Physical Therapy Techniques for Ankle and Shoulder Mobility

Ankle Fracture and Joint Mobilization

• To restore motion required for normal plantarflexion after a right ankle fracture, the PT should perform an anterior glide of the talus.

Shoulder Joint Mobilization

• During medial rotation at the shoulder joint (GH joint), the humerus will slide posteriorly.
• To improve limited wrist extension, the PT can use an anterior glide.

Shoulder Pain and Joint Mobilization

• For a patient with painful ROM in flexion movement during range of motion examination of the shoulder, the most appropriate joint mobilization technique is small amplitude oscillations into tissue resistance up to the limit of available motion in an anterior direction.

Iliac Spine Alignment and Interventions

• If the PSIS is low on the left and the ASIS is high on the left, interventions should include strengthening the right hip flexors to correct right anterior rotated innominate.

Hip Drop and Nerve Injury

• A drop of the left hip during right midstance is likely caused by injury to the right superior gluteal nerve.

Treatment for Hip Drop

• The most appropriate treatment for left hip drop during midstance is to strengthen the gluteus medius muscle, which can be achieved by standing on the right leg and abducting the left leg.

Exercise for Hip Drop

• Isometric right abductor strengthening in a supine position is an appropriate exercise to address left hip drop during midstance.

Muscle Function During Gait

• The three hamstring muscles contract eccentrically during the terminal swing phase of the gait cycle.