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.
Course Description: Ankle and Tibiofibular Joint Mobilizations
Introduction
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)
- Manual Release
- Mobilization or Manipulation
- Manual Lengthening
- Instrument Assisted Soft Tissue Mobilization
- Activation
- Reactive Activation:
- Integration
Related Courses
Additional Joint Mobilization Courses
- Joint Mobilizations: Ankle and Tibiofibular Joints
- Joint Mobilizations: Knee and Hip Joints
- Joint Mobilizations: Lumbar Spine and Sacroiliac Joints
- Joint Mobilizations: Cervical and Thoracic Spine
- Joint Mobilizations: Shoulder, Sternoclavicular, and Acromioclavicular Joints
- Joint Mobilizations: Elbow and Proximal Radioulnar Joints
For an introduction to joint mobilizations and manipulations:
Course Study Guide: Joint Mobilization: Ankle and Tibiofibular Joint
Introduction
Research Corner Summary
Research Corner: Ankle4 Sub Sections
Research Corner: Tibiofibular Joint2 Sub Sections
Techniques3 Sub Sections
Bibliography
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