Dorsiflexion

(Takano, et. al 2015). A randomized controlled trial of 64 patients with dropped foot using a novel FES device (Odstock dropped foot simulator) compared to traditional physical therapy showed significantly reduced median frequency of falls in the FES group (8) compared to traditional PT (18) (Esnouf, Taylor, Mann, and Barrett 2010). Patients with chronic spastic paresis involving muscles innervated by the peroneal nerve underwent a trial of wireless accelerometer-triggered functional electrical stimulation and were found to have improved ankle and knee kinematics compared to patients receiving conventional physical therapy. Parameters that improved relative to controls included maximal knee flexion and passive ankle dorsiflexion, as well as ankle dorsiflexion velocity. Patients also saw a 15% reduction in plantar flexion spasticity grade (Gheidra, et. al, 2016). In a case-study of a multiple sclerosis (MS) patient with chronic lower extremity spasticity, FES applied to the thighs to induce cycling motions reported decreased spasticity after 30-minute FES sessions (Krauze, Szeci, and Straube 2007). In the upper extremity, a randomized controlled trial of pediatric patients with chronic hand hemiparesis had significant increases in Box and Block test scoring, with a mean difference between traditional physical therapy controls of 2.8% and maintained these improvements 6 months post-treatment (Knutson, Gunzler, Wilson, and Chae, 2016). An individual case-control study in…

When the ankle is bending upward, it is in a state called Dorsiflexion. While in Dorsiflexion, the ankle typically ten degrees of movement, although more flexible individuals may experience up to thirty degrees of movement. When the ankle joint is bending down, it is in a state called Plantarflexion. During Plantarflexion, the ankle typically has about twenty degrees of movement, although more flexible individuals can experience up to fifty degrees of movement. One might be inclined to think…

distal phalanx of the big toe. It is the prime mover in dorsiflexion of the big toe and assists in dorsiflexion of the foot. The extensor digitorum longus (synergist) originates in the lateral area of the tibia, proximal two-thirds of the medial surface of the fibula and adjacent interosseous membrane. It splits in to four tendons that attach to the proximal base of the dorsal surface of the middle and distal phalanges. This muscle is the prime mover in dorsiflexion of the toes but assists in…

In this article, different subtalar joint positioning during gastrocnemius stretching was investigated to conclude wether or not the position of the subtalar joint had significant effect on dorsiflexion ROM. . Patients with ankle oversee injuries, and patients with limited dorsiflexion ROM, are often prescribed stretches for the gastrocnemius calf muscle as part of their rehab program. (JAT, NATA). The idea behind this is that the tight calf muscles may have an negative effect on reaching…

phase. She has a lack of dorsiflexion of her left ankle throughout and increased left knee flexion during most of the stance phases. She has an overall decreased step length which is greatest on her left. Her left heel does not make contact with the floor. These observed deviations indicate that Mrs Ogle has a lack of left dorsiflexion range at her ankle. 1.0 Stance phase 1.1 Initial contact to loading response Mrs Ogle’s heel should be the first thing to contact the floor (heel strike).1 From…

A pre-test was given before intervention and a post-test done after the intervention. The tests were a manual muscle test using an isometric dynamometer in directions of dorsiflexion, plantarflexion, inversion and eversion, a figure eight hop test, a triple-crossover hop test, an ankle instability visual analog and a Y-Balance test. These tests were focused on the dependent variables of strength, dynamic balance, functional performance and perceived ankle instability. The independent variables…

22 women and men, 70 yoa or older • all subjects had threshold joint position testing at ankle (plantar and dorsiflexion) and knee joints (flexion and extension) - Subjects were told to press a stop button the moment they detected movement in the joint - performance was measured in degree of joint rotation that occurred prior to their sensing movement - This data was used to categorize subjects…

Synovial joint Angles of the Hip Hailey Rubin and Angie Allen Purpose: To analyze the full range of motion of the hip flexion and extension by measuring the joint angles. Methods: We decided to use the Hudl Technique app to film hip in a squatting motion from fully extended to full flexion of the hip. The Technique app made it possible to pause the video, allowing the ability to measure the angle from the top of the Iliac crest to the knee to the ankle. We choose to record in front of the dark…

In addition to chiropractic intervention, MyChild™ believes massage therapy is beneficial for a person with cerebral palsy. Massage therapy is the “Manipulation of soft body tissues applied in a painless and comforting way to treat, heal, and balance the mind, body, and soul (Stern, 2015). Massage therapy is known for alleviating symptoms such as: arthritis, discomfort, low back pain, and balance. Each of these symptoms affect a patient with cerebral palsy. A session typically consists of a…

Gait assessment demonstrates the patient could walk 40 feet with front-wheel walker with CAM boot on with only standby assistance. The patient did have difficulty during gait assessment when having to perform turning maneuvers due to knee pain. The patient's straight line walking was good. The patient's left ankle measured +2 degrees of dorsiflexion, 44 degrees of plantar flexion, 18 degrees of inversion, 18 degrees of eversion. The patient denied any adverse pain during the range of motion…