- See:
Ankle Equinus in CP:
- Discussion:
- see:
role of ankle and subtalar joint in gait:
- normally, during the transition from foot flat to heel off, the foot dorsiflexes
as the body moves forward;
- as a consequence of equinus contracture, the patient may adopt a toe to toe
gait pattern, a toe to heel gait pattern, excessive knee hyperextension,
or excessive foot pronation which allows more dorsiflexion to occur
at the
subtalar joint;
- Diff Dx:
- Anterior Ankle Impingement
- Leg Length Descrepancy:
- Hyperpronation of the Foot:
- Heel Cord Stretching:
- in order to properly stretch the Achilles tendon while standing while
standing and facing the wall, it is necessary to slightly internally
rotate the foot and keep the heel flat on the floor during stretch;
- this ensures that dorsiflexion motion occurs only at ankle joint;
- care must be take to invert subtalar joint and forefoot before applying
dorsiflexion stress; (this locks calcaneus under talus, ensuring that
dorsiflexion occurs only at the ankle joint rather than dorsiflexion
does not occur at the midfoot;)
---------------------------------------
Biomechanics and Orthotics of the Foot in Athletes.
S.C. Graves MD, T.H. Badwey MD, and K.O. Graves PT.
Operative Techniques in Sports Medicine, Vol 2, No 1 (Jan), 1994
pages 2-8.
