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Limited ankle dorsiflexion

MedGen UID:
1787042
•Concept ID:
C5539659
•
Finding
Synonym: Tight heel cords
 
HPO: HP:0033526

Definition

Reduced ability to move the foot up toward the shin. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVLimited ankle dorsiflexion

Professional guidelines

PubMed

Diagnosis and Treatment of Chronic Lateral Ankle Instability: Review of Our Biomechanical Evidence.
Chang SH, Morris BL, Saengsin J, Tourné Y, Guillo S, Guss D, DiGiovanni CW
J Am Acad Orthop Surg 2021 Jan 1;29(1):3-16. doi: 10.5435/JAAOS-D-20-00145. PMID: 33347006
Physical exercise training interventions for children and young adults during and after treatment for childhood cancer.
Braam KI, van der Torre P, Takken T, Veening MA, van Dulmen-den Broeder E, Kaspers GJ
Cochrane Database Syst Rev 2016 Mar 31;3(3):CD008796. doi: 10.1002/14651858.CD008796.pub3. PMID: 27030386Free PMC Article
Diagnosis and treatment of plantar fasciitis.
Goff JD, Crawford R
Am Fam Physician 2011 Sep 15;84(6):676-82. PMID: 21916393

Recent clinical studies

Etiology

Plantar Fasciitis.
Trojian T, Tucker AK
Am Fam Physician 2019 Jun 15;99(12):744-750. PMID: 31194492
Association between ankle equinus and plantar pressures in people with diabetes. A systematic review and meta-analysis.
Searle A, Spink MJ, Ho A, Chuter VH
Clin Biomech (Bristol, Avon) 2017 Mar;43:8-14. Epub 2017 Jan 31 doi: 10.1016/j.clinbiomech.2017.01.021. PMID: 28167343
Ankle-Dorsiflexion Range of Motion After Ankle Self-Stretching Using a Strap.
Jeon IC, Kwon OY, Yi CH, Cynn HS, Hwang UJ
J Athl Train 2015 Dec;50(12):1226-32. Epub 2015 Dec 3 doi: 10.4085/1062-6050-51.1.01. PMID: 26633750Free PMC Article
Fifteen-minute consultation: A child with toe walking.
Sivaramakrishnan S, Seal A
Arch Dis Child Educ Pract Ed 2015 Oct;100(5):238-41. Epub 2015 Apr 8 doi: 10.1136/archdischild-2014-307852. PMID: 25855215
Risk factors for Plantar fasciitis: a matched case-control study.
Riddle DL, Pulisic M, Pidcoe P, Johnson RE
J Bone Joint Surg Am 2003 May;85(5):872-7. doi: 10.2106/00004623-200305000-00015. PMID: 12728038

Diagnosis

Plantar Fasciitis.
Trojian T, Tucker AK
Am Fam Physician 2019 Jun 15;99(12):744-750. PMID: 31194492
A pilot investigation into the relationship between static diagnosis of ankle equinus and dynamic ankle and foot dorsiflexion during stance phase of gait: Time to revisit theory?
Gatt A, De Giorgio S, Chockalingam N, Formosa C
Foot (Edinb) 2017 Mar;30:47-52. Epub 2017 Feb 6 doi: 10.1016/j.foot.2017.01.002. PMID: 28259030
Utility of the Overhead Squat and Forward Arm Squat in Screening for Limited Ankle Dorsiflexion.
Rabin A, Kozol Z
J Strength Cond Res 2017 May;31(5):1251-1258. doi: 10.1519/JSC.0000000000001580. PMID: 27465627
Fifteen-minute consultation: A child with toe walking.
Sivaramakrishnan S, Seal A
Arch Dis Child Educ Pract Ed 2015 Oct;100(5):238-41. Epub 2015 Apr 8 doi: 10.1136/archdischild-2014-307852. PMID: 25855215
Limited ankle dorsiflexion: a predisposing factor to Morbus Osgood Schlatter?
Sarcević Z
Knee Surg Sports Traumatol Arthrosc 2008 Aug;16(8):726-8. Epub 2008 May 16 doi: 10.1007/s00167-008-0529-7. PMID: 18483807

Therapy

Comparative effects of different manual techniques on electromyography activity, kinematics, and muscle force in limited ankle dorsiflexion syndrome.
Lee J, Park C, Cha Y, You JSH
J Back Musculoskelet Rehabil 2021;34(6):1105-1112. doi: 10.3233/BMR-200257. PMID: 34057133
Calf muscle stretching is ineffective in increasing ankle range of motion or reducing plantar pressures in people with diabetes and ankle equinus: A randomised controlled trial.
Searle A, Spink MJ, Oldmeadow C, Chiu S, Chuter VH
Clin Biomech (Bristol, Avon) 2019 Oct;69:52-57. Epub 2019 Jul 5 doi: 10.1016/j.clinbiomech.2019.07.005. PMID: 31302489
Ankle-Dorsiflexion Range of Motion After Ankle Self-Stretching Using a Strap.
Jeon IC, Kwon OY, Yi CH, Cynn HS, Hwang UJ
J Athl Train 2015 Dec;50(12):1226-32. Epub 2015 Dec 3 doi: 10.4085/1062-6050-51.1.01. PMID: 26633750Free PMC Article
Subtalar joint position during gastrocnemius stretching and ankle dorsiflexion range of motion.
Johanson M, Baer J, Hovermale H, Phouthavong P
J Athl Train 2008 Apr-Jun;43(2):172-8. doi: 10.4085/1062-6050-43.2.172. PMID: 18345342Free PMC Article
Risk factors for Plantar fasciitis: a matched case-control study.
Riddle DL, Pulisic M, Pidcoe P, Johnson RE
J Bone Joint Surg Am 2003 May;85(5):872-7. doi: 10.2106/00004623-200305000-00015. PMID: 12728038

