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Returning the Injured Athlete to Sports: Foot, Ankle, and Orthotics

presented by Robert Donatelli, PhD, PT

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Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Lumbar pelvic control and power in the hips and lower legs are essential for improvement in performance and the reduction of injures in the Athlete. The course will review the anatomy and mechanics of the foot and ankle that pertain to balance, stability, and power. Several different types of lower extremity dysfunctions, including Patella and Achilles tendopathy, shin splints, soleus syndrome, and abnormal foot mechanics will be presented. Foot orthotic intervention and prescription will be discussed in detail. Neuromuscular training and eccentric strengthening will be demonstrated in lab and developed into rehab protocols. Evidence based evaluation tools will be developed into and extensive assessment of muscle imbalance within the foot and ankle. Finally, implementation of rehabilitation programs individualized according to evaluative findings will be reviewed/discussed and demonstrated in case studies, utilizing the research based findings discovered through the course

Meet Your Instructor

Robert Donatelli, PhD, PT

From March of 2004 to August of 2004 Dr. Donatelli worked as a physical therapist on the PGA tour helping treat injuries sustained by the golf professionals. In addition, he has served as a Physical Therapy Consultant to the Montreal Expos, Philadelphia Phillies and Milwaukee Brewers Baseball Teams. Donatelli has lectured throughout the United States,…

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Chapters & Learning Objectives

1. Normal Mechanics of the Foot and Lower Extremity

Identify the three important movements that describe Triplanar closed kinetic chain pronation. Identify at what joint torque conversion occurs. Explain the Windlass mechanism, at what joint it occurs and when in the gait cycle. Identify how many body plan e movements involved in the torque conversion of the rotational forces of the lower kinetic chain.

2. Abnormal Foot Characteristics and Overuse Injuries

Explain the importance of pronation, how it is measured and in which direction. Identify the seven distinct tests of the foot and ankle that can assist the clinician in determining abnormal findings. Explain how to assess a rigid plantar flexed first metatarsal. Identify three overuse injuries of the lower leg caused by pronation of the subtalar joint occurring too long into the gait cycle.

3. Foot Orthotics

Explain three research findings of the effectiveness of foot orthotics. Identify possible causes of posterior medial pain within the lower one third of the tibia. Connect the relationship of the Peroneus Longus, the subtalar joint and the metatarsal joint. Recommend possible treatment approaches to improving the pulley mechanism of the cuboid-peroneus longus.

4. Case Study

Determine the mechanisms of over pronation of the rearfoot and the implications it has on the midfoot and forefoot mechanics. Identify the most effective treatment approach to increase the stability of the forefoot in the push-off phase of gait. Explain three key signs a therapist should look for to determine excessive pronation of the subtalar joint. Explain three key signs a therapist should look for to determine excessive supination of the subtalar joint. Explain three treatment approaches upon observing a calcaneal rock.

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