How to Screen Ankle Mobility

Posted on by ahorschig

Welcome back to Squat University. Last week we talked about our feet. We discussed how creating a “tripod” foot ensures proper stability for our squat from the bottom up. If you recall the ‘Joint-By-Joint Concept’ lecture, the stable foot sets the foundation for our mobile ankle. This is our topic of discussion for today.

Despite the occasional ankle sprain, our ankle is naturally a fairly stable joint. It is prone to become stiff and immobile. For this reason, the role of the ankle is movement or mobility. When our ankle loses its ability to move, it affects the rest of the body. The foot below becomes unstable and therefore the natural arch of the foot collapses. The knee above also becomes unstable. When we squat, an unstable knee will often wobble and fall inwards. These are only the immediate affects of an immobile ankle. Eventually, a stiff ankle could negatively impact the rest of the body. Entire movement patterns can be thrown out of whack due to stiff ankles.

In order to perform a full depth squat, our bodies require a certain amount of ankle mobility. Unless you are performing a low-bar back squat, the knee must be able to move forward over our toes. This forward knee movement comes from the ankle and is called dorsiflexion. You can measure dorsiflexion by drawing a line with the shin and another line with the outside of the foot. The smaller or more closed the angle is, the more ankle dorsiflexion the athlete has. A restriction in this motion is where most athletes run into trouble.

AnkleSquatDiag(End)

Stiff ankles are often a culprit behind our squat problems. Do your feet point outwards when you squat even when you try your hardest to keep the toes forward? Can you remain upright in the bottom of your snatch or clean? Do your knees constantly fall inward when you perform a pistol squat? All of these movement problems can be related to poor ankle mobility.

How To Screen

Today I want to introduce a simple way to assess our ankles. This screen will tell us if we have full mobility or if our movement problems are a result of a problem somewhere else in the body.

This test is called the half-kneeling dorsiflexion test. This specific test has been used numerous times in research to assess ankle mobility (1). Physical Therapist Dr. Mike Reinold recommended this screen for its ability to provide reliable results without the need for a trained specialist (2).

Find a wall and kneel close to it with your shoes off. Use a tape measure and place your big toe 5 inches from the wall. From this position, push your knee forward attempting to touch the wall with your knee. Your heel must stay in contact with the ground.

FullSizeRender-6

What did you see?

Movement Checklist:

PASS FAIL
  Knee can touch the wall at 5 or more inch distance   Knee Unable to touch wall at 5 inch distance
  Heels remain firmly planted   Heels pull off from ground
  Knees Aligned with Feet   Knees collapsed inwards (Valgus collapse) in order to touch wall
  No Pain noted   Pain noted

Did you have checkmarks in the ‘pass’ column? If you could touch your knee to the wall at a distance of 5 inches while keeping your knee in line with your foot, you show adequate mobility in the ankle (1).

FullSizeRender-7

However if you had any checks in the ‘fail’ column for this screen, you have a dorsiflexion mobility restriction. This restriction could be either a soft tissue restriction or a joint mobility problem, or both! We will discuss in our next lecture how to decipher between a soft tissue issue or a joint mobility issue. In addition, we can talk about a few ways to improve ankle mobility.

With the ‘Joint-By-Joint Concept’ we can learn to assess the body in a different fashion than we have in the past. Always assess movement first. If you found a problem in your single or double leg squat, we can then use different tools (like the half-kneeling dorsiflexion screen) to find out the cause of the breakdown. By addressing ankle mobility issues, we can improve the overall quality of our movements.

Until next time,

SquatBottom
Dr. Aaron Horschig, PT, DPT, CSCS, USAW

With

Kevin Photo
Dr. Kevin Sonthana, PT, DPT, CSCS

References

  1. Bennell K, Talbot R, Wajswelner H, Techovanich W, Kelly D. Intra-rater and inter-rater reliability of a weight-bearing lunge measure of ankle dorsiflexion. Australian Journal of Physiotherapy. 1998; 44(3):175-180.
  2. Reinold M. (2013) Ankle mobility exercises to improve dorsiflexion. Retrieved from MikeReinold.com.

Published by

ahorschig

40 thoughts on “How to Screen Ankle Mobility”

  1. I was always taught in school to never let knees go over the toes because of stress on acl. I am very confused. Can you speak to this further?

    1. Carl, that’s actually a common misconception. The ACL is not loaded to a significant degree at all in a deep squat. If we move correctly into a squat, our hips will engage first allowing our shins to stay as vertical as possible – for as long as possible. However, as the demands to go deeper into a squat increase the knees must be allowed to go forward over the toes. What we want to discourage is the knees traveling forward over the toes early in the squat sequence. Many weightlifters have their knees safely over their toes in the bottom of their squat. However, because they move into this position correctly it limits the amount of harmful stresses on the knee.

