踝关节物理治疗19.8.pptxVIP

踝关节的物理治疗;;正面观;背面观;;;;;;;;;;;;距骨上面观;韧带前面观距腓前韧带极易扭伤;高位扭伤;韧带后侧观;;;;底面观Spring L2岁生长7-8岁成型;;;;足弓起点;;背屈跖屈;;旋前旋后;;胫前肌背屈/内翻;腓骨肌外翻/跖屈;胫后肌跖屈/内翻;;;活动度(mobility ):旋前(pronation) 足部需要有足夠的活动度來适应地面冲击和促进地面反作用力的吸收。 稳定性(stability): 旋后(supination) 足部需要适当的稳定性以用作刚性杠杆(rigid leveler)來有效的产生推进。;踝关节;;距下关节内旋/外旋;距下关节高度变化;1st Ray;1st Ray;Windlass mechanism;;;距下关节过度旋前扁平足;胫骨内旋膝外翻;足部过度旋前使胫骨内旋臀部和骨盆傾斜，导致脊柱扭转和弯曲;;;First, like the Leaning Tower of Pisa, with its unstable foundation, the metatarsal bone starts to lean sideways.;Second, the metatarsal bone often elevates up off the ground,?transferring exces