* Multiple tests are available to investigate the possibility of a syndesmotic injury and to assess return-to-sport readiness, including the External Rotation Test, the Squeeze Test, the Crossed-Leg Test, the Dorsiflexion
Compression Test, the Cotton Test, the Stabilization Test, the Fibular Translation Test, and the Single Leg Hop Test (see table (1-3,5,6,16,17)).
The participants were instructed to relax during the measurements without resisting the passive dorsiflexion
. The right foot region including the distal part of the lower leg was videotaped (Exilim, Casio, Japan) at 30 Hz to obtain the joint angle.
Active, non-weightbearing (NWB) talocrural plantar flexion (PF) and dorsiflexion
(DF) range of motion (ROM) was tested using a digital inclinometer (ACUMAR Single Digital Inclinometer; Lafayette Instruments, Lafayette.
Ankle weakness, hypoesthesia of cruris lateral in the history and loss of strength in ankle dorsiflexion
, in toes extension in the physical examination, steppage gait and positive result of Tinel test at the level of fibula head make us consider the possibility of peroneal nerve palsy (6).
All the patients were evaluated clinically with respect to plantar flexion and dorsiflexion
ROM, and radiologically on the radiographs taken with respect to osteolysis, loosening, and change in the hallux valgus angles (HVA) and the intermetatarsal angles (IMA) (Figure 3).
The primary aim of this pilot study was therefore to determine whether an adapted 6-minute walking test (6minWT) protocol combined with electrogoniometry could be used to detect a decrease in ankle dorsiflexion
during swing suggesting motor fatigability.
This is reasonable for a specific application such as muscle stretching along dorsiflexion
, although the hinge model ignores ankle inversion and eversion.
Inclusion criteria were (1) neurologically stable for >6 months; (2) medical clearance to participate (with the expectation that current medication and therapy schedule would be maintained without change for at least 4 months)*; (3) ability to ambulate with or without an assistive device (i.e., Expanded Disability Status Scale (EDSS) 2 to 6 ); and (4) clinical signs of weak dorsiflexion
of the ankle at least unilaterally.
Existe tambien el denominado "mecanismo windlass', de torno o de molinete, que puede describirse como el efecto que tiene la dorsiflexion
de las falanges en el pie.
The patient was asked to actively dorsiflex and plantar flex the ankle from a starting position with the foot relaxed (considered the zero neutral position) with angle measurements taken at each point of dorsiflexion
and plantar flexion.
When the patient is supine, again note if the arch is present and check the degree of dorsiflexion