1st MPJ Stretching/Mobilization Anatomical Model скачать в хорошем качестве

1st MPJ Stretching/Mobilization Anatomical Model

This is a brief video regarding the anatomy of 1st metatarsal-phalangeal joint (MPJ) mobilization. This unedited video is being used as a place holder until a more polished video can be produced regarding this topic. The goal of mobilization of the 1st MPJ is to gain functional motion without disruption of other tissues. Ultimately 1st MPJ plantarflexion should achieve 15-20 degrees, while dorsiflexion should achieve a minimum of 60 degrees to allow for a normal gait pattern through the foot. To protect the proximal metatarsal articulation, the 1st metatarsal needs to be stabilized during stretching of the MPJ. During stabilization of the 1st metatarsal, it is tempting to grip the distal end as close as possible to maximize leverage, however it is important not to compress through the sesamoids (small bones encased in the flexor tendons, plantar aspect, of the great toe). These are located in the underside of the "thickest" portion of the great toe as it meets the foot. Also, care should be taken to avoid mobilization through the interphalangeal (IP) joint or the nail-bed of the great toe (IP is the most distal joint of the big toe). Stretching is applied in a Low-Load/Long Duration (LLLD) manner to create slow, progressive plastic deformation of the joint capsule and surrounding tissues. Hold stretching steadily for up to 2 minutes, then release slowly. This timeframe allow for blood to return to compressed capillaries under your contact/pressure points. It is recommended in a 24 hour period that 60 minutes of stretching is applied to achieve goals, however this can be broken up into several sessions of stretching. For example, 6, 10-minute sessions/day, or 4, 15-minute sessions/day.