Table 1.
Name | Description | Dosage | Increments |
Ankle range of motion | Sitting with leg extended. Rotate foot in clockwise direction then anti-clockwise | 1 × 10 repetitions for each foot in each direction | None |
Ankle dorsiflexion strength | Sitting, hip and ankle at 90°. Dorsiflex both feet to end range of motion and hold. | Hold feet in dorsiflexion for 3 × 10 seconds | Increase repetitions up to maximum of 10 |
Ankle inversion strength | Sitting, hip and ankle at 90°. Invert foot against resistive exercise band anchored by chair leg | 3 × 10 repetitions for each foot | Increase resistance strength of resistive exercise band |
Ankle eversion strength | Sitting, hip and ankle at 90°. Evert foot against resistive exercise band anchored by chair leg | 3 × 10 repetitions for each foot | Increase resistance strength of resistive exercise band |
Ankle plantarflexion strength | From standing, rise up on to toes of both feet and back down | 3 × 10 repetitions | Increase repetitions up to maximum of 50. |
Gastrocnemius stretch | Standing stretch leaning against wall. Stretch leg is extended with knee locked. Support leg forward with knee bent | Hold stretch for 3 × 20 seconds on each leg | Increase forward lean to increase stretch as required |
Toe plantarflexion strength | Heel on plate of Archxerciser™. Toes over spring loaded toebar. Retract bar | 3 × 10 repetitions for each foot | Increase distance bar is retracted |
Toe plantarflexion strength | Pick up 25 mm stones and place in box. | Pick up 2 × 20 stones for each foot. | None |
Adductor hallucis stretch | Elastic band around both hallux. Move feet apart | 3 × 20 seconds | None |
All exercises to be performed 3 times a week for 6 months from baseline to follow up assessment.