Ankle and foot region - Hong Kong Physiotherapy Association

More documents

Recommendations

Info

Alignment vs injury relationship• Walter et al (Arch Intern Med, 1989)– Cohort of 1288 runners was monitored for 12-month period for occurrence of ms injuries (985males & 303 females)– Survey and physical assessment on each runner• Hip rom, pelvic obliquity, knee and patellar alignment,rearfoot position, somatotype– Results• None of the PE variables were significantly related torisk of injury in either sex• Two most important predictors for overall risk of injury– Training miles per week & previous injury
Alignment Vs injury relationship• Wen et al (Med Sci Sports Ex, 1997)– Studied effect of LE alignment on risk of overuseinjury in 304 experienced runners• Arch index (NTH/BL ratio), subtalar neutral, heel valgus,Q angle, LLD– Found few consistent relationships btw alignmentmeasures & risk of overuse injury– Noted minor structural malalignemnt are probablynot risk factors for running injuries in the cohortstudied– Concluded that etiology of running injuries ismultifactorial involving extrinsic factors (egtraining parameters) activity on pre-disposedintrinsic make up (eg altered alignment)
Page 3 and 4: Objectives:• Practical session:-
Page 6 and 7: Talocrural joint• DF: 10-20°•
Page 8: Mid-tarsal joint• Calcanecuboid a
Page 11 and 12: Subtalar joint motion
Page 14 and 15: Typical pattern of rearfoot motion
Page 16 and 17: Objective 1b:Clinicalbiomechanics a
Page 18 and 19: Knee motion
Page 20 and 21: Knee motion
Page 22 and 23: Gait abnormalities simplified• 3
Page 24 and 25: Movement diagram for the excessivep
Page 26 and 27: Movement diagram for supinated rear
Page 28 and 29: Subtalar joint neutral (Root et al
Page 34 and 35: Why the need for motion control?•
Page 36 and 37: Why the need for motion control?•
Page 38 and 39: Alignment vs injury relationship•
Page 42 and 43: Alignment vs injury relationship•
Page 44 and 45: Foot alignment vs injury relationsh
Page 46 and 47: Physical fitness vs injury relation
Page 48 and 49: • Most current evidence- Is uncle
Page 50 and 51: Objective 4To use foot orthoses or
Page 52 and 53: Management protocol using tissue st
Page 54 and 55: Vicenzino B (2004) Foot orthoses in
Page 56 and 57: TDT step 1:• Client specific outc
Page 58 and 59: TDT step 2: physical manipulation
Page 60 and 61: Results
Page 62 and 63: Multifactorial mix of risk factors(
Page 64 and 65: Multifactorial Mix of risk factors(
Page 66 and 67: Multifactorial Mix of risk factors(
Page 68 and 69: • Lysens RJ et al (1989) The acci
Page 70 and 71: Clinical example:Achilles Tendinopa
Page 72 and 73: Achilles Tendinopathy• Pathomecha
Page 74 and 75: Treatment Direction Tests applied:
Page 76: Clinical reasoning: possible causes

Ankle and foot region - Hong Kong Physiotherapy Association

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?