Ankle and foot region - Hong Kong Physiotherapy Association

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Alignment vs injury relationship• Wen et al (Clin J Sports Med, 1998)– Prospectively studied effect of measureableLE alignment is a risk factor for overuseinjury in 255 runners in marathon trainingprogram• Arch index, heel valgus, Q-angle, knee varus orvalgus, LLD• Past training and injury history usingquestionnaire• Overuse injuries recorded during 32-weektraining period
Alignment vs injury relationship• Wen et al (Clin J Sports Med, 1998)– Of the 255 runners, 90 experienced overuseinjuries– Found few consistent associations btw thealignment measures and overuse injuries– A higher AI was protective against overall injuries– A higher HV was protective against knee and foot injuries– A higher KV was ass with shin injuries– A low LLD was associated with more overuse injuries– Concluded that minor variations in LE alignmentdid not appear to be major risk factors for overuseinjuries in runners
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 40 and 41: 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

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