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Dorsiflexion Debate | Boddicker Performance

Filed under: Testing and Evaluation

Dorsiflexion Debate

by on Feb 23rd, 2010

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This weekend I drove myself down to Phoenix to talk shop with Don Miller and Patrick Ward and cover the finer points of evaluation and treatment of the foot and ankle complex.  While I plan to share with you a lot of great points I picked up, I first wanted to share with you one topic that caused a bit of debate among the group–measuring dorsiflexion via goniometer.

As it was consensus that we really don’t care how strong the tibialis anterior is in producing dorsiflexion and that we also aren’t seeing how far we can force the joint into dorsiflexion, we chose to evaluate dorsiflexion ROM in a closed chain, half kneeling activity.  See below.

The point of contention arose, however, as are we to measure dorsiflexion excursion relative the the ground or relative too the tibia?

In some testing we decided that it may be possible to do it either way so long as you are consistent in your measurement.

In the comments, tell me how you measure with the goniometer and why!

Best regards,
Carson Boddicker

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Leave a Comment »1 Comment
  • SportSpinePT (Andy) February 23, 2010

    You guys could have debated all day and not come to a consensus. A quick review of the literature gives numerous reliable options for both open and closed chain measurements with the knee flexed and extended. I guess the key is consistency, as well as looking at what your client/patient needs to do functionally and decide what is best. Personally, I try to not get too hung up on the raw numbers and rather look at symmetry and how a restriction may be affecting function (gait, golf swing, or whatever).

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