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

27. OUTCOMES

28. QUESTIONS