Silly Question

[apocalypse]

Hey Canuck,

Thanks for the reply.

Do you mean a calf raise?
The PF are working concentrically and shortening,
On the way down, the DF are working eccentrically and lengthening

If my patient goes up onto their lateral border of their foot, then they are working, as you say, their inverters concentrically and shortening them, the peroneii are working to balance and then are working eccentrically back to neutral.

Thanks for that.

So, my patient, as I say, has femoral anteversion and and over pronation. I don't want to go down the orthotic route yet, what exercises could I do (I presume closed0chain is best) to strengthen her so that she rests out of pronation and therefore improve her anteversion of the femur and ultimately, hopefully improve her knee pain ? secondary to patello-femoral pain syndrome and chondromalacia patellae


Thanks

[physiofixme]

In a calf raise the plantarflexors work concentrically on the way up and then eccentrically on the way down as they are lengthening. To get the peroneii working eccentrically, they need to be lengthening ie going from an everted position to an inverted position under load/gravity. Hope this helps.