Ankle and foot region - Hong Kong Physiotherapy Association

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Multifactorial Mix of risk factors(proportional): Biomechanical error Biomechanical error:1. Acquired or congenital?2. Compensatory3. History of deformity/prior injury4. Foot wear abnormally worn5. Poorly control conventionally6. Sensori-motor system7. Muscle dysfunction
Evidence of biomechanical involvement??• Clinicans frequently report positivechanges with orthotic or otherbiomechanical interventions• Overuse injuries linked to abnormalbiomechanics (eg Lysens, Tomaro)• But not all studies find such evidence!!!
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 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 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
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Ankle and foot region - Hong Kong Physiotherapy Association

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