Talar Mobilisation Technique

Objectives:

• Assess RoM of Talus within the ankle mortise
• Release connective tissue restrictions affecting the ankle joint
• Stimulate synovial fluid production within the ankle joint
• Stimulate afferent inputs to the CNS for elevating proprioceptive functions

Set up:        

• Patient position - seated with heel resting on the treatment table
• Practitioner position - distal to the patient's leg
• Medial thumb - on the medial Talar neck
• Lateral thumb - on the lateral Talar neck
• Both thumbs should be adjacent to each other
• Surface Anatomy Tips - confirm contact is on the Talus and not the Tibia

Action:

• Load the Talus to the end passive limit in the horizontal plane
• Force Application - 3-5 kgs (but must be tolerable by patient)
• Direction of Mobilisation - postero > lateral rotations at 1.5 seconds per rotation
• Repetitions - 6 rotations (to take at least 8-9 seconds) 
• Repeat rotation set 3x (for a total treatment time of 30 seconds)

Ted's Tips and Rookie Mistakes to Avoid:

All are revealed in the video.