Ankle joint dorsiflexion. Establishment of a normal range

Baggett, B D; Young, Gary P.

doi:10.7547/87507315-83-5-251

Cited by 60 publications

(43 citation statements)

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“…In this position, we considered normal dorsiflexion AROM to be 15°to 20°, plantar flexion 40°to 50°, inversion/adduction 30°to 35°, and eversion/abduction 20°to 30°from neutral. 2,28,40 During the initial examination, the patients lacked 15°to 23°of dorsiflexion.…”

Section: Examinationmentioning

confidence: 99%

“…The more commonly used moist heat packs effectively heat to a depth of only 1 cm below the skin surface, 9 whereas PSWD has been shown to produce a 4°C temperature increase at a depth of 3 to 5 cm. 7,10,36 Ultrasound is also used to heat to a depth of 3 to 5 cm, but the treatment area is small (3-10 cm 2 ), while the diathermy treatment area is much larger (150-200 cm 2 ).…”

mentioning

confidence: 99%

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Use of Pulsed Shortwave Diathermy and Joint Mobilization to Increase Ankle Range of Motion in the Presence of Surgical Implanted Metal: A Case Series

Seiger¹,

Draper²

2006

J Orthop Sports Phys Ther

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Study Design: Case series. Background: Traditionally, all forms of diathermy have been contraindicated over metal implants. There is a lack of research-based evidence for harm regarding the use of pulsed shortwave diathermy (PSWD) over orthopaedic metal implants. Because PSWD is an effective modality for deep heating, we investigated whether ankle range of motion (ROM) could improve with the cautious use of PSWD and joint mobilizations, despite orthopaedic metal implants being in the treatment field. Case Descriptions: Four subjects presented with decreased ankle ROM due to extensive fractures from traumatic injuries. All subjects were postsurgical, with several internal fixation devices. Subjects previously received rehabilitation therapy involving joint mobilizations, therapeutic exercises, moist heat, and ice, but continued to lack 15°to 23°of ankle dorsiflexion. The Human Subjects Review Board of Brigham Young University approved the methods of this case series. Subjects gave written informed consent. Initial dorsiflexion active ROM for each patient was -3°, 0°, 8°, and 5°, respectively. Treatment regime consisted of PSWD to the ankle for 20 minutes at 27.12 MHz, 800 pps, 400 microseconds (48 W). Immediately after PSWD, mobilizations were administered to the joints of the ankle and foot. Ice was applied posttreatment. Outcomes: Dorsiflexion improved 15°, 15°, 10°, and 14°, respectively, after 8 or 13 visits. All patients returned to normal activities with functional ROM in all planes. Follow-up 4 to 6 weeks later indicated that the subjects maintained 78% to 100% of their dorsiflexion. No discomfort, pain, or burning was reported during or after treatment. No negative effects were reported during the short-term follow-up. Discussion: When applied with appropriate caution, we propose PSWD (48 W) may be an appropriate adjunct to joint mobilizations to increase ROM in peripheral joints, despite implanted metal. We continue to advise caution when applying diathermy with machines other than the Megapulse II. Further research is needed to determine the safety parameters of other diathermy machines. As a final caution, we advise that diathermy not be used in the presence of a cardiac pacemaker or neurostimulator.

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Section: Examinationmentioning

confidence: 99%

mentioning

confidence: 99%

Use of Pulsed Shortwave Diathermy and Joint Mobilization to Increase Ankle Range of Motion in the Presence of Surgical Implanted Metal: A Case Series

Seiger¹,

Draper²

2006

J Orthop Sports Phys Ther

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“…The normal non-weightbearing range of dorsiflexion of the ankle joint has been reported to be 7 to 15°. 23 To ascertain the effect that active ulcers might have on restricting movement, we compared the dorsiflexion measures in subjects with active vs healed ulcers. Those with an active ulcer had a lower range of movement at 12.5°compared with 13.6°t hose with healed ulcers, but both were significantly lower than in controls.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for chronic ulceration in patients with varicose veins: A case control study

Robertson

Lee

Gallagher

et al. 2009

Journal of Vascular Surgery

107

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“…Data on "normal" values for DFR is conflicting. [20][21][22] Recent literature suggests that disagreement is a result of a wide variety of measuring protocols and therefore emphasis should not be placed on expected normal values but rather reliable measurement of DFR throughout a trial 23 . The examiner was blinded as to whether the subjects had received manipulation or were controls.…”

Section: Discussionmentioning

confidence: 99%

The effect of talocrural joint manipulation on range of motion at the ankle

Fryer¹,

Mudge²,

McLaughlin³

2002

Journal of Manipulative and Physiological Therapeutics

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Objective: To determine whether a single high velocity, low amplitude thrust manipulation to the talocrural joint altered ankle range of motion.Design: A randomized, controlled and blinded study. Subjects: Asymptomatic male and female volunteers (N=41).Methods: Subjects were randomly assigned into either an experimental group (N=20) or a control group (N=21). Both ankles of subjects in the experimental group were manipulated using a single high velocity, low amplitude thrust to the talocrural joint. Pre and post measurements of passive dorsiflexion range of motion were collected.Results: No significant changes in dorsiflexion range of motion were detected between manipulated ankles and controls. A significantly greater pre-test dorsiflexion range of motion existed in those ankles where manipulation produced an audible cavitation. Conclusion:Manipulation of the ankle does not increase dorsiflexion range of motion in asymptomatic subjects. Ankles that displayed a greater pre-test range of dorsiflexion were more likely to cavitate, raising the possibility that ligament laxity may be associated with the tendency for ankles to cavitate.

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Ankle joint dorsiflexion. Establishment of a normal range

Cited by 60 publications

References 0 publications

Use of Pulsed Shortwave Diathermy and Joint Mobilization to Increase Ankle Range of Motion in the Presence of Surgical Implanted Metal: A Case Series

Use of Pulsed Shortwave Diathermy and Joint Mobilization to Increase Ankle Range of Motion in the Presence of Surgical Implanted Metal: A Case Series

Risk factors for chronic ulceration in patients with varicose veins: A case control study

The effect of talocrural joint manipulation on range of motion at the ankle

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