PHTY204 Lecture Notes - Lecture 7: Ankle, Muscle Weakness, Quadriceps Femoris Muscle
Document Summary
Develop an assessment plan to differentiate possible underlying causes of a primary deviation. Ap talus, grade 3-4, 2-3 reps either wb or nws. Mwm talocrural df either ws or nsb, 3-10 reps. Gastrocnemius or soleus stretch: tight/overactive peroneal muscles. Soft tissue massage: lengthening techniques to peroneals (pettrisage, stripping, trigger point release) Tests of foot mobility & foot loading (nwb wb) Passive accessory joint glides (subtalar, midfoot, forefoot) Manual muscle test tibialis posterior, tibialis anterior. Foot form exercises: hip external rotators, abductors. Manual muscle test hip external rotators, gluteus medius and minimus, Resistance exercises ie 4 point kneel, bridging, side stepping, squat, step ups, single leg stance, single leg squat, sit to stance. Foot form exercises: hip external rotators, abductor. Exercises with focus on recruitment pattern use of biofeedback (emg, Leg length discrepancy: leg length measure asis to malleolus, management, heel inserts or referral. Recall possible primary deviations that may occur at the knee joint.
