Provider #1315 Home Study and Credits: {{ncbtmbCredits}}

National Certification Board for Therapeutic Massage & Bodywork

Canadian Fitness Professionals

Athletics and Fitness Association of America

PTA Global

The Brookbush Institute (BOC AP# P10038) is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers (ATs). This program is eligible for a maximum of {{credits}} hours/ Category A CEUs. ATs should claim only those hours actually spent in the educational program.

Board Of Certification

American College of Sports Medicine

International Sports Sciences Association

National Academy of Sports Medicine

Providers of Approved Continuing Education

REPs Ireland

World Instructor Training Schools

Completion of this course will earn you {{credits}} non-contact hours of continuing education in "Anatomy and Physiology" with Yoga Alliance

Yoga Alliance

CIMSPA course ID: {{cimspaId}} and Credits: {{cimspaCredits}}

Chartered Institute for Management in Sport and Physical Activity

Australia Physiotherapists

ACE Course ID: {{aceId}} and Credits: {{aceCredits}}

American Council on Exercise

This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider 2309052TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas.

Texas Physical Therapy Association

New York Physical Therapist just a disclaimer The Brookbush Institute (B2C Fitness) is recognized by the New York State Education Department's State Board for Physical Therapy as an approved provider of physical therapy and physical therapist assistant continuing education.

New York State Education Department's State Board for Physical Therapy

The Brookbush Institute is an AOTA Approved Provider of professional development. PD activity approval ID# {{aotaCourseApprovalNumber}}. This distance learning-independent activity is offered at {{aotaCredits}} CEUs {{aotaLevel}} {{aotaCategory}}.  AOTA does not endorse specific course content, products, or clinical procedures.

American Occupational Therapy Association

SEO: Tibialis anterior exercises for improving movement dysfunction, posture, Achilles tendinitis, plantar fasciitis, knee pain, ankle pain, and sports performance. Great ankle dorsiflexion and inversion, hopping, and heel walk variations for the tibialis anterior.

Tibialis Anterior Exercises (Activation)

Access to all courses with monthly membership

Brookbush Institute

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.

Home

Courses

Human Movement Specialist

Certified Personal Trainer

This course describes tibialis anterior exercises (commonly referred to as tibialis anterior activation, anterior tibialis exercises, shin muscle strengthening, dorsiflexor muscle strengthening, ankle flexion exercises, and toe raises). Performing resisted dorsiflexion, with the addition of ankle inversion and toe flexion improves recruitment (isolation) of the tibialis anterior and may reduce recruitment of the commonly over-active synergists, extensor hallucis longus and extensor digitorum longus (Note, trigger point development and fatigue in these muscles may contribute to shin splints). The tibialis anterior is the primary dorsiflexor of the ankle joint, plays an important role in supination of the foot during weight bearing, and eccentric contraction during heel strike is essential for a smooth gait.

It is common to include these exercises in a program designed to address 

; however, these exercises may also be recommended to reduce an asymmetrical weight shift, excessive forward lean, knees bow in (knee valgus), knees bow out (knee varus), and feet turn out. Addressing these signs has been correlated with improving and reducing the risk of shin splints, tibialis anterior pain, ankle injury, chronic ankle instability, Achilles tendinitis, plantar fasciitis, ankle pain and foot pain, and improving sports performance. Sports medicine professionals (personal trainers, fitness instructors, physical therapists, athletic trainers, massage therapists, chiropractors, occupational therapists, etc.) should add these exercises to their repertoire to improve the outcomes from their integrated exercise programs and therapeutic (rehabilitation) interventions.

