DynaMo Max – Ankle Strength Protocols – VALD Knowledge Base

Patient Position	Long sitting with hands clasped together, the leg not being tested in a hook-lying position, and the leg being tested in full extension with the ankle in neutral and the foot extended past the edge of the bed so that it is not supported.
Contact Point	Inferior aspect of the ankle attachment, at the hook closest to the plantar aspect of the forefoot.
Device Orientation	Horizontal, linked to the ankle strap at one end and anchored to a fixed surface by the Tension Strap.
Position of Examiner	Seated adjacent to the patient in a position to orient the DynaMo, instructing and demonstrating the movement.
Instruction	Pull against the DynaMo as hard as you can 3, 2, 1 - pull, pull, pull and relax
Attachments	Tension Strap and Ankle Attachment

Patient Position	Long sitting, with the leg being tested fully extended and the opposite leg in a hook-lying position, with the ankle in a neutral position and situated just proximal to a fixed surface.
Contact Point	Dorsal surface of the forefoot, just proximal to the toes.
Device Orientation	Horizontal, with the palm pad supported by the assessor and the curved pad in contact with the patient.
Position of Examiner	Seated at the foot of the bed, supporting the patient just proximal to their ankle with one hand, and holding the DynaMo with the other.
Instruction	Push against the pad as hard as you can. 3,2,1 - push, push, push and relax.
Attachments	Palm pad and Curved Pad

Patient Position	Long sitting with hands clasped together, the leg not being tested in a hook-lying position, and the leg being tested in full extension with the ankle in neutral and the foot extended past the edge of the bed so that it is not supported.
Contact Point	Medial aspect of the ankle attachment, at the hook closest to the medial aspect of the forefoot.
Device Orientation	Horizontal, linked to the ankle strap at one end and anchored to a fixed surface by the Tension Strap.
Position of Examiner	Seated adjacent to the patient in a position to orient the DynaMo, instructing and demonstrating the movement.
Instruction	Pull against the DynaMo as hard as you can 3, 2, 1 - pull, pull, pull and relax
Attachments	Tension Strap and Ankle Attachment

Patient Position	Long sitting with the lower leg extending past the table, allowing the ankle to be unsupported.
Contact Point	Lateral edge of the foot, just proximal to the 5th toe, along the 5th metatarsal.
Device Orientation	Horizontal, with the palm pad supported by the assessor and the curved pad in contact with the patient.
Position of Examiner	Seated at the foot of the bed, lateral to the leg being tested, supporting the patient just proximal to their ankle with one hand, and holding the DynaMo with the other.
Instruction	Push against the pad as hard as you can. 3,2,1 - push, push, push and relax.
Attachments	Palm pad and Curved Pad

Patient Position	Long sitting with hands clasped together, the leg not being tested in a hook-lying position, and the leg being tested in full extension with the ankle in neutral and the foot extended past the edge of the bed so that it is not supported.
Contact Point	Lateral aspect of the ankle attachment, at the hook closest to the lateral aspect of the forefoot.
Device Orientation	Horizontal, linked to the ankle strap at one end and anchored to a fixed surface by the Tension Strap.
Position of Examiner	Seated adjacent to the patient in a position to orient the DynaMo, instructing and demonstrating the movement.
Instruction	Pull against the DynaMo as hard as you can 3, 2, 1 - pull, pull, pull and relax
Attachments	Tension Strap and Ankle Attachment

Patient Position	Long sitting with the lower leg extending past the table, allowing the ankle to be unsupported.
Contact Point	Medial edge of the foot, just proximal to the big toe, along the 1st metatarsal.
Device Orientation	Horizontal, with the palm pad supported by the assessor and the curved pad in contact with the patient.
Position of Examiner	Seated at the foot of the bed, medial to the leg being tested, supporting the patient just proximal to their ankle with one hand, and holding the DynaMo with the other.
Instruction	Push against the pad as hard as you can. 3,2,1 - push, push, push and relax.
Attachments	Palm pad and Curved Pad

Patient Position	Long sitting, with the leg being tested fully extended and the opposite leg in a hook-lying position, with the ankle in a neutral position and situated just proximal to a fixed surface.
Contact Point	Distal aspect of the plantar surface of the foot.
Device Orientation	Horizontal, with the curved pad in contact with the patient and the flat pad in contact with a fixed surface.
Position of Examiner	Seated adjacent to the patient in a position to orient the DynaMo, instructing and demonstrating the movement.
Instruction	Push against the pad as hard as you can. 3,2,1 - push, push, push and relax.
Attachments	Curved pad and Flat pad

Patient Position	Seated on the end of the table with their hips and knees both at 90 degrees flexion and ankle in a neutral position.
Contact Point	Distal aspect of the plantar surface of the foot.
Device Orientation	Distal aspect of the plantar surface of the foot.
Position of Examiner	Adjacent to the patient, in a position to situate the DynaMo and instruct the action
Instruction	Push against the pad as hard as you can. 3,2,1 - push, push, push and relax.
Attachments	Curved pad and Flat pad

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