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Tibial internal rotation mobilisation with movement (MWMs)

27/1/2017

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​Tibial internal rotation passive range should be 20 degrees. 
o    Start in half kneeling. 
o    Grasp the proximal tibia with both hands. 
o    Rotate the tibia/ankle/foot internally as much as possible. 
o    Maintain rotation by hand, then lunge forward over the ankle such that the knee flexes whilst maintaining internal rotation. 
o    Ensure the knee tracks lateral to the foot.
o    Remember to diaphragmatically breathe at end range of motion. 

o    Apply a hot pack, or 5-6 minute warm up, prior to mobilisation and perform a “Towel-rolled fulcrum for quadruped rock to assist knee flexion” exercise.

Implications: 

o    Tibial internal rotation is normally at least 20 degrees. It is necessary for handling change of direction, adjusting to uneven surfaces and coupled with dorsiflexion and knee flexion in swing phase of running.

Tibial rotation, mobility, functional exercise

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  • Home
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  • Masterclasses
    • Masterclass Summit 2020
    • Masterclass Bundle 1
    • The 3 Unstoppable Ways to Get Your Ideal Career In Sport
    • Scott Hopson: Stress & Expression
    • How to implement a movement philosophy approach in a first division professional soccer team. A real case scenario with 3 years follow up
    • Max Velocity Training For Physios
    • Re-Designing Your Warm-Up To Increase Effectiveness Through Co-Operative Strength And Physical Therapy
    • Neuromobilisation for recovery
    • How Strong Is Strong Enough?
    • Clinical reasoning stems disruptive innovation - “Change or be changed"
    • Alternative Physiotherapy Strategies For Calf Injuries
    • Advanced Palpation Masterclass
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  • Sports Physiotherapy
    • Telehealth Sports & Spinal Physiotherapy Consultations
    • Fees and Conditions
    • Pre-Physio Questionnaire
    • Covid19 Checklist
  • Articles
  • About
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  • Video Drills
  • Appearing on these podcasts
  • Exercise Tubing Program