Tibialis Anterior Isolated Activation (No Equipment)

Tibialis Anterior Activation and Progressions

Tibialis Anterior Reactive Activation Progressions

Last, it is important to integrate the increase in tibialis anterior muscle activity into functional exercise. The Brookbush Institute accomplishes this with the intrinsic stabilization subsystem and the posterior oblique subsystem integration. Some example movements for these purposes include:

Dr. Brent Brookbush demonstrating a tibialis anterior isolated activation

Course Description: Tibialis Anterior Exercises (Activation)

Tibialis Anterior Exercises (Activation) course study guide introduction

Study Guide: Tibialis Anterior Exercises (Activation)

Introduction

Tibialis Anterior in Postural Dysfunction

has a propensity to become inhibited and under-active (relatively weak during activity). This reduces our ability to eccentrically decelerate ankle plantar flexion and eversion, and maintain proper foot and arch alignment during daily activity and sport. This impaired function may result in dyskinesis (movement dysfunction) of the ankle, foot, and knee, and is often paired with over-activity of the gastrocnemius, soleus, 

extensor hallucis longus and extensor digitorum longus

. Tibialis anterior inhibition may reduce performance, increase the risk of future injury and dysfunction, and is correlated with pain and dysfunction of the lower extremity (knee and ankle joints).

Signs of Under-Activity and a Maladaptive Increase in Length: 

An example of feet flatten which a common sign when tibialis anterior is weak (underactive)

Signs of Under-Activity& Length in Weak Tibialis Anterior Muscles

Introduction to Tibialis Anterior Exercises

Overactive Synergists

Muscles that commonly become synergistically dominant when the 

 is inhibited – Release and stretch prior to activation, and cue joint motion to reciprocally inhibit these muscles during activation exercise.

Extensor Hallicus Longus & Extensor Digitorum Longus

 (not easily released using self-administered techniques)

The muscles of the foot which include the extensor hallucis longus and extensor digitorum longus

Optimizing Motion (Best Practice)

Optimal neuromuscular activity (tone) and function is not only affected by the strength of individuals muscles, but optimal length and activity of their functional antagonists and mobility of the joints they cross. It is recommended that the appropriate release, lengthening and joint mobilization techniques are done prior to the activation and integration techniques discussed below.

Plantar Flexors and Evertors: Lengthening

Research Corner

There is a scarcity of research on the relationship between movement impairment and 

 dysfunction, and less on the effect specific interventions may have on 

 function. This muscle is the primary dorsiflexor of the ankle, and is a powerful supinator of the forefoot (1); however, research has also suggested that the 

 may contribute to eversion/pronation when the ankle is everted enough to move the 

 tendon lateral to the center of the axis-of-rotation of the 

 plays in ankle function, it is surprising that no research could be located looking specifically at the relationship between tibialis anterior function and ankle sprain, and only a single study on excessive eversion during gait (8). Despite a lack of direct correlations, indirect correlations can be made between 

 function and lower extremity dysfunction via a handful of studies that noted relationships between lower extremity dysfunction/pathology and reductions in dorsiflexion, a reduction in talus posterior glide, and/or flatfeet (3-7).

Two of these studies examined alterations in squat mechanics when dorsiflexion was reduced. The results indicated a decrease in sagittal plane motion at the ankle, but an increase in medial displacement (frontal plane) of the knee (5, 6). In the one study on medial knee displacement (functional valgus) that examined 

 activity via EMG, the results are a bit puzzling, as activity of the 

 was increased when compared to a control group, despite a decrease in dorsiflexion range of motion (7). It is almost as if the increase in 

 activity was an unsuccessful attempt by the human movement system to overcome a decrease in plantar flexor extensibility. Similar to the 

 was also shown to have increased activity during gait in those that exhibited excessive eversion.

Two studies have considered the impact of ankle sprain on joint stiffness, specifically posterior glide of the talus (3, 4). In one study it was found that normal arthorkinematics may not return, despite effective interventions to increase dorsiflexion (3), and the other study found that posterior talus glides decreased recovery time from acute ankle sprains (4). These two studies imply that ankle joint mobilization may be essential to optimal recovery from an ankle sprain and that normal arthorkinematics will not return with release and stretching techniques alone. Although the Brookbush Institute recommends the consideration of joint mobilizations for all movement impairments, we also hypothesize that the 

 plays a special role in maintaining optimal talus glide. Below is a paragraph from the "Arthrokinematics" section of the article 

 The talus is one of the few bones in the body without a single muscular attachment. Motion of the talus is dependent upon forces imparted by muscles that attach to the bones it articulates with. This includes the necessary posterior glide of the talus on the tibia, essential to optimal dorsiflexion range of motion. The 

