This is a brilliant blog post by Seth O’Neill on the above-mentioned topic. Seth is a lecturer at the universities of Leicester and Coventry and is currently doing his PhD on AT. This blog post is a bit dated, written back in Apr 2015, but is still a great one nonetheless!
This blog post talks about the importance of proper rehab for the soleus muscle, which seems to be the key to the management of AT. Research tells us that the soleus muscle are capable of producing forces up to 8x BW during running, in comparison to that gastroc produces about 3x BW. As someone on the twitter sphere mentioned sometime ago, I can’t remember who, that the soleus is a BEAST of a muscle.
So proper rehab of the soleus muscle needs to be pretty heavy in order to get the necessary adaptations to deal with the large forces produced during running. I think most physios do not load the soleus heavy enough during rehab, myself included, until we realise the magnitude of forces that soleus produces during running. Again I find it so important to keep up to date with the latest evidence because things are changing quite quickly. I believe most of these are not taught during undergrad courses. And if one is not actively engaged in social media and research in particular, knowledge transition can happen very slowly as mentioned in Christian Barton’s blog on knowledge transition (can take up to 7 years!).
Anyways enough of my rambling, I would definitely recommend this article by Seth. It is rehab gold. And there are all the necessary references cited in the article, which is great. Please click here to read the blog post.