  6. […] The ankle is an area of the body that would benefit from increased mobility and flexibility. Inherently we see many athletic injuries that occur when the ankle develops stiffness and looses flexibility – particularly in the movement of dorsiflexion (the movement of the knee moving forward over the toe during the deepest portion of the squat). The tendency for the ankle joint complex to become immobile then affects the role of the joint directly above (the knee) and the area below (the foot). […]

  7. Is “5 inches” correct for everyone? What about those with relatively small feet, or shorter legs?

    1. 5 inches is a relative distance that has been shown in research to catch significant deficits in ankle mobility. There will obviously be some variability between people due to anatomy but overall this is a simple test to do at home that can illuminate big problems most people don’t know they have.

  8. […] This excessively inclined trunk position instantly places harmful forces on the smaller structures of the spine. After many reps and sets, this could easily lead to the development of pain over time. For this reason, it is imperative to screen for ankle mobility with an athlete complaining of back pain during the squat. To check out a simple way to screen your ankles, check out the blog article “The Squat Fix: Ankle Mobility Pt 1”. […]

  15. Awesome information. Will you be working on upper body assessments and writing up articles on those as well? For example, assessments for thoracic extension, shoulder issues, pronation/supination of the wrist, etc.

    Will definitely be using your tools to make sure I can recommend the appropriate stretches and exercises to my clients when they are not with me on the lower extremity problems.

  16. I was suspecting I had ankle mobility issues, just in one ankle, the other one looks great. After performing this test I can barely pass it with my “bad” ankle but I feel the limitation/stretch pain in my groin mostly. Is it still an ankle mobility problem or could be a hip related issue? I suspect I probably have both but I would like to know in which one should I work more.

    1. I don’t work for this site, but get the book starting strength by mark rippetoe, he talks about squat mechanics in detail. In short: babies develop from their core (so the hips, not the torso) to the ends, and most of our control comes from our core, so always fix that first.

  18. […] El tobillo : Es una area del cuerpo que se beneficia del incremento de la movilidad y flexibilidad. Inherentemente vemos muchas lesiones en atletas que ocurren cuando el tobillo desarrolla rigidez and pierde flexibilidad – particularmente en el movimiento de dorsiflexion. La tendencia del tobillo siempre es a volverse rígido, entonces esto afecta el rol de otras articulaciones en el nivel superior (La rodilla) y la zona de debajo (La planta del pie). […]

  20. What can cause differences in ankle mobility between short and long leaver? While standing 5in is not a problem at all, but while squatting… Is it stiff quads and shins or feet or both can cause limitations in mobility? Maybe it is something else ?

  23. More like Dr. Aaron HORSESHIT.You are NO doctor Squats put tremendous pressure on the knee cap. ACTUAL doctors as in MEDICAL doctors as in orthopedic surgeons EXACTLY warn AGAINST squats They are a very stupid dogmatic exercise that loads the pine and deep squats put pressure on MENISCUS cartilage. Over time this leads to degradation Orthopedic surgeons have WISDOM and experience . They see MANY, MANY patients with effed up knees from squatting. This trumps any horseshit industry funded study. 40 YEARS worth of various medical doctors talking about real world in office observations easily trumps “studies”./. Your website is BAD information typical of the Internet.

    1. You’re delusional. Keep listening to your MEDICAL doctors (redundant) and your ortho’s WISDOM since they obviously have divine knowledge that contradicts everything we know about life itself.

  26. Meet Shane O Mara, a Professor of Experimental Brain Research at Trinity College Dublin. Check out his Brain Pizza newsletter for insightful writing on brains, behavior, and everything in between. His research delves into brain systems related to learning, memory, cognition, stress, and depression, with a focus on policy implications. With over 140 papers and 4 edited academic books, his latest work “In Praise of Walking” explores the science of walking and its benefits for us.

  27. When I was at university, I had to make decisions and prioritize tasks. I’ve always chosen practice because putting my knowledge into practice will clearly benefit me more in the future. I preferred to entrust the writing of my dissertation to specialists https://phdify.com/dissertation-hypothesis-writing-help . I’m not ready to spend too much time on analysis and writing.

  28. HARDCORE CYCLES was started in the Greater Philadelphia area by a group of tight friends with a passion for V-Twin performance aftermarket parts. They would sling parts at local swap meets or trade with friends all while wishing there was a one stop shop for performance parts especially relating to the Dyna and FXR scene – so they created their own.
    Visit : https://hardcorecyclesinc.com/collections/bagger

  34. Insightful article! As an Internet Service Provider, Internet Bundle Now values the importance of screening ankle mobility for optimal health. Just like ensuring smooth Internet services, maintaining flexibility is key for overall well-being. Looking forward to incorporating these tips into my routine!

Leave a Reply