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Clin skills 1 > Ankle > Flashcards

Ankle Flashcards

1
Q

Ankle dorsiflexion

A

Testing position: sitting with hip and knee flexed 90º and foot in 0º inversion and eversion

Stabilization: tibia and fibular to prevent hip and knee motion

Axis: lateral malleolus
SA: lateral midline of fibula using head of fibula for reference
MA: parallel to lateral midline of fifth metatarsal
AAOS: 20º

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2
Q

Ankle plantarflexion

A

Testing position: same as non weight bearing ankle dorsiflexion

Stabilization: tibia and fibula to prevent hip and knee motion

Axis: lateral malleolus
SA: lateral midline of fibula using head of fibula for reference
DA: parallel to lateral midline of fifth metatarsal
AAOS: 50º

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3
Q

Inversion:

ROM

A

testing position: sitting with hip and knee flexed 90º; hip in neutral rotation and abduction

  • Axis: anterior aspect of ankle midway between malleoli
  • SA: anterior midline of lower leg using tibial tuberosity as reference
  • MA: anterior midline of second metatarsal
  • AASO: 35º
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4
Q

Eversion

A

testing position: sitting with hip and knee flexed 90º; hip in neutral rotation and abduction

Stabilization: tibia and fibular to prevent knee flexion and hip medial rotation and adduction

Axis: anterior aspect of ankle midway between malleoli
SA: anterior midline of lower leg using tibial tuberosity as reference
MA: anterior midline of second metatarsal
AASO: 15º

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5
Q

toe MTP flexion

A

Testing position: Supine or sitting with ankle in neutral; MCP joint in 0° abduction and adduction

stabilization: Metatarsal to prevent plantar flexion of ankle and inversion or eversion of foot

Axis: Dorsal aspect of MCP joint
SA: Dorsal midline of metatarsal
MA: Dorsal midline of proximal phalanx
AAOS: 45

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6
Q

MTP extension

A

Testing position: Supine or sitting with ankle in neutral; MCP joint in 0° abduction and adduction

Stabilziation: Metatarsal to prevent dorsiflexion of ankle and inversion or eversion of foot

Axis: Dorsal aspect of MCP joint
SA: Dorsal midline of metatarsal
MA: Dorsal midline of proximal phalanx
AAOS: 70

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7
Q

Gastocnemius MMT

A

Position: Stand on test limb, knee extended, foot flat on floor (Pt to rest on hand on table for balance)

Movement: Rise on toes through full ROM(Daniels & Worthingham grades)
- Normal 5: raises from floor through full ROM 4-5 times Good
- 4: raises 2-3 timesFair
- 3: raise 1 time
OR
Position:
AG – prone, knee extended, foot over edge of table
GM – side lying Movement: ankle plantar flexion
Resistance: plantar surface of rear foot

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8
Q

Soleus MMT

A

Position: Stand on test limb, knee flexed, foot flat on floor (Pt to rest on hand on table for balance)Movement: Rise on toes through full ROM(Daniels & Worthingham grades)
- Normal 5: raises from floor through full ROM 4-5 times
-Good 4: raises 2-3 times
- Fair 3: raise 1 time
OR

Position: AG – prone, knee flexed to 90º
GM – side lying, knee flexed to 90º

Movement: ankle plantarflexion

Resistance: superoposterior aspect of calcaneus in direction of dorsiflexion

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9
Q

Tibialis Anterior

A

Position:
-AG – sitting knee flexed over table
-GM – side lying

Movement: ankle dorsiflexion & inversion

Resistance: dorsal medial aspect of foot

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10
Q

Tibialis Posterior

A

Position:
- AG – side lying, ankle slightly plantarflexed, test leg off table
- GM – supine, ankle in slight plantarflexion test leg off table

Movement: inversion through full ROM

Resistance: medial plantar aspect of foot

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11
Q

Peroneous longus and brevis

A

Position: AG – in side lying (testing leg the uppermost leg), ankle neutral
GM – supine over table edge

Movement: eversion, ankle in neutral for PF/DF

Resistance: lateral foot

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12
Q

Extensor Hallucis longus

A

Position: AG- supine or seated with ankle neutral
GM- No separate test

Movement: Extends great toe at IP joint through full ROM

Resistance: Dorsum of distal phal

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13
Q

Gastrocnemius muscle length

A

Patient position: supine, hip and knee extended

Action: dorsiflex ankle

Goniometer method:
-Axis: lateral malleolus
-Stationary arm: head of fibula
-Moving arm: parallel to 5th metatarsal

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14
Q

Soleus Muscle length testing (supine)

A

Patient position: supine, hip and knee flexed to 45o
Action: dorsiflex ankle

Goniometer method:
- Axis: lateral malleolus
-Stationary arm: head of fibula
-Moving arm: parallel to 5th metatarsal

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15
Q

Soleus prone muscle length testing

A

Patient position: prone with knee flexed to 90o
Action: dorsiflex ankle
Goniometer method:
-Axis: lateral malleolus
-Stationary arm: head of fibula
-Moving arm: parallel to 5th metatarsal

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Clin skills 1 (18 decks)

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