Weight Bearing Lunge Test (Wall Test) for Ankle Dorsiflexion Restriction

Introduction

• Purpose: Assess ankle dorsiflexion restriction or stiffness.
• Usage: Continuous assessment of ankle dorsiflexion.

Techniques for Assessment

• Variations:
  • Front limb or back limb assessment during the lunge.
  • Use of inclinometer or tape measure.
• Reliability: No significant differences between measurement techniques (Paul Nadal, 2015).

Importance of Ankle Dorsiflexion

• Conditions linked to limited dorsiflexion:
  • Patellofemoral pain syndrome.
  • Overpronation (potentially causing plantar fasciitis).
• Normal Range: 5 inches (12.5 cm); use one hand width as a rule of thumb.

Wall Distance Technique (Using Tape Measure)

1. Patient touches wall with knee while keeping foot flat.
2. Measure distance between wall and big toe.
3. Repeat steps, increasing distance each time, ensuring knee touches wall with foot planted.
4. Anterior Pinching Sensation: Indicates joint limitation; mobilizations suggested.
5. Soft Tissue Restriction: Target calf through stretching or foam rolling to improve mobility.

Assessing Progress

• Required Change: 1.9 cm change necessary to be free of measurement error.

Conclusion

• Check out videos on:
  • Ankle joint play.
  • Ankle assessment playlist.
• Engage on social media.
• Subscribe for more content.

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Additional Resources:

• Link to ankle joint play video.
• Ankle assessment playlist.

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