Training Program for the Tibialis Posterior Muscle
Transcription
Training Program for the Tibialis Posterior Muscle
Exercise 1 2 3 4 Comments Week Week 10: Day 1 Day 2 Day 3 Training Program for the Tibialis Day 4 Posterior Muscle Day 5 Day 6 Day 7 Week 11: Day 1 Sabrina Jayne Charlesworth Day 2 Stine Magistad Johansen Day 3 Day 4 Day 5 Day 6 Day 7 Week 12: Day 1 Day 2 Day 3 Day 4 Hogeschool van Amsterdam Amsterdam School of Health Professions Day 5 European School of Physiotherapy Day 6 Tafelbergweg 51 1105 BD Amsterdam Day 7 The Netherlands 12 Introduction This booklet contains the 4 exercises you have been asked to carry out whilst taking part in the study. The exercises will be carried out once a day for 12 weeks. Please complete the exercises in the order they are displayed in this booklet. Every 4 weeks the exercise will be adjusted and exercise check-ups will be scheduled with your assessor after weeks 1, 3, 6 and 10. Exercise 1 2 3 4 Comments Week Week 7: Day 1 Day 2 Day 3 Day 4 Day 5 Accompanying this leaflet is an exercise diary for you to fill in daily after completing all 4 exercises. Day 6 Day 7 Week 8: Day 1 Day 2 Day 3 Day 4 Day 5 If you have any problems with the exercises described in this booklet then please contact your assessor. Day 6 Day 7 Week 9: Day 1 Day 2 Day 3 Day 4 Contact: Day 5 Sabrina Jayne Charlesworth: [email protected] Day 6 Stine Magistad Johansen: [email protected] Day 7 2 11 1. Unilateral Balance Exercise 1 2 3 4 Comments Week Week 4: 1. Stand on one foot and raise your arch whilst maintaining balance 2. Do not use the wall for balance or support Day 1 Day 2 3. Keep your knee slightly bent and over the toes throughout the exercise 4. The picture on the right shows the wrong knee position Day 3 Day 4 Day 5 Day 6 Day 7 Week 5: 1. Raise arch whilst balancing 4. Wrong knee positioning Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Week 6: Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 10 3 2. Closed Chain Resisted Foot Adduction 1. Sit with knees at a forearm’s length apart and bent to approximately 80°, with feet on the ground 2. Stabilise your leg by placing the opposite hand between the knees and reinforcing it with the same hand as the foot being exercised Training Diary Exercise 2 3 4 Comments Week Week 1: Day 1 Day 2 3. Loop a green Thera-Band® around your foot and stretch it sideways to full tension, while maintaining a 45° angle of inclination with the floor Day 3 4. Secure the band to a fixed object (e.g. table) to maintain constant tension throughout the exercise. Make sure the Thera-Band® is 60cm away from the base of the table Day 4 5. Starting with your toes turned out, slide toes toward the midline of your body and back again. Knee should not move Day 6 6. The starting position and ending position are marked on the floor and that range will be achieved with each repetition of the exercise 1 Day 5 Day 7 Week 2: Day 1 Day 2 7. The foot is flat on the floor during the entire exercise Day 3 Day 4 1. Knees a forearms length apart 2. Stabilise leg Day 5 Day 6 Day 7 Week 3: Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 4 9 8 10 10 Bilateral Heel Raise with Tennis Ball 10 Week 9-12: 6 min Closed Chain Unilateral Supination Closed Chain Resisted Foot Adduction Week 9-12: 3 sets Week 5-8: 2 sets Week 1-4: 1 set Week 9-12: 3 sets Week 5-8: 2 sets Week 1-4: 1 set Week 9-12: 3 sets Week 5-8: 2 sets Week 1-4: 1 set - Week 1-4: 4 min Unilateral Balance Week 5-8: 5 min Sets Repetitions/ Duration Exercise Once a day Body weight Green TheraBand® Body weight Body weight - 45 seconds 45 seconds 45 seconds Once a day Once a day Once a day Frequency Resistance Rest Between Sets Exercise Overview 3. Loop Thera-Band® around foot 5. Slide toes inwards 6. Start and end positions marked on floor 5 3. Closed Chain Unilateral Supination 4. Bilateral heel Raise with Tennis Ball 1. Stand on one foot on a step with the inside of your foot over the edge of the step. Your other leg should hang in the air 1. Start in a standing position with the tennis ball between your ankles 2. Lower your arch as low as possible and raise it again slowly 2. Slowly lift your heels off the ground and put weight onto your toes and slowly lower heels again 3. It is important to only move your foot and not your whole leg 3. Squeeze the ball throughout the exercise and keep knees straight 4. Keep knee slightly bent throughout the exercise 4. Place finger tips on the wall for balance, but not support 5. Keep your knee over the toes during the exercise 6. Fingertips can touch the wall to provide balance, but not support 2. Lower arch... 3. Squeeze ball 2. ...raise arch 6 7