AIM:
To prevent loss of the ankle dorsiflexion range using low load prolonged stretch
Rationale:
A low load prolonged stretch is used to prevent loss of range of movement (in persons at risk) or reverse loss of range of movement of ankle dorsiflexion.
Equipment:
- Wedge
- Chair
Key Points:
- Patient is positioned in standing on a wedge, back against the wall, with feet shoulder-width apart, toes pointing forward, trunk, hips and knees extended
- Ensure patient’s heels remain in contact with the wedge during the stretch
- Ensure patient bears weight through both feet
- Therapist is positioned to the side of the patient and provides assistance to step onto wedge if necessary
- A chair may be placed on the patient’s intact side, for support (if necessary)
Common Errors:
- Angle of wedge is excessive, so that the position is not comfortable for the patient
- Patient moves out of the position
Progression and Variety:
- Not applicable