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An Evidenced-Based Approach to Ankle Rehabilitation: A Hip Check

An Evidenced-Based Approach to Ankle Rehabilitation: A Hip Check. Presented at the St. Louis NATA symposium by Karen Webster, PhD, ATC Edited by Rose Snyder, MS, AT, ATC, CSCS, NASM-PES. Introduction. What will be discussed. Mechanism: (Generally) a failure to stabilize when ….

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An Evidenced-Based Approach to Ankle Rehabilitation: A Hip Check

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  1. An Evidenced-Based Approach to Ankle Rehabilitation: A Hip Check Presented at the St. Louis NATA symposium by Karen Webster, PhD, ATC Edited by Rose Snyder, MS, AT, ATC, CSCS, NASM-PES

  2. Introduction What will be discussed

  3. Mechanism: (Generally) a failure to stabilize when … • Landing from a hop (jump) or • Changing direction (lateral shift)

  4. Instability Are we too good at getting the athlete back?

  5. Elements which can lead to CAI

  6. Ankle ROM CAUSE - Insufficient dorsiflexion RESULT - Compensation through hip & back

  7. “The fix” Manual Therapy

  8. Dynamic postural control

  9. People with CAI cannot stabilize as quickly Why?

  10. Look at the hip

  11. It’s About the glutes

  12. Lack of hip control = Increased injury potential

  13. What if strength is there?

  14. Changes in firing patterns

  15. Are these changes good, bad, protective?

  16. Rehab

  17. Specific Exercises: • Exercises should also provide: • A balance challenge • A positional challenge • A gluteal strength stimulus • For adequate (necessary) ROM • Exercises should be: • Patient-oriented • Functional • Challenging • Controlled

  18. OUTCOMES

  19. QUESTIONS

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