01.12.2016 Foot/Ankle Flashcards
Foot Posture Index (6)
1) Talar head palpation
2) Supra/Infra malleolar curve
3) Calcaneal frontal plane position
4) Bulge in TNJ region
5) Height/congruence of MLA
6) Abduction/Adduction of the forefoot on the rearfoot
Hindfoot Joints (3)
TCJ
TNJ
CCJ
Midfoot Joints (3)
tarsal-tarsal
tarsal-MT
1st ray
Forefoot joints (2)
MT
MTP
Excessive pronation assessment (3)
Hypomobile STJ
Hypermobile TNJ, CCJ, 1st ray
Weak perimalleolar muscles
Consequences of pronation (4)
CCJ, midfoot alter mechanics of extrinsic/intrinsic
Lose windlass effect, hallux limitus
1st ray remain in DF, 1st MTP will not DF
- Instability in late stance
Tendinitis vs. Tendinosis
itis: inflammation of tendon/myotendinous junction, microscopic tearing, tissue fatigue vs. direct trauma, vascular activation, inflammatory response
osis: angiofibroblastic tendinosis: degeneration of collagen, disorientation, focal necrosis
1) tendon enlarged
2) destruction within tendon
3) fluid at surface
EdUReP
Early: 0-2 weeks
Mid: 3-6 weeks
Late: 7-12 weeks
Education
Teach the patient…
Unload
Change of activity Footwear AD Bracing/Taping FO's
Reload
Reps
Sets
Frequency
Prevention
Gain ROM
Gain strength elsewhere
Train balance & higher function
Education
If AROM
1) musculature atrophy
2) lack of neuromuscular control
3) lack of neural input
4) pain
Balance (3 systems)
1) Vestibular
2) Visual
3) Somatosensory
Balance: define
Ability to
1) maintain position
2) voluntarily move
3) react to perturbation
