. Ankle kinesiology ⁡ 🔸腳踝受傷跟過度DF or PF的關係 ⁡ - 過度DF（重重落地etc）會讓mortise向外，使很多collateral ligament受傷。而這種創傷性的mortise變寬也會讓distal tibiofibular joint ligament和interosseous membrane受傷，所謂的High ankle or syndesmotic sprain ⁡ - 過度PF（loose-packed of talocrural joint）相對的collateral ligament處在放鬆狀態，talocrural joint就在一個不穩的位置。而今天落地過度PF且有大重量下，常因為不穩而很容易傷到外側韌帶（PF通常會伴隨出現inversion） ⁡ ⁡ 🔸Subtalar joint跟transverse tarsal joint關係 - 除了控制rear foot，Subtalar joint也會去影響遠端關節的穩定（特別是transverse tarsal joint） ⁡ ✔️ Full inversion讓外側midfoot相對內側是下降，進而增加關節的rigidity ⁡ ✔️ Full eversion, 讓內外側midfoot處在相對平行，進而增加關節的flexibility ⁡ ⁡ 🔸Foot Orthosis - 確實wedge可以改變下肢力學，但更要注重pronation的eccentric control ⁡ ⁡ 🔸Chronic ankle instability - 大多會感覺到Giving way，且有高風險產生OA。感覺受器受損平衡、本體覺差。 ⁡ - 在步態中還可以發現進入stance phase會多inverted 6-7度 （無法感知腳的位置而導致肌肉delay，容易再次受傷） ⁡ - 平均來說有CAI的人，distal fibula比較往前跑，進而改變了下肢力學。 ⁡ ⁡ 📚 Reference Donald A. Neumann (2009) Kinesiology of the musculoskeletal system 2nd edit. pp. 573-623 Mostby

呢排經常有學生、隊友、客人打籃球拗柴，呢篇文章好值得分享，有一啲拗完柴可以做既 Rehab，就算無受傷都可以做預防👍 強化腳腕肌肉🤙🏾 運動員受傷真係好難避免，預防勝於治療⭐️ 如果做足哂都受傷果啲就無計🤫 Posted @withregram • @rehabscience 💥𝐀𝐧𝐤𝐥𝐞 𝐒𝐩𝐫𝐚𝐢𝐧💥 ——— 📚Ankle sprains are one of the most common orthopedic conditions and can lead to long-term impairments including ongoing pain, stiffness and gait abnormalities in as many as 72% of individuals. Furthermore, nearly 80% of those individuals who suffer a sprain are likely to experience reinjury. - 🔎Low ankle sprains can subdivided into inversion and eversion types with inversion sprains accounting for approximately 80% of cases. - 🧠A number of studies have demonstrated the positive effects of exercise for treating ankle sprains including drills that target proprioception, neuromuscular control and strength. - ✅Give the following exercises a try and let me know if you have any questions. In general, I would aim to complete 2-3 sets of 8-15 reps of each movement 3-4x/week. . 1️⃣Banded Ankle Dorsiflexion 2️⃣Banded Inversion 3️⃣Banded Eversion 4️⃣DynaDisc Balance 5️⃣Bosu Balance 6️⃣Solei Tip Toe Walk 7️⃣Star Reaches 8️⃣Single-Leg Squat •••••••••• 📊Robroy M, et al. Ankle Stability and Movement Coordination Impairments: Ankle Ligament Sprains. Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Orthopaedic Section of the American Physical Therapy Association. 2013. . #RehabScience

💥副舟狀骨 “物理治療運動”
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這位病患因為打籃球腳踝扭傷，照過X光後發現舟狀骨跟副舟狀骨分離，骨科醫師吩咐要打石膏兩個月，等待骨頭癒合。兩個月過去了，這位病患的右下肢肌肉萎縮，平衡感、本體感覺受影響，害怕再做蹲、跳的動作。 - 這正是物理治療介入的好時機，現在來分享我為這病患設計的運動處方: 1️⃣ 彈力帶腳踝內翻運動(Banded Forefoot Pronation) 請病患踩在彈力帶上，彈力帶較寬的部分包裹在前足的外側。病患用力拉緊彈力帶的另一端，彈力帶的張力自然讓前足呈現外翻的動作。這時候要病患腳跟踩穩，前足做岀內翻的動作 2️⃣ 前足墊高單腳硬舉( Eversion-wedge Single Leg RDL) 請病患踩在前足外側踩在軟墊上，前足往下壓。對側手拿啞鈴，同時間做單腳硬舉的動作 ✅以上兩個動作都是訓練脛後肌的運動，增加足弓的穩定。運動有分難易度，如果不確定以上兩個運動可不可以做，在下面留言，或詢問你的物理治療師 - 請篇發文對你有幫助嗎？ 幫我分享 按讚 收藏❤️❤️ . #jamesthephysio signing out #physicaltherapy #physiotherapy #rehab #dpt #prehab #physio #exercises #workout #strengthandconditioning #functionaltraining #personaltraining #injuryprevention #fisio #fisioterapeutas#fitness #fisio #fisioterapeutas #navicular #osnavicularum #anklepain #物理治療 #運動醫學 #舟狀骨 #傷害預防 #腳踝扭傷