posterior glide of the talus on the tibia (anterior position fault), resulting in failure to regain optimal dorsiflexion, loss of invertor strength, and chronic ankle instability, and ankle manipulation are an effective treatment for improving arthrokinematic dysfunction. These techniques may also be used in an integrated approach for improving 

 including Achilles tendinopathy, plantar fasciitis, pes planus, knee valgus, iliotibial band syndrome (ITBS), patellofemoral pain syndrome (PFPS), etc. Additionally, due to the relationship between ankle motion and hip internal rotation during gait, these techniques may aid in the treatment of femoroacetabular impingement (FAI), psoas tendinitis, hip osteoarthritis, etc.

The techniques in this course are recommended for all clinical human movement professionals (physical therapists, physical therapy assistants, athletic trainers, massage therapists, chiropractors, occupational therapists, etc.) to develop an evidence-based, systematic, integrated, patient-centered, patient-centered, and outcome-driven approach.

Talonavicular and Cuneonavicular Joint Manipulation

Sample Intervention - "Feet Flatten (Functional Pes Planus)

Gastrocnemius and Soleus Static Manual Release

Extensor Hallucis Longus (EHL) and Extensor Digitorum Longus (EDL) Static Manual Release

Flexor Hallucis Longus (FHL) and Flexor Digitorum Longus (FDL) Static Manual Release

Instrument Assisted Soft Tissue Mobilization

Joint Manipulation: Lumbar Spine, Sacroiliac Joint, and Pubic Symphysis

Joint Manipulation: Elbow (Radial Head) and Wrist

Joint Manipulation: Ankle, Midfoot, and Tibiofibular Joint

For an introduction to joint mobilizations and manipulations:

Joint Mobilization and Manipulation: Introduction

Joint Mobilization and Manipulation: Reliability

Joint Mobilizations and Manipulations: Effects

Joint Mobilization and Manipulation: Risk of Adverse Effects

Joint Mobilizations and Manipulations: Evidence-based Teaching and Learning

Course Description: Ankle, Midfoot, and Tibiofibular Joint Manipulation

Tibialis Anterior Manual Muscle Test (MMT)

Tibialis Posterior Manual Muscle Test (MMT)

Introduction

Research Summary

Efficacy

Comparing Interventions

Combining Interventions

Systemic Effects

Research Corner: Ankle Joint (tibiotalor/talocrural) Manipulation

Tibiofibular Joint Manipulation

Midfoot Manipulations/Mobilizations

Calcaneus Mobilization/Manipulation

Research Corner: Additional Manipulations

Proximal Tibiofibular Joint Manipulation

Cuboid Manipulation

Talonavicular and Cuneonavicular Manipulation

Talocalcaneal Manipulation

Video Demonstrations

Nield, S., Davis, K., Latimer, J., Maher, C., & Adams, R. (1993). The effect of manipulation on range of movement at the ankle joint. Scandinavian journal of rehabilitation medicine, 25(4), 161-166.

Fryer, G. A., Mudge, J. M., & McLaughlin, P. A. (2002). The effect of talocrural joint manipulation on range of motion at the ankle. Journal of manipulative and Physiological Therapeutics, 25(6), 384-390.

Andersen, S., Fryer, G. A., & McLaughlin, P. (2003). The effect of talo-crural joint manipulation on range of motion at the ankle joint in subjects with a history of ankle injury. 

Köhne, E., Jones, A., Korporaal, C., Price, J. L., Brantingham, J. W., & Globe, G. (2007). A Prospective, Single-Blinded, Randomized, Controlled Clinical Trial of the Effects of Manipulation on Proprioception and Ankle Dorsiflexion in Chronic Recurrent Ankle Sprain. 

Journal of the American Chiropractic Association

Pellow, J. E., & Brantingham, J. W. (2001). The efficacy of adjusting the ankle in the treatment of subacute and chronic grade I and grade II ankle inversion sprains. 

Journal of manipulative and physiological therapeutics

Whitman, J. M., Cleland, J. A., Mintken, P., Keirns, M., Bieniek, M. L., Albin, S. R., … & McPoil, T. G. (2009). Predicting short-term response to thrust and nonthrust manipulation and exercise in patients post inversion ankle sprain. 

journal of orthopaedic & sports physical therapy

Hedlund, S., Nilsson, H., Lenz, M., & Sundberg, T. (2014). Effect of chiropractic manipulation on vertical jump height in young female athletes with talocrural joint dysfunction: a single-blind randomized clinical pilot trial. Journal of manipulative and physiological therapeutics, 37(2), 116-123.

Kamali, F., Sinaei, E., & Bahadorian, S. (2017). The immediate effect of talocrural joint manipulation on functional performance of 15–40 years old athletes with chronic ankle instability: A double-blind randomized clinical trial. Journal of bodywork and movement therapies, 21(4), 830-834.

Dananberg, H. J., Shearstone, J., & Guillano, M. (2000). Manipulation method for the treatment of ankle equinus. 

Journal of the American podiatric medical association

Joseph, L. C., de Busser, N., Brantingham, J. W., Globe, G. A., Cassa, T. K., Korporaal, C., & Bonello, R. (2010). Research & Science. The Comparative Effect of Muscle Energy Technique vs. Manipulation for the Treatment of Chronic Recurrent Ankle Sprain. Journal of the American Chiropractic Association, 47(7).

Marrón-Gómez, D., Rodríguez-Fernández, Á. L., & Martín-Urrialde, J. A. (2015). The effect of two mobilization techniques on dorsiflexion in people with chronic ankle instability. Physical Therapy in Sport, 16(1), 10-15.