) may have the largest influence on arthrokinematic motion of the talus via the forces imparted on the medial cuneiform. The superior and posterior force imparted by the tibialis anterior on the medial cuneiform is likely transferred through the navicular to impart a posterior and superior force on the talar neck that results in posterior glide and posterior tilt of the talus during dorsiflexion. It seems likely that synergistic dominance of the 

 would not only contribute to excessive eversion and pronation of the ankle, but reduce the posterior force on the medial cuneiform, resulting in excessive anterior glide (insufficient posterior glide), limited dorsiflexion, and adaptive shortening of the posterior ankle capsule over-time.

Orthotics have proven ineffective for reducing the risk of occurrence of lower extremity dysfunction but may improve selective recruitment of the 

 during exercise and functional tasks (9, 10). It is our view that orthotics may be used as an adjunct to corrective/therapeutic intervention, and should not be used in lieu of therapy or as a preventative measure. Although research regarding specific strengthening or activation could not be located, single leg balance and stabilization type exercise have been shown to increase 

 activity (11, 12). It is our recommendation that specific strengthening/activation of the 

 should precede stabilization type exercise in those exhibiting ankle impairment, in an attempt to optimize motor unit recruitment. Last, it is worth noting that research suggests that not only does a relationship between the ankle and hip exist, but 

 strengthening and low back pain specifically (13, 14).

A demonstration of ankle joint range of motion, including dorsiflexion, plantar flexion, inversion, and eversion

Research On Tibialis Anterior Muscle Exercises

Seated Resisted Dorsiflexion and Inversion

Quad sets with resisted dorsiflexion and inversion

Standing Tibialis Anterior Activation (Equipment Free)

Quick Tibialis Anterior and Tibial Internal Rotator Activation

Tibialis Anterior Activation on a Table (reinforcing Heel Strike Mechanics)

Best Exercises For Tibialis Anterior Isolated Activation

Single-leg Balance and Reach

Resisted Single-leg Balance and Reach

Single-leg Deadlift Touchdown 

Integrated Stabilization

Bilateral Hops to Stabilization – Land on heels softly

Bilateral Hops to Single Leg Balance – Land on heels Softly

Transverse Plane Hops to Single Leg Balance - Land on Heels Softly

Heel Walks 

Hops to "Heel-to-toe" Landing to Stabilization 

Reactive Activation

Frontal Plane Step-Up to Balance to Shoulder Series

Lateral Lunge to Balance To Shoulder Series

Single-Leg Touchdown w/ Scaption, or PNF Carry Away

Dr. Brent Brookbush demonstrating a reactive activation for the tibialis anterior

Subsystem Integration

Tibialis Anterior Taping

Sample Activation Circuit

38-year-old male, history of ankle sprains and shin splints when the volume of exercise increases.

Special Note: A common result indicating dysfunction is 

. That is, the individual can resist considerable force but does so with additional joint motion. The most common compensations include excessive toe extension and ankle eversion, implicating synergistic dominance of the 

Extensor Hallucis Longus and Extensor Digitorum Longus Manual Static Release

Gastrocnemius and Soleus Manual Static Release

Ankle (Talus) Manual Joint Mobilization - Anterior to Posterior

Talonavicular and Cuneonavicular Joint Manipulations

Mobility Program: Self-administered Techniques

Gastrocnemius and Soleus Self-Administered Manual Static Release

Fibularis Self-Administered Static Manual Release

 Light to Moderate (60 - 85% of 1-RM), focus on form and ROM

 Circuit training, 1 min rest between exercises

5 - 15 minutes (excluding mobility interventions)

Resisted Single-Leg Balance and Heel Touch to Step

Sample Activation Circuit: Tibialis Anterior Exercises

Klein, P., Mattys, S., & Rooze, M. (1996). Moment arm length variations of selected muscles acting on talocrural and subtalar joints during movement: An in vitro study. 

Lee, S. S., & Piazza, S. J. (2008). Inversion–eversion moment arms of gastrocnemius and tibialis anterior measured in vivo. 

