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Regional Manual Therapy
Ankle & FootKaltenborn–Evjenth MobilizationTechnique-specific guide

PNA Clinical Application Guide

Talocrural Traction

What changes when Kaltenborn–Evjenth Mobilization meets the ankle & foot? Start with the patient's movement, assess safely, and see what the re-test reveals.

2 specific variationsClinical re-test built in

Specific variations

How this technique is applied in the ankle & foot

Each variation below is written so you can follow patient setup, contact, direction, dose and the re-test that decides whether the technique earned a place in the plan.

01
Ankle & FootTalocrural joint

Talocrural Traction

One question matters more than the name of this variation: will the patient notice a useful change in Pain, dorsiflexion/plantarflexion and lunge.? The careful re-test gets the final word.

The change we are looking for

Reduce compression sensitivity and prepare for translatoric glides.

Primary target

Talocrural joint

The movement that tells us

Pain, dorsiflexion/plantarflexion and lunge.

Patient focus

Reduce compression sensitivity and prepare for translatoric glides.

Therapist verifies

Pain, dorsiflexion/plantarflexion and lunge.

Success signal

Keep the technique only if the re-test shows a meaningful improvement in pain, dorsiflexion/plantarflexion and lunge. without symptom worsening.

Full clinical application
1

Position the patient

Supine or long sitting with the ankle near its resting position.

2

Set the contact

Stabilize the distal tibia/fibula and grasp the talus/calcaneus close to the joint.

3

Apply the technique

Apply sustained distraction perpendicular to the talocrural treatment plane.

4

Dose & re-test

10–30 second holds × 3–5. Re-test: Pain, dorsiflexion/plantarflexion and lunge.

Clinical pearl

Keep the traction at the talocrural joint rather than simply pulling the forefoot.

Safety / avoid

Avoid fracture or acute syndesmotic instability.

02
Ankle & FootTalus

Posterior Talar Translatoric Glide

One question matters more than the name of this variation: will the patient notice a useful change in Weight-bearing dorsiflexion and squat.? The careful re-test gets the final word.

The change we are looking for

Improve dorsiflexion when posterior translatoric motion is limited.

Primary target

Talus

The movement that tells us

Weight-bearing dorsiflexion and squat.

Patient focus

Improve dorsiflexion when posterior translatoric motion is limited.

Therapist verifies

Weight-bearing dorsiflexion and squat.

Success signal

Keep the technique only if the re-test shows a meaningful improvement in weight-bearing dorsiflexion and squat. without symptom worsening.

Full clinical application
1

Position the patient

Supine/long sitting or weight-bearing as appropriate with the tibia stabilized.

2

Set the contact

Broad contact over the anterior talus, avoiding neurovascular compression.

3

Apply the technique

Apply a sustained posterior glide parallel to the treatment plane.

4

Dose & re-test

10–30 second holds × 3–5. Re-test: Weight-bearing dorsiflexion and squat.

Clinical pearl

Use the weight-bearing lunge as the main quick re-test.

Safety / avoid

Avoid acute ankle instability or fracture.

Safety / do not apply when…

Avoid fracture or unstable acute injury.

Clinical rule

A technically correct technique is not automatically a useful technique. Keep it only when the patient's pain, range or function improves in a clinically meaningful way, then transfer that gain into active movement, loading or self-management.