Therapeutic goals
Reduction of pain and inflammatory processes in the tibialis anterior tendon.
Improved ankle mobility.
Strengthening of the tibialis anterior and the ankle stabiliser muscles.
Improved control of foot loading.
Correction of muscle imbalances in the lower limb.
Prevention of recurrence and a gradual return to sporting activities.
Techniques used
Pain-relieving physiotherapy modalities as indicated. Massage therapy and myofascial release of the anterior compartment of the leg. Soft tissue mobilisation of the tibialis anterior tendon.
Ankle joint mobilisations. Progressive stretching of the tibialis anterior. Triceps surae stretches. Fibular (peroneal) muscle stretches if needed.
Progressive strengthening of the stabiliser muscles: tibialis anterior, tibialis posterior, fibular muscles, triceps surae, intrinsic foot muscles. Eccentric work for the tibialis anterior.
Single-leg balance exercises. Work on wobble boards or proprioceptive cushions. Work on foot loading control during functional movements.
Progressive retraining in walking and then running, according to tolerance. Work on foot loading control and ankle stability. Advice on adjusting training load.
Exercise programme
- Ankle dorsiflexion against elastic band resistance
- Dorsiflexion while maintaining the foot arch
- Heel walking
- Controlled heel raises
- Foot inversion and eversion with an elastic band
- Short foot exercise
- Eccentric work for the tibialis anterior
Protocol details
Injury related to this protocol
Ce protocole de rééducation est spécifiquement conçu pour la prise en charge de tibialis anterior tendinopathy.
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