Evaluating For Equinus - Field Guide

Evaluating For Equinus - Field Guide

November 18, 2020

Recent studies recommend a supinated foot position as a more reliable foot position for measuring the clinical ankle joint range of motion and propose it as a potential standard.

A New Paradigm. A New Definition.

Current literature shows that "subjects with less than - 5 degrees of dorsiflexion during static examination did exhibit reduced ankle range of motion during gait."

An Updated Field Guild Guide: Goniometer

  1. Use your thumb and index finger to stabilize the vertical arm along the bisection of the fibula. Align the horizontal arm parallel with the bottom of the foot (weight-bearing surface)
  2. Supinated the whole foot while maintaining goniometer alignment

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What to Document

  • DF with the knee extended (foot supinated)
  • DR with the knee flexed (foot supinated)
  • The total range of motion - plantarflexion/dorsiflexion (not supinated)

Video Guide

 

References
Gatt, Alfred, et al. "A pilot investigation into the relationship between static diagnosis of ankle equinus and dynamic ankle and foot dorsiflexion during stance phase of gait: Time to revisit theory?" 'The Foot 30 (2017):47-52.

Dayton, Paul, et al. "Experimental comparison of the clinical measurement of ankle joint dorsiflexion and radiographic Tibiotalar position." The Journal of Foot and Ankle Surgery 56.5 (2017): 1036-1040.

Read more: How To Use The Equinus Brace

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We discuss how our nonsurgical equinus treatment is helping customers regain mobility, increase functionality, and decrease pain.
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