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Greetings!
Happy New Year!
We hope you all had a great holiday with family and friends. This month's newsletter emphasizes the function of the foot / ankle region. We are thankful to have Will H. Stewart, a 2008 GIFT Fellow, write an article on ankle sprains with a strategy to assist in the rehab-function. In addition, we have a special edition for the technique section; a live clip taken from the GIFT fellowship on assessment and treatment of the foot / ankle. For those wondering what Fellows learn, this is just a taste of what is taught throughout the fellowship.
In part two of the newsletter, (released later this month) we will review and discuss pertinent research and, of course, answer any of your questions.
Please email your questions this month by January 22nd to lparracino@grayinstitute.com.
Thank you and we look forward to another exciting year!
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Featured Article
ANKLE SPRAINS:
The Good, The Bad and The Ugly
Will H. Stewart II, FAFS, CMT
Fellow of Applied Functional Science
The Scene: 1996 Summer Olympics
Atlanta, Georgia USA
The Event: Womens Gymnastics
The Apparatus: The Vault
The Athlete: Kerri Strug
This should start ringing a few bells. The US team needed a score of 9.493 to win the gold medal for the US. Her first attempt received a score of 9.162. It was erroneously thought not to be enough. To make matters worse, she had under-rotated her first fault and injured her ankle, and because of the miscalculations, her coach told her she needed to do it again.
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Technique(s)
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 We have a special treat this month, Gary Gray PT takes us through a process with a patient from start to finish during a session.
Although this clip is 28 minutes long, it's worth your time!
If more information is desired, please refer to the Functional Video Digest Series;
THE FOOT: Our Foundation
ANKLE SPRAIN: Chain Reaction Rehab
FUNCTIONAL MANUAL REACTION:
The Foot / Ankle.
Also, you can send in your specific questions by January 22nd.
Enjoy!
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Research Roundtable
 Welcome to the research roundtable! This month our focus is on the foot / ankle complex with an emphasis on ankle sprains. Dr. Dave Tiberio and Gary Gray discuss the validity of functional testing; is it repeatable?, is it reliable? As Gary states "the most reliable thing in life is function" Although not a waste of time, artificial testing is unreliable to function We must ask ourselves, are we testing a test, or testing function?
For a thought provoking section please watch this clip where Dave and Gary discuss the above while sharing a clinical pearl about ankle sprains.
Enjoy! >VIEW VIDEO< |
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Questions / Answers |
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QUESTION 1: Thank you for these monthly emails, they are quite valuable and keep me fresh by offering different strategies for exercise and rehabilitation. In this month's lateral ankle sprain paper, Mr. Stewart discusses the MOI for lateral ankle sprains and then treatment techniques but I am having trouble understanding the biomechanics he describes. He indicates that when the foot hits the ground, the calcaneus goes into eversion and is slowed by the medial Deltoid ligament and the Peroneus Longus. How does the peroneus longus control (or slow down) the eversion of the calcaneus? I understand that other medial muscles (tibialis posterior, EDL, FHL) may control the eversion but have not heard about the lateral muscles controling the calcaneal eversion. Am I missing something? >VIEW ANSWER<
QUESTION 2: How do you guarantee that your strategies for rehabing an ankle sprain are being employed effectively and efficiently with the proper and progressive biomechanical sequence? Thank you for this great newsletter and for answering my question, Paul Bodenbach.
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