What is the most appropriate mobilization technique to address a stance phase issue with painful running?

• A. Ankle distraction mobilization
• B. Posterior glide of the talus Grade IV
• C. Anterior glide of the fibula
• D. Proprioceptive neuromuscular facilitation

Answer: (B)

Focusing on a stance phase issue with painful running involves addressing how the ankle and foot mechanics contribute to the overall gait. The posterior glide of the talus, particularly at Grade IV, is a mobilization technique that can be highly effective for this purpose. This technique aims to improve the posterior glide of the talus during dorsiflexion, which is essential for proper function during the stance phase of running.

When the talus has restricted motion, it can lead to altered biomechanics in the ankle joint, potentially causing pain and dysfunction during activities like running. The Grade IV mobilization is a high-velocity, low-amplitude technique that aims to restore maximum range of motion and reduce pain by facilitating joint movement and improving synovial fluid circulation.

This approach can help alleviate pain in the stance phase by enhancing the ankle's dorsiflexion capability, thus allowing for smoother transitions during running. By optimizing this movement, the body can better accommodate the forces exerted during the stance phase, leading to improved performance and reduced discomfort.

In contrast, other techniques mentioned may not directly address the specific requirement of enhancing stability and mobility at the talocrural joint relevant to running mechanics. For example, ankle distraction mobilization may provide some relief but does not specifically target