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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
Botulinum Toxin in the Management of Children with Cerebral Palsy.
Multani I, Manji J, Hastings-Ison T, Khot A, Graham K
Paediatr Drugs 2019 Aug;21(4):261-281. doi: 10.1007/s40272-019-00344-8. PMID: 31257556Free 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

Intensive physiotherapy versus home-based exercise and custom-made orthotic insoles in patients with plantar fasciitis: Pilot study.
Yildiz S, Sumer E, Zengin HY, Bek N
Foot (Edinb) 2022 May;51:101906. Epub 2022 Jan 7 doi: 10.1016/j.foot.2022.101906. PMID: 35255402
Foot kinematics and leg muscle activation patterns are altered in those with limited ankle dorsiflexion range of motion during incline walking.
Kwon Y, Shin G
Gait Posture 2022 Feb;92:315-320. Epub 2021 Dec 10 doi: 10.1016/j.gaitpost.2021.12.002. PMID: 34915402
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
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
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
A novel GJB1 frameshift mutation produces a transient CNS symptom of X-linked Charcot-Marie-Tooth disease.
Sakaguchi H, Yamashita S, Miura A, Hirahara T, Kimura E, Maeda Y, Terasaki T, Hirano T, Uchino M
J Neurol 2011 Feb;258(2):284-90. Epub 2010 Sep 21 doi: 10.1007/s00415-010-5752-8. PMID: 20857133
Arthroscopic arthroplasty of the ankle joint.
Cutsuries AM, Saltrick KR, Wagner J, Catanzariti AR
Clin Podiatr Med Surg 1994 Jul;11(3):449-67. PMID: 7954211

Therapy

Intensive physiotherapy versus home-based exercise and custom-made orthotic insoles in patients with plantar fasciitis: Pilot study.
Yildiz S, Sumer E, Zengin HY, Bek N
Foot (Edinb) 2022 May;51:101906. Epub 2022 Jan 7 doi: 10.1016/j.foot.2022.101906. PMID: 35255402
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
Acute Effects of Gastrocnemius/Soleus Self-Myofascial Release Versus Dynamic Stretching on Closed-Chain Dorsiflexion.
Somers K, Aune D, Horten A, Kim J, Rogers J
J Sport Rehabil 2020 Mar 1;29(3):287-293. doi: 10.1123/jsr.2018-0199. PMID: 30747565
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
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: 38812103Free PMC Article
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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