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Device for Increasing Passive Ankle Dorsiflexion at Home: Suggestion from the Field

Mr. Bohannon is Chief, Department of Physical Therapy, Southeastern Regional Rehabilitation Center, Cape Fear Valley Medical Center, PO Box 2000, Fayetteville, NC 28302 (USA).

This excerpt was created in the absence of an abstract.

Decreased ankle dorsiflexion is a problem frequently encountered in patients with central nervous system lesions.¹ A number of methods have been described for dealing with this problem; in one of these methods, the patients stand on a wedge board while they are strapped to a tilt table.^2,3 This method, which uses a patient's body weight as a stretching force, allows the stretching force to be applied for long durations of time.

Although we have found standing on a wedge board with a tilt table effective for increasing ankle dorsiflexion,³ we only recently developed a device that allows patients to use a wedge board effectively at home without a tilt table. This device compensates for several problems frequently encountered in neurologically involved patients. One problem is that many patients have insufficient strength to maintain knee extension during long periods of standing on a wedge board....

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