Module: Masterclasses

impairments of the lower leg


This course details a comprehensive clinical framework of movement assessment and retraining to tackle both common and not so common presentations of the knee, ankle and foot.


Course Outline

Pathologies of the lower leg are both common and problematic to sustaining function and performance for old and young alike. But what is the influence of movement quality on their aetiology, chronicity and recurrence?

The course supplies the ‘hands on’ skills to use movement as the tool of assessment and retraining to manage leg, thigh, patello-femoral, shin pain and foot pain.

The knee, foot and ankle possess multiple degrees of freedom, allowing the lower leg to be highly versatile but also highly complex as a functional unit. Adding to this complexity are the multi-planar, open and closed chain demands of gait and the large number variables (including pain, restriction, previous injury) with the potential to alter movement during the stance or the swing phase.

This 2-day course supplies clinicians with a systemised framework of movement assessment and retraining to manage this complexity, addressing pain, pathology and compromised function associated to movement at the knee, foot and ankle. The student will develop skills of movement evaluation, looking at the co-ordination patterns and muscle recruitment strategies that represent the building blocks of the full gait cycle. This process of assessment then allows for each patient to be considered as a unique individual, supporting clinical reasoning and the implementation of highly specific movement interventions to manage pain, pathology and compromised function.


Key Features

  • Highly specific evaluation of muscle synergies and co-ordination patterns of the lower limb
  • Connecting movement impairments of the lower limb to pain, pathology and compromised function
  • The development of impairment-specific retraining programmes to regain functional control of the lower leg based on a clinical reasoning framework

Learning Outcomes

At the end of this course the student should be able to:
  • Explain the relationship between the development of uncontrolled movement and the presence of a number of factors such as restriction, pain and previous injury
  • Analyse the inter-relationship between restriction and movement compensations in articular and myofascial tissues
  • Classify muscle synergists’ roles based on function & dysfunction
  • Explain the control mechanisms of the lower leg in gait
  • Demonstrate an ability to evaluate both gait and the building blocks of co-ordination which make-up the gait cycle
  • Demonstrate an ability to clinically assess the lower leg (knee, ankle and foot) with respect to movement control strategies and identify the site and direction of impairments
  • Demonstrate an ability to identify, assess and influence global stabiliser - mobiliser relationships of the lower leg
  • Clinically apply a systematic framework to the assessment of movement control impairments
  • Apply rehabilitation strategies to retrain specific dysfunction and manage uncontrolled movement and pain in the lower leg
  • Use re-assessment tools to guide the rate of progression of an individual patient through their rehab programme


Programme Outline

  • Gait
  • Functional implications of double and single leg support
  • Movement Impairments during gait
  • Evaluation & sub-Classification of lower limb movement control impairments, rotational alignment evaluation, sagittal alignment evaluation
  • Test for Structural vs functional factors altering movement of the lower leg
  • Movement Control Impairments at the knee– tests, retraining (including synergies), restrictions and pattern recognition
  • Movement Control Impairments at the foot and ankle – tests, retraining (including synergies), restrictions and pattern recognition
  • Muscle Synergies – testing and retraining
  • Articular and myofascial restrictions
  • Patterns in common clinical presentations, shin splints, Achilles pain, plantar pain


Kinetic Control courses are designed for medical health professionals such as physiotherapists, osteopaths, chiropractors, podiatrists etc registered with the HPC. In exceptional circumstances experienced non medical health professionals may be allowed to attend Kinetic Control courses but these participants MUST be able demonstrate that the course material is within their scope of practice and that they have appropriate professional liability insurance to cover them for their attendance at the course and the course content.

This course has both theortical and practical elements. Please come prepared for the practical work.