Lubbe, D., Lakhani, E., Brantingham, J. W., Parkin-Smith, G. F., Cassa, T. K., Globe, G. A., & Korporaal, C. (2015). Manipulative therapy and rehabilitation for recurrent ankle sprain with functional instability: a short-term, assessor-blind, parallel-group randomized trial. Journal of manipulative and physiological therapeutics, 38(1), 22-34.

Shim, Y. S., & Song, H. S. (2013). Effect of manipulation complex therapy on ankle sprain with ankle pain. Journal of Acupuncture Research, 30(2), 65-71.

Eisenhart, A. W., Gaeta, T. J., & Yens, D. P. (2003). Osteopathic manipulative treatment in the emergency department for patients with acute ankle injuries. The Journal of the American Osteopathic Association, 103(9), 417-421.

Truyols-Domínguez, S., Salom-Moreno, J., Abian-Vicen, J., Cleland, J. A., & Fernández-De-Las-Peñas, C. (2013). Efficacy of thrust and nonthrust manipulation and exercise with or without the addition of myofascial therapy for the management of acute inversion ankle sprain: a randomized clinical trial. 

Heggannavar, A., & Gupta, R. K. (2015). Effectiveness of Subtalar Joint Mobilization in Plantar Heel Pain. 

Indian Journal of Physiotherapy and Occupational Therapy

López-Rodríguez, S., de-las-Penas, C. F., Alburquerque-Sendín, F., Rodríguez-Blanco, C., & Palomeque-del-Cerro, L. (2007). Immediate effects of manipulation of the talocrural joint on stabilometry and baropodometry in patients with ankle sprain. Journal of manipulative and physiological therapeutics, 30(3), 186-192.

Fisher, B. E., Piraino, A., Lee, Y. Y., Smith, J. A., Johnson, S., Davenport, T. E., & Kulig, K. (2016). The effect of velocity of joint mobilization on corticospinal excitability in individuals with a history of ankle sprain. 

Beazell, J. R., Grindstaff, T. L., Sauer, L. D., Magrum, E. M., Ingersoll, C. D., & Hertel, J. (2012). Effects of a proximal or distal tibiofibular joint manipulation on ankle range of motion and functional outcomes in individuals with chronic ankle instability. 

Chae, Y. W., Park, J. W., & Nam, K. S. (2017). The Effect of a Proximal and Distal Tibiofibular Joint Manipulation on Dorsiflexion and Balance in Individuals with a History of Lateral Ankle Sprain. 

Grindstaff, T. L., Beazell, J. R., Sauer, L. D., Magrum, E. M., Ingersoll, C. D., & Hertel, J. (2011). Immediate effects of a tibiofibular joint manipulation on lower extremity H-reflex measurements in individuals with chronic ankle instability. Journal of Electromyography and Kinesiology, 21(4), 652-658.

Govender, N., Kretzmann, H., Price, J. L., Brantingham, J. W., & Globe, G. (2007). A Single-Blinded Randomized Placebo-Controlled Clinical Trial of Manipulation and Mobilization in the Treatment of Morton's Neuroma. Journal of the American Chiropractic Association, 44(3).

Cashley, D. G., & Cochrane, L. (2015). Manipulation in the treatment of plantar digital neuralgia: a retrospective study of 38 cases. Journal of chiropractic medicine, 14(2), 90-98.

Shashua, A., Flechter, S., Avidan, L., Ofir, D., Melayev, A., & Kalichman, L. (2015). The effect of additional ankle and midfoot mobilizations on plantar fasciitis: a randomized controlled trial. journal of orthopaedic & sports physical therapy, 45(4), 265-272.

Fraser, J. J., Saliba, S. A., Hart, J. M., Park, J. S., & Hertel, J. (2020). Effects of midfoot joint mobilization on ankle-foot morphology and function following acute ankle sprain. A crossover clinical trial. Musculoskeletal Science and Practice, 46, 102130.

Melkersson, C., Nasic, S., Starzmann, K., & Boström, K. B. (2017). Effect of foot manipulation on pregnancy-related pelvic girdle pain: a feasibility study. Journal of chiropractic medicine, 16(3), 211-219.

Chevutschi, A., D'Houwt, J., Pardessus, V., & Thevenon, A. (2015). Immediate effects of talocrural and subtalar joint mobilization on balance in the elderly. 

Smila, B., Fernāte, A., & Zaļaiskalna, V. (2016, May). THE EFFECT OF ANKLE AND SUBTALAR JOINT SOMATIC DYSFUNCTION CORRECTION TO IMPROVE ORIENTEER STATIC BALANCE. In Proceedings of the International Scientific Conference. Volume III (Vol. 553, p. 562).

Bibliography

Questions, comments and critiques welcomed and encouraged

Joint Manipulation: Ankle, Midfoot and Tibiofibular Joint

Related Courses:

Course Description: Ankle, Midfoot, and Tibiofibular Joint Manipulation

Introduction

Research Summary

Research Corner: Ankle Joint (tibiotalor/talocrural) Manipulation
4 Sub Sections

Research Corner: Additional Manipulations
3 Sub Sections

Video Demonstrations
4 Sub Sections

Bibliography

Related Courses:

Comments

Guest

Joint Manipulation: Ankle, Midfoot and Tibiofibular Joint

Related Courses:

Course Description: Ankle, Midfoot, and Tibiofibular Joint Manipulation

Introduction

Research Summary

Research Corner: Ankle Joint (tibiotalor/talocrural) Manipulation4 Sub Sections

Research Corner: Additional Manipulations3 Sub Sections

Video Demonstrations4 Sub Sections

Bibliography

Related Courses:

Comments

Guest

Research Corner: Ankle Joint (tibiotalor/talocrural) Manipulation
4 Sub Sections

Research Corner: Additional Manipulations
3 Sub Sections

Video Demonstrations
4 Sub Sections