Ankle

Question 1

ankle

When would you perform an ankle ligament stress test?

Answer 1

• when you need to rule in/rule out a diagnosis
• when you are concerned about a certain MOI
• subjective complaint
• observation (walking/body analysis/ swelling)
• population (does their symptoms fit w diagnosis/tests)
• location of their pain (aligns with other signs)
• duration of symptoms (chronic/acute, specifc/nonspecific)

Question 2

ankle

When would you perform a distal tibiofibular joint mobility assessment?

Answer 2

• when you are wanting to rule in/out daignosis
• when you see location of pain + MOI

Question 3

ankle

when and why would you perform a body region screen?

Question 4

ankle

describe the movement and direction of force when performing a dital tib-fib joint mobility assessment

Answer 4

the heel of the clinicians assessing hand holds the anterior surface of the distal fibula. using their assessing hand, the clinican glides the fibula in a posteriro direction along the plant of the joint.

Question 5

ankle

what are some reasons you would assess mobility at the distal tib-fib joint?
what does reproduction of symptoms indicate when performing?

Answer 5

done for joint play/passive accessory motion, client response and end feel.

reproduction of concordant pain suggests dysfunction. impaired joint mobility or end feel may also suggest dysfunction if pain is also reproduced.

Question 6

ankle

distal tib-fib joint mobility
primary:
secondary (note, not a true positive finding)

Answer 6

primary: joint play (accessory motion), end feel
secondary: reproduction of symptoms

Question 7

ankle

what is the SN, SP and +LR, -LR of the talar tilt test?
lateral vs medial?

Answer 7

lateral:
SN: 67
SP: 75
+LR: 2.7 -LR:0.44
medial:
not reported

Question 8

ankle

what are the primary ankle sprain grades?
secondary?

Answer 8

grade 0: no laxity
grade 1: mild laxity
grade 2: moderate laxity
grade 3: gross laxity

secondary:
reproduction of symptoms

Question 9

ankle

what does the PTFL resist?

Answer 9

posterior movement of the talus

Question 10

ankle

what does the ATFL resist?

Answer 10

torsion and inversion stsresses in plantar flexed foot

Question 11

ankle

what does the CFL resist?

Answer 11

torsion and inversion in dorsiflexed foot

Question 12

with an ankle ligament stress test such as the anterior drawer test/revserse anterior drawer test what would indicate a + test?

Answer 12

1 cm of movement compared to uninvolved side

remember R1 and R2 when performing

Question 13

What ligament is being stressed with the lateral (eversion) talar tilt test?

Answer 13

deltoid ligament - stressing the medial side of ankle

Question 14

when performing the talar tilt test what postion would stress the CFL more?

Answer 14

CFL = calcaniofibular ligament
a more vertical postion

Question 15

when performing the talar tilt test what position would stress the ATFL more?

Answer 15

10° of plantarflexion

think about end feel when performing

Question 16

when performing the talar tilt test what position would stress the PTFL more?

Answer 16

thinking of breaking the bread
increase DF + twisting calcaneus

stand on ipsilateral side when performing

think about end feeling when performing

Question 17

resisted ankle inversion/eversion
perfom? why?

Answer 17

this is not a true MMT - we are assessing movement quality and reproduction of symptoms …is it weak? strong? painful?

performing - hand placement is everything they will engage different muscles according to where your hand is. ensure you are doing what you think you are doing.

inversion = pressure is in and up