foot manipulation, a.t. still techniquesfiles.academyofosteopathy.org/convo/2015/handouts/... ·...
TRANSCRIPT
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Rue Tikker DPM
David Redding DO
Becki Giusti DO
Foot Manipulation,A.T. Still Techniques
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From this workshop, the attendees should be able to: • Identify common anatomical landmarks of
the ankle and foot.
• Learn foot and ankle techniques as taught by
A.T. Still.
• Perform ankle/foot HVLA techniques that are
commonly associated with an Inversion sprain
of the ankle.
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Anatomy ReviewThe Ankle
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TalusAnkle Joint
Tibio-talar or
Talo-crural or
“Mortise”
Anterior View
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Anterolateral View
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Posterior-Lateral View
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Anatomy ReviewThe Foot
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Navicular
Articular surface of
Talus
Dorsal View
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Medial
Cuneiform
Dorsal View
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Intermediate
Cuneiform
Dorsal View
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Lateral
Cuneiform
Dorsal View
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Cuboid
Dorsal View
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Navicular
Plantar View
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Medial
Cuneiform
Plantar View
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Intermediate
Cuneiform
Plantar View
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Lateral
Cuneiform
Plantar View
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Cuboid
Plantar View
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Palpable landmarks• Calcaneus / Talus
• Navicular
• Cuneiforms
• Cuboid
• Base of 5th metatarsal
• Metatarsals
• Phalanges
• Sesamoid bones
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Locate on Yourself!
Cuneiforms (5,6, & 7)
Navicular (3)
Cuboid (4)
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Tarsal DisplacementsNavicular:-Tends to INVERT; the plantar surface turns medially
Cuboid:-Tends to EVERT; the plantar surface turns laterally
Cuneiforms:-Tend to DEPRESS, thereby moving inferiorly
… thus flattening the arch of the foot
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The following techniques are the
sequential treatment for an
Ankle Sprain
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1. Lymph drainage
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2. Talus repositioning/Ankle decompression
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2. Talus repositioning/Ankle decompression
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3. Cuneiform Repositioning
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3. Cuneiform Repositioning
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4. Cuboid Repositioning
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4. Cuboid Reposition
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Ankle Injury Techniques
Lymph Drainage Ankle Decompression
Cuneiform
Reposition
Finger
placement
Cuboid
Reposition
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A foot
divided
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5. Plantar Adhesions
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6. Dorsal Adhesions
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7. Dorsal Cuneiform Adhesions
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8. 1st MP adhesions
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9. 1st MP abductions
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Ankle Techniques (5)
Plantar
adhesions Dorsal adhesions
Dorsal Cuneiform
ad
1st MP
decompression 1st MP Abduction