If we had a young patient who had isolated fibular fracture 8 weeks ago and the cast was removed 2 weeks ago . She has decrease range of motion in doriflexion and plantarflexion , limping gait , stiff ankle, no heel strike ,loss of normal toe off , and she has grade 4 dorsiflexor , plantarflexor and quadriceps muscle strength.

I decided to use,Active free exercise, passive stretch , PNF(hold-relax) , and resisted exercise for plantar and dorsi flexion .

What do you think about my single intervention session?

Is it ok to use passive stretch and PNF at the same session or can i take out one of them ?

Do you think that i have to add quadriceps strength to my first session ?

I am looking forward to hearing from you

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