Rehab4Performance Profile picture
Jan 22, 2023 12 tweets 5 min read Read on X
Mid-foot bone stress injuries can be tricky to manage.

People often make the mistake of treating them as an ankle injury.

To achieve successful outcomes it is vital to challenge the foot and be progressive through an isolate then integrate approach.

🧵on our rationale 1/11
Footballer - Midfoot bone stress injury.

Video 1: Peroneus brevis.

In plantarflexed positions peroneus brevis produces ankle eversion prior to heel strike.
Video 2: Peroneus longus.

Stabilises the 1st ray and transverse arch during full weight bearing.
Video 3: FHL

FHL strength has correlated with CoD speeds and agility tests.

The 1st MTPJ has to withstand relatively large dorsiflexion moments during running / jumping.

Withstanding medial column load is key following this injury.
Video 4: Short foot anti inversion.

EMG suggests that foot intrinsics reduce stress at the medial longitudinal arch.
Video 5: FHL / intrinsics

Focus on controlling the medial longitudinal arch / hindfoot during toe-off.
Video 6: Plate raises

Tibialis anterior strengthening with overall robustness of the foot / ankle as the aim, whilst also having anecdotal benefits for improving calf strength.
Video 7: Standing plantar push

Replicating the demands of running stance phase.

Although holding isometrics may better replicate running demands, pushing isometrics allow the individual to self-select the intensity, which is helpful during early reloading of bone stress.
Video 8 Impact loading 1

Static loads even with high stress/strain do not initiate osteogenesis.

High impact exercises producing a larger rate of bone matrix deformation are most effective.
Videos 9: Impact loading 2

Static loads even with high stress/strain do not initiate osteogenesis.

High impact exercises producing a larger rate of bone matrix deformation are most effective.
We believe in a Physiotherapy which combines clinical assessment with targeted manual therapy & clinically reasoned progressive overload.

The gym is an extension of the treatment room for the delivery of bespoke rehabilitation programs matched to pathology and future tasks.
Follow us for more rehabilitation tips and inspirational patient journeys.

Save this thread for help with midfoot injuries.

R4P LIVERPOOL - BETTER EVERYDAY

#bonestressinjury #footinjury #physiotherapy #rehabilitation

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Rehab4Performance

Rehab4Performance Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @R4P_UK

Jan 20, 2023
Our patient @_ryleefoster was involved in big car accident in 2021. She broke her neck and suffered multiple other injuries.

She is a professional goalkeeper at @LiverpoolFCW and the target is to get back playing.

This is her last year just out of the Halo neck device

🧵 1/11 Image
And this is her now…check out the neck bulk 🤩!!

We have focussed on building neck strength after she suffered a life threatening injury and lost so much muscle after being immobilised in the Halo brace…

How did we do it?

Why is it needed? Image
The main reason it is needed beyond general life is that Rylee wants to get back to the demands of her job…she is a goalkeeper and will need to dive again with safety and confidence …

Yesterday was her first “dive” since before the accident…a huge moment in her rehab!!
Read 12 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(