What presentation does the Coleman laterally block test assess for flexibility?

The Coleman laterally block test is specifically designed to evaluate hindfoot flexibility, particularly in the context of hindfoot varus. When performing this test, the patient is positioned in a way that allows for the examination of subtalar joint movement and how the hindfoot adapts in response to different positions of the midfoot and forefoot.

In individuals with hindfoot varus, the calcaneus is positioned in a more inverted angle compared to the talus, resulting in a fixed or less flexible alignment. By observing the hindfoot position during the test, clinicians can determine the degree of flexibility present and whether the varus deformity can be corrected passively, which assists in tailoring appropriate treatment strategies.

This test is crucial because it helps clinicians differentiate between flexible and rigid deformities, which can significantly affect treatment decisions and orthotic management. Understanding the flexibility of the hindfoot allows for more effective interventions and optimizes the patient's mobility and function.