An Evidenced-Based Approach to Ankle Rehabilitation: A Hip Check

AN EVIDENCED-BASED

APPROACH TO

ANKLE

REHABILITATI

ON: A HIP

CHECK

P R E S E N T E D A T T H E S T . L O U I S N A T A S Y M P O S I U

M B Y

K A R E N WE B S T E R , P H D , A T C

E D I T E D B Y R O S E S N Y D E R , M S , A T , A T C , C S C S , N A S M - P E S

INTRODUCTIO

N

What will

be disc

ussed

Mechanism:(Generally) a failure to stabilize when …

• Landing from a hop (jump) or

• Changing direction (lateral shift)

INSTABILITY

Are we t

oo g

ood at

getting th

e athlet

e bac

k?

ELEMEN

TS WHICH CAN

LEAD TO CAI

ANKLE ROM

CAUSE - In

sufficie

nt dors

iflexion

RESULT

- Com

pensa

tion th

rough hip &

back

“THE FIX

”

Manual

Therapy

DYNAMIC PO

STURAL

CONTROL

PEOPLE W

ITH CAI C

ANNOT

STABILIZE A

S QUICKLY

Why?

LOOK AT

THE H

IP

IT’S ABOUT T

HE GLUTES

Lack

of hip co

ntrol =

Incre

ased

injury

potentia

l

WHAT IF S

TREN

GTH IS

THERE?

CHANGES IN FIR

ING

PATTER

NS

ARE THESE CHANGES

GOOD, BAD, PR

OTECTIVE?

REHAB

Exercises should be:• Patient-oriented• Functional• Challenging• Controlled

Exercises should also provide:

• A balance challenge• A positional

challenge• A gluteal strength

stimulus• For adequate

(necessary) ROM

SPECIFIC EXERCISES:

OUTCOMES

QUESTIONS