Denegar, C. R., Hertel, J., & Fonseca, J. (2002). The effect of lateral ankle sprain on dorsiflexion range of motion, posterior talar glide, and joint laxity.

Journal of Orthopaedic & Sports Physical Therapy

Green, T., Refshauge, K., Crosbie, J., Adams, R. (2001). A Randomized Controlled Trial of a Passive Accessory Joint Mobilization on Acute Ankle Inversion Sprains. Physical Therapy, 2001. 81: 984-994

Macrum et al. Effect of limiting ankle-dorsiflexion range of motion on lower extremity kinematics and muscle-activation patterns during a squat. 

Bell DR, Padua DA. Influence of ankle dorsiflexion range of motion and lower leg muscle activation on knee vagus during a double legged squat. 

Padua, D. A., Bell, D. R., & Clark, M. A. (2012). Neuromuscular characteristics of individuals displaying excessive medial knee displacement. 

Wang R, Gutierrez-Farewik EM. (2011). The effect of subtalar inversion/eversion on the dynamic function of the tibialis anterior, soleus, and gastrocnemius during stance phase of gait. 

V. M. Mattila, P.J Sillanpaa, T. Salo, H.-J. Laine, H Maenpaa, H. Pihlajamki. Can orthotic insoles prevent lower limb overuse injuries? A randomized-controlled trial of 228 subjects. Scand J Med Sci Sports 2011: 21: 804 – 808

Murley GS, Landford KB, Menz HB, Bird AR: Effect of foot posture, foot orthoses and footwear on lower limb muscle activity during walking and running: a systematic review, 

Eils, E., and D. Rosenbaum. A multi-station proprioceptive exercise program in patients with ankle instability.Med. Sci. Sports Exerc., Vol. 33, No. 12, 2001, pp. 1991–1998

Lemos T, Imbiriba LA, Vargas C, et al. (2015). Modulation of tibialis anterior muscle activity changes with upright stance width. 

Journal of Electromyography and Kinesiology.

Chon S, You JH, Saliba SA. (2012). Cocontraction of ankle dorsiflexors and transversus abdominis function in patients with low back pain. 

Souza, T. R., Pinto, R. Z., Trede, R. G., Kirkwood, R. N., & Fonseca, S. T. (2010). Temporal couplings between rearfoot–shank complex and hip joint during walking. 

Bibliography

Questions, comments, and criticisms are welcomed and encouraged

Tibialis Anterior Exercises (Activation)

Related Courses:

Course Description: Tibialis Anterior Exercises (Activation)

Study Guide: Tibialis Anterior Exercises (Activation)

Introduction to Tibialis Anterior Exercises
1 Sub Section

Overactive Synergists

Optimizing Motion (Best Practice)

Research On Tibialis Anterior Muscle Exercises

Best Exercises For Tibialis Anterior Isolated Activation
3 Sub Sections

Integrated Stabilization
3 Sub Sections

Reactive Activation
2 Sub Sections

Subsystem Integration

Tibialis Anterior Taping

Sample Activation Circuit: Tibialis Anterior Exercises

Bibliography

Related Courses:

Comments

Guest

Tibialis Anterior Exercises (Activation)

Related Courses:

Course Description: Tibialis Anterior Exercises (Activation)

Study Guide: Tibialis Anterior Exercises (Activation)

Introduction to Tibialis Anterior Exercises1 Sub Section

Overactive Synergists

Optimizing Motion (Best Practice)

Research On Tibialis Anterior Muscle Exercises

Best Exercises For Tibialis Anterior Isolated Activation3 Sub Sections

Integrated Stabilization3 Sub Sections

Reactive Activation2 Sub Sections

Subsystem Integration

Tibialis Anterior Taping

Sample Activation Circuit: Tibialis Anterior Exercises

Bibliography

Related Courses:

Comments

Guest

Introduction to Tibialis Anterior Exercises
1 Sub Section

Best Exercises For Tibialis Anterior Isolated Activation
3 Sub Sections

Integrated Stabilization
3 Sub Sections

Reactive Activation
2 Sub Sections