In order to obtain reliable results, the axis of the fibula should be marked. Two investigators should conduct non-weightbearing testing with the subject in supine position. Non-weightbearing and weightbearing examination of ADF has to be conducted with the knee fully extended and at least 20° flexed. This builds the prerequisite for a standardized examination for MGT. Examination on 20 healthy individuals revealed, that 20° of knee flexion is sufficient to fully eliminate the influence of the M. This manuscript investigates the effect of knee flexion on ankle dorsiflexion and provides a detailed description of a standardized examination protocol. gastrocnemius on ankle dorsiflexion (ADF) is unknown. Literature argues for weightbearing examination but the degree of knee flexion needed to eliminate the restraining effect of the M. Still, a standardized examination procedure is missing. Various examination techniques have been described to assess MGT. Common foot and ankle pathologies have been linked to isolated Musculus gastrocnemius tightness (MGT).
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