12.07.2015 Views

Ankle and foot region - Hong Kong Physiotherapy Association

Ankle and foot region - Hong Kong Physiotherapy Association

Ankle and foot region - Hong Kong Physiotherapy Association

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Clinical reasoning: possible causes ofabnormal pronation?• Lack of T/C doriflexion– Calf tightness– Joint limitation– Bony limitation• Fore<strong>foot</strong>/rear<strong>foot</strong> varus• Hypermobile midtarsal joint• Poor muscle control of <strong>foot</strong> (intrinsics, TP, PL)• Don’t forget causes extrinsic to the <strong>foot</strong>– Poor pelvic control (excessive internal rotation)– Genu valgum or varum

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