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All content in this area was uploaded by Rudi A Meir on Nov 30, 2016
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Content uploaded by Rudi A Meir
Author content
All content in this area was uploaded by Rudi A Meir on Nov 30, 2016
Content may be subject to copyright.
Content uploaded by Rudi A Meir
Author content
All content in this area was uploaded by Rudi A Meir on Nov 15, 2016
Content may be subject to copyright.
Email: rudi.meir@scu.edu.au
Web: http://www.scu.edu.au/schools/hahs
Does shank- to foot-length rao inuence knee-to-wall
ankle DROM performance?
Rudi Meir, Zachary Crowley-McHaan, John Whing and Sonja Coetzee
School of Health and Human Sciences, Southern Cross University, Lismore, New South Wales, Australia
AIM
The aim of this study was to
establish if a shank- to foot-
length rao had an inuence on
the knee-to-wall assessment
score.
INTRODUCTION
Ankle dorsiexion range of moon
(DROM) is oen assessed to
establish funconal ROM of this
joint. Ankle mobility is an
important factor in inuencing
performance during squang,
jumping and landing, movements
of daily living and balance (1-4). A
number of methods can be used
to assess ankle DROM. One such
method that is popular among
strength and condioning (S&C)
coaches is the knee-to-wall
assessment method, which
establishes a linear measure for
the distance of the foot away from
the wall during a weight bearing
lunge. However, such a measure
may be confounded by the relave
lengths of an individual’s foot and
shank. The aim of this study was
to establish if a shank- to foot-
length rao had an inuence on
the knee-to-wall assessment
score.
The Australian Strength and Condioning
Associaon:
2016 Internaonal Conference on Applied
Strength and Condioning
assessment of ankle DROM. Ankle
DROM was assessed using two
methods: i) knee-to-wall method;
ii) and standard extendable joint
goniometer. All measures were
taken by the same rater on one
test occasion. Measures were
taken twice on each ankle using
the two methods of assessment
with the rst measure on both test
occasions being the knee-to-wall
assessment (Figure 1). Aer
compleng a warm-up a single
All variables of interest were
normally distributed, therefore
Pearson correlaons were used. A
signicant posive correlaon was
found between foot and shank
length for both right (p <0.001,
r = .877) and le (p <0.001,
r = .880). No other signicant
correlaons were found between
all other variables (>0.05).
RESULTS
measure on the le ankle followed
by the right using the knee-to-wall
method was determined.
Measurements then alternated
between the le and right ankle.
Both ankles were then assessed
using the goniometer aer the
knee-to-wall assessment had been
completed.
Findings suggest that neither the
length of the foot, length of the
shank, nor their rao, had any
inuence on the knee-to-wall
assessment of ankle joint
exibility in the sample
analysed. It is reasonable to
conclude therefore, that the
knee-to-wall technique provides
valid informaon about ankle
joint DROM, an important factor
in a range of lower body
funconal movements. S&C
coaches can use this simple
ankle DROM assessment
method with greater condence.
Figure 1: Posion when performing weight-
bearing lunge for Knee-to-wall assessment with
goniometer landmarks also idened.
CONCLUSION
References
1. Myer GD, Kushner AM, Brent JL, et al. The Back Squat: A Proposed Assessment of
Funconal Decits and Technical Factors That Limit Performance. Strength Cond J. 2014;36
(6):4-27.
2. Menz HB, Morris ME, Lord SR. Foot and ankle characteriscs associated with impaired
balance and funconal ability in older people. J Gerontol A Biol Sci Med Sci. 2005;60
(12):1546-1552.
3. Bohannon RW, Tiberio D, Waters G. Moon measured from forefoot and hindfoot
landmarks during passive ankle dorsiexion range of moon. J Orthop Sport Phys. 1991;13
(1):20-22.
4. Whing JW, Steele JR, McGhee DE, Munro BJ. Dorsiexion capacity aects achilles tendon
loading during drop landings. Med Sci Sports Exerc. 2011;43(4):706-713.
Lateral femoral
condyle landmark
Lateral malleolus
landmark
METHOD
Table 1: Basic descripve measures of
anatomical segment lengths and rao.
*
**
Tibiale mediale-sphyrion biale distance
Tip of akropodion to the pternion
**
*
Parcipants (N = 15) had their foot
length (p of the akropodion i.e.
p of longest toes, to the pternion
i.e. most posterior point on the
calcaneus) and shank length
(biale mediale-sphyrion biale
score) determined prior to