Prognosis

Physical Examination Variables Predict Response to Conservative Treatment of Nonchronic Plantar Fasciitis: Secondary Analysis of a Randomized, Placebo-Controlled Footwear Study.
Wrobel JS, Fleischer AE, Matzkin-Bridger J, Fascione J, Crews RT, Bruning N, Jarrett B
PM R 2016 May;8(5):436-44. Epub 2015 Sep 25 doi: 10.1016/j.pmrj.2015.09.011. PMID: 26409199Free PMC Article
Immediate combined effect of gastrocnemius stretching and sustained talocrural joint mobilization in individuals with limited ankle dorsiflexion: A randomized controlled trial.
Kang MH, Oh JS, Kwon OY, Weon JH, An DH, Yoo WG
Man Ther 2015 Dec;20(6):827-34. Epub 2015 Apr 2 doi: 10.1016/j.math.2015.03.016. PMID: 25907146
Fibro-adipose vascular anomaly: clinical-radiologic-pathologic features of a newly delineated disorder of the extremity.
Alomari AI, Spencer SA, Arnold RW, Chaudry G, Kasser JR, Burrows PE, Govender P, Padua HM, Dillon B, Upton J, Taghinia AH, Fishman SJ, Mulliken JB, Fevurly RD, Greene AK, Landrigan-Ossar M, Paltiel HJ, Trenor CC 3rd, Kozakewich HP
J Pediatr Orthop 2014 Jan;34(1):109-17. doi: 10.1097/BPO.0b013e3182a1f0b8. PMID: 24322574
Effect of Achilles tendon lengthening on neuropathic plantar ulcers. A randomized clinical trial.
Mueller MJ, Sinacore DR, Hastings MK, Strube MJ, Johnson JE
J Bone Joint Surg Am 2003 Aug;85(8):1436-45. PMID: 12925622

Clinical prediction guides

The relationship of peak ankle dorsiflexion angle with lower extremity biomechanics during walking.
Gao T, Ma Z, Yang N, Zhang S, Shi H, Zhang H, Ren S, Huang H
J Foot Ankle Res 2024 Jun;17(2):e12027. doi: 10.1002/jfa2.12027. PMID: 38812103
Comparison of the efficacy of posterior-anterior screws, anterior-posterior screws and a posterior-anterior plate in the fixation of posterior malleolar fractures with a fragment size of ≥ 15 and < 15.
Wang Z, Sun J, Yan J, Gao P, Zhang H, Yang Y, Jin Q
BMC Musculoskelet Disord 2020 Aug 22;21(1):570. doi: 10.1186/s12891-020-03594-7. PMID: 32828121Free PMC Article
Validity and Reliability of the Achillometer(®): An Ankle Dorsiflexion Measurement Device.
Kleeblad LJ, van Bemmel AF, Sierevelt IN, Zuiderbaan HA, Vergroesen DA
J Foot Ankle Surg 2016 Jul-Aug;55(4):688-92. Epub 2016 Jan 29 doi: 10.1053/j.jfas.2015.11.006. PMID: 26830445
Immediate combined effect of gastrocnemius stretching and sustained talocrural joint mobilization in individuals with limited ankle dorsiflexion: A randomized controlled trial.
Kang MH, Oh JS, Kwon OY, Weon JH, An DH, Yoo WG
Man Ther 2015 Dec;20(6):827-34. Epub 2015 Apr 2 doi: 10.1016/j.math.2015.03.016. PMID: 25907146
Changes in kinetic, kinematic, and temporal parameters of walking in people with limited ankle dorsiflexion: pre-post application of modified mobilization with movement using talus glide taping.
Yoon JY, Hwang YI, An DH, Oh JS
J Manipulative Physiol Ther 2014 Jun;37(5):320-5. doi: 10.1016/j.jmpt.2014.01.007. PMID: 24928640

Recent systematic reviews

Association between ankle equinus and plantar pressures in people with diabetes. A systematic review and meta-analysis.
Searle A, Spink MJ, Ho A, Chuter VH
Clin Biomech (Bristol, Avon) 2017 Mar;43:8-14. Epub 2017 Jan 31 doi: 10.1016/j.clinbiomech.2017.01.021. PMID: 28167343

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