Subtalar Distraction and Glides

Kéo, Trượt vào trong và ra ngoài khớp dưới sên (sên -gót)

Indications:

• Distraction to improve all physiologic motions of subtalar joint
• Medial & lateral glide to improve rearfoot ev & inv, respectively

Accessory Motion Technique:

• Patient Position:
  • Prone with dorsum of foot off edge of table
  •  Alternate position of side-lying with foot to be mobilized uppermost & knee flexed
• Clinician Position and Hand Placement:
  • Stand on the ipsilateral side of the foot being mobilized facing caudally or sitting on the table with the patient’s posterior thigh in contact with your back.
  • Stabilizing contact: Holds distal leg on table or stabilizes through flexed knee in contact with clinician’s body
  • Mobilizing contact: Grasps posterior calcaneus with heel of hand or both hands grasp calcaneus.
• Force Application:
  • Impart a caudally directed force parallel to the long axis of the leg through your mobilization hand or hands.