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Joint Mobilization. Superior and inferior tibiofibular joints Talocrural joint Subtalar joint Intertarsal joints Intermetatarsal joints TMT, MTP, IP joints. Talocrural joint: 10° plantar flexion Subtalar and midtarsal joints: midrange inversion- eversion MTP joints #1: 20° dorsiflexion
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Joint Mobilization • Superior and inferior tibiofibular joints • Talocrural joint • Subtalar joint • Intertarsal joints • Intermetatarsal joints • TMT, MTP, IP joints
Talocrural joint: 10° plantar flexion Subtalar and midtarsal joints: midrange inversion- eversion MTP joints #1: 20° dorsiflexion #2-5: 20° plantar flexion IP joints: 20 plantar flexion Resting Positions
Flexibility Exercises • Active flexibility: 15-20 s hold • 4-5 reps • Perform throughout the day (min = 3-4 times) • May require prolonged stretch
Strength Exercises • Isometrics • Rubber band exercises • Body-weight resistance exercises • Equipment resistance
Proprioception Exercises • Especially important with joint injuries • Key for kinesthesia and balance control • NWB and WB activities • Exercises follow a progression
Functional Activities • Zigzag runs • Side shuffles • Figure-8 runs • 90° cuts to L and R • Jumps, hops, leaps • All performed without hesitation or favoring of involved leg