Introduction: Motor Control Therapy for the Foot and Ankle: Dynamic Integration and Regional Relationships -- A Lecture (11:43)
Physical Therapist Gordon Browne, GCEP, introduces movement facilitation for the ankle; the focus here will be patterns of movement and posture. Pattern specificity is creating an exercise that is close to the target motor behavior.
Pattern-Specific Movements (17:06)
Browne demonstrates global and differentiated movement patterns to illustrate regional interdependence. Brown's objective is to teach students how to create patterns of movement that retrain dysfunctional patterns.
Lab: Medial Lateral Balance (78:08)
Students observe the regional interdependence between the foot, knee, pelvis and hip. Browne demonstrates how knee position affects ankle position and foot balance. The optimal foot position for balance is a "tripod foot."
Lab: Depronating the Foot; Ankle and Mid-Foot Mobility;Testing Ligament Integrity (15:47)
Brown shows how to diagnose and treat knee valgus with pronated feet. The objective is to create exercises that "wire" the appropriate muscles together and "dewire" the inappropriate muscles. Students learn to gauge ankle mobility prior to setting up a kinematic linkage.
Principles of Optimal Movement (11:50)
Brown explains how four principles of movement aid physical therapists to diagnose and treat patients. Joint instabilities, tissue breakdown, and ligament overstretching have their foundation in inappropriate distribution of muscle use.
Lab: Ankle Stability and Pronation Control (48:11)
Brown demonstrates teaching patients how to stabilize their unstable ankle. He covers techniques for patients just getting out of a cast, and training patients what a "tripod foot" feels like. A therapist's focus is on mobilizing the hip while centering and stabilizing the foot.
Lab: Tripod Foot and Hip Flexion (40:58)
Brown shows how motor control around the hips and gluteus muscles create the balance for stability of the foot. The students learn methods to teach patients to rotate their hips and knees to find the center of their feet.
Lab: Tripod Foot and Hip Extension (41:02)
Brown answers student questions. The students learn specific adaptations to impose demand on a tissue. Brown and a volunteer demonstrate the impact of glute activation and external rotation on tripod foot positioning.
Lab One Summary (06:55)
Brown reviews lab concepts relating to balance and answers student questions. Hip flexors, quadriceps, hamstrings, and adductors are fascial planes that are remodeled over time.
Lab: Foot and Ankle Balance (12:07)
Students find their center of balance. Brown manually assists a volunteer to help demonstrate how to locate proper, stable foot positioning. Students practice manipulating one another's foot to find the proper center of balance.
Lab: Pelvic Force Couple Kit-Gait (16:11)
Oppositional forces moving in opposite directions create a common effect in the middle as seen with abductors and adductors. Brown reviews movements that use force coupling and explores gait patterns.
Lab: Pelvic Force Couple Kit- Pelvis (33:08)
Brown guides students through pelvic force coupling exercises to teach proper pelvic movements to improve patient hip stability and motor control.
Dynamic Integration (08:52)
Static integration principles state that limbs move relative to the torso or pelvis that do not move. Brown reviews core, neck, and limb stability in terms of principles of optimal movement.
Content Review Part One (08:07)
Characteristics of optimization movement include pattern specificity, reciprocating movements, applications of constraints, change of venue, and application to functional context.
Force Coupling Demonstrations (18:31)
Brown guides a volunteer through alternating three-dimensional movements around the hip to demonstrate force coupling movements and center of balance. Students practice pelvic extension and flexion. Brown runs through end-game drills to combine all of the concepts from the course.
Content Review Part Two (06:08)
Brown answers student questions about course content and future courses. The course evaluation and quiz are reviewed.
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