AN EVIDENCED-BASED APPROACH TO ANKLE REHABILITATION: A HIP CHECK PRESENTED AT THE ST. LOUIS NATA...
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AN EVIDE NCE D- B ASED APPROACH TO ANKLE REHABILITATION: A HIP CHECK PRESENTED AT THE ST. LOUI S NATA SYMPOSIUM BY KAREN WE BSTER, PHD, ATC EDI TED BY ROSE SNYDER, MS, AT, A TC , CSCS, NASM-P ES
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Mechanism: (Generally) a failure to stabilize when … Landing from a hop (jump) or Changing direction (lateral shift)
Transcript of AN EVIDENCED-BASED APPROACH TO ANKLE REHABILITATION: A HIP CHECK PRESENTED AT THE ST. LOUIS NATA...
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
