悟理治療部落

MANUAL THERAPY Concepts for the ANKLE/FOOT:

1. 所謂的ankle joint (即是talocrural joint)是屬於 hinge joint也是一種synovial joint。Joint是由talus 與 fibula (lateral malleolus) and tibia (medial malleolus)形成的mortise組成. Ankle stability 取決於 bony restraints, medial collateral (deltoid) ligament, anterior and posterior talofibular ligaments, calcaneofibular ligament.

Talus 本身是身體lower quadrant 中惟一沒有muscular attachment. 而talus的動作主要是被鄰近骨頭所影響.

Talor restriction通常會limit dorsiflexion. 因此Restore talus之joint play (long axis extension and anteroposterior glide)將可恢復 dorsiflexion range of motion.

2. Subtalar (talus-calcaneous articulation) restriction. The talus 與 calcaneous 於2個 facets surface 相連結而形成關節.如果subtalar restriction exists, 通常talar restriction 也會發生. 一般影響最大的動作是inversion or eversion restriction.

3. Cuboid de-rotation 容易看起來像plantar fascitits. Cuboid 是足部三個arches的基石. 且因其連結4-5th metatarsals所以也影響forefoot. Dysfunctional cuboid 可見其prominent on the plantar surface with pronation 且 tender. 正常不會. 對於joint mobilization效果很好.