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Continuing Education2 Credits

Joint Mobilization: Ankle and Tibiofibular Joints

Joint mobilizations for the ankle and tibiofibular joint. Types of mobilizations, self-administered mobilizations, and interventions for lower extremity dysfunction (LED) and ankle dysfunction. Optimal intervention for feet flatten, feet turn out, knee bow in, knee bow out, anterior pelvic tilt, excessive forward lean, and asymmetrical weight shift. The risk of adverse events, validity, efficacy, screening, and reliability of ankle and tibia/fibula mobs.

Brent Brookbush

Brent Brookbush


Course Description: Ankle and Tibiofibular Joint Mobilizations


This course describes joint mobilizations for the ankle joint (a.k.a. tibiotalar, talocrural, mortise joint of the ankle, etc.) and tibiofibular joints (a.k.a. proximal tibiofibular joint and distal tibiofibular joints). Several terms and definitions have been used to describe the "mobilizations" (e.g. mobilisations) that are taught in this course. The Brookbush Institute uses a conventional definition of "mobilization" that includes low amplitude, low-velocity, oscillatory techniques intended to reduce the stiffness of joints exhibiting a decrease in passive accessory range of motion (a.k.a. arthrokinematic motion and specifically glide or slide). Note, the term "manipulation" is reserved for high-velocity techniques taught in a separate set of courses.

This course includes several of the techniques most commonly used to address ankle joint stiffness and improve dorsiflexion range of motion (ROM). For example, anterior to posterior tibiotalar (talocrural) mobilizations may be used to address a loss of dorsiflexion following ankle sprain, as research has demonstrated that a history of ankle sprain is correlated with a loss of posterior glide of the talus on the tibia, incomplete recovery of dorsiflexion, and potentially a higher recurrence of ankle sprains (e.g. development of chronic ankle instability). These techniques may also be used in an integrated approach for lower extremity dysfunctions including plantar fasciitis, patellofemoral pain syndrome (PFPS), and hip impingement syndrome, and postural dysfunctions including pes planus, knee valgus, knee varus, and asymmetrical weight shift. Some evidence and clinical outcomes even suggest that addressing ankle dysfunction can have a significant effect on low back pain outcomes.

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.) with the intent of developing an evidence-based, systematic, integrated, patient-centered, and outcome-driven approach.

Techniques Covered in this Course

Sample Intervention (Ankle Dorsiflexion Restriction)

Additional Joint Mobilization Courses

For an introduction to joint mobilizations and manipulations:


Research Corner Summary

Research Corner: Ankle

4 sub-categories

Research Corner: Tibiofibular Joint

2 sub-categories


3 sub-categories


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1. Introduction

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