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MSK basics > Ankle 3 - goni and mobs > Flashcards

Ankle 3 - goni and mobs Flashcards

1
Q

what is a good test for the gastroc

A

striaght heel rises test

count rep until failure

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2
Q

what is a good test for the soleus

A

heel rise with the knee bent

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3
Q

how do we test the tib ant

A

up and in

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4
Q

how do we test the tib post

A

down and in

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5
Q

what is selective tissue tensioning

A

range of motion and strength testing

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6
Q

how do we find the sinus tarsi

A

find the lateral malleolus and move inf and ant

it should be the hole between the talus and the calcaneus

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7
Q

how do we find the deltoid ligament

A

medial, inf to the medial malleolus

evert the foot and feel the broad flat resistance

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8
Q

goni - calcaneal inversion and eversion

A

axis - achilles tendon

stationary arm - middle of the calf

moving - posterior midline of the calcaneus

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9
Q

goni - what is the normal ROM for inversion

A

20

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10
Q

goni - what is the normal ROM for eversion

A

10

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11
Q

what is the normal ratio between inversion and eversion

A

1:2

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12
Q

goni- foot supination

A

axis - ant aspect of the talocural joint, mid- way between the malleoli

stationary - ant midline of the tibia

moving - ant midline of the 2nd met

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13
Q

what is normal supination

A

30

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14
Q

goni - foot pronation

A

axis - ant aspect of the talocural joint, mid- way between the malleoli

stationary - ant midline of the tibia

moving - ant midline of the 2nd met

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15
Q

what is normal pronation

A

25

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16
Q

goni - MTP flexion

A

axis - medial aspect of the 1st MTP

stationary - medial midline of the first met

moving - medial aspect of the first MTP

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17
Q

what is normative data for the first MTP

A

flexion - 80

ext - 20

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18
Q

goni - talocural DF/PF

A

axis - just distal to the lateral mall

stationary - in line with the fib head

moving arm - base of the calcaneus

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19
Q

what is normal DF

A

15 - 25

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20
Q

what is the end feel for DF

A

firm

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21
Q

talocural - movements at this joint

A

PF and DF

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22
Q

talocural - athro

A

convex talus moving on the concave distal tib fib

opposite

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23
Q

talocural - how to improve DF

A

posterior glide of the talus

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24
Q

talocural - how to improve PF

A

anterior glide of the talus

25
Q

subtalar - movement seen at this joint

A

inversion and eversion

26
Q

subtalar - increase eversion

27
Q

subtalar - increase inversion

A

supination

28
Q

talonavicular plantar medial

29
Q

talonavicular dorsolateral

30
Q

calcaneal-cuboid plantar medial

31
Q

calcaneal-cuboid dorsal lateral

32
Q

how do we improve GT ext

A

dorsal glide

33
Q

how do we imrpove GT flex

A

plantar glide

34
Q

GT arthokinematics

A

same

cancave - proximal phalanx
moving on
convex - metatarsal

35
Q

artho - of plantarflexion

A

anterior glide of the talus

posterior glide of the tibia

36
Q

artho - of dorsiflexion

A

posterior glide of the talus

anterior glide of the tibia

37
Q

what are two mobs to improve PF in the ankle

A

anterior glide of the talus

posterior glide of the tibia

38
Q

what is a moblization to improve DF

A

posterior glide of the talus

39
Q

what is the procedure for the posterior glide of the talus

A

assess the joint play: 20 -30 of plantar flexion needed

pt long sitting

PT leg pushing the foot into greatest amount of DF

stablize the tibia close to the joint line

mobilizing hand on the talus and provide a posterior mob

40
Q

what is the procedure for anterior glide of the talus -

A

improves plantarflexion

put the foot into the OPP - 20 -30 of PF

stabilize the tibia

provide a posterior force through the calcaneus and talus

41
Q

what is the procedure for the posterior glide of the tibia

A

(this is a the same as the ant glide of the talus - improving PF)

stabilizing hand - on the talar heads

moving hand - provides a posterior glide of the tibia as close the joint line as possible

42
Q

what is the point of talocural distraction

A

to improve general joint motion of the talocural joint

43
Q

what is the procedure for the talocural distraction - long sit

A

hand grasp the talus as close to the joint line as possible

keep your elbow in and distract back towards your body

44
Q

what is the procedure for the talocural distraction - prone

A

pt has their knee bent

PT place their own knee on the pt’s leg to avoid the transfer of force

grasp the talus and distract up

45
Q

what is the procedure for subtalar distraction

A

stabilize the talus

grasp the posterior calcaneus with you hand

distract posteriorly

46
Q

subtalar supination improves

47
Q

subtalar pronation improves

48
Q

what is the procedure for subtalar supination

A

pt is prone with knee flexed

stablize the talar heads

mobilize the anterior facet of the calcaneus medially

49
Q

what is the procedure for subtalar pronation

A

pt is prone with knee flexed

stablize the talar heads

mobilize the anterior facet of the calcaneus laterally

50
Q

which mid tarsal mobs help with general supination and pronation

A

the lateral ones

51
Q

why would we mob the first metatarsal plantar or dorsal

A

the intermetatarsal joints need mobility to help the foot be a mobile adapter during gait

52
Q

what is the indication for distraction with add of the great toe

A

Indicator of hallux valgus (bunions)

53
Q

what is the procedure for distraction with add of the great toe

A

stabilize: the mets and provide a slight abd force

distract the proximal phalanx and provide an add force

this can also be applied as a thrust

54
Q

a plantar glide of the great toe improve what

55
Q

a dorsal glide of the great toe improve what

56
Q

what are the indicators of the cuboid whip test

A

pain directly over the cuboid

pain is worse with WB tasks

weakness and discomfort with toe-off portion of gait

may be the result of an ankle inversion sprain

57
Q

what is happening that causes the need for a cuboid whip

A

the lateral cuboid being sublexed in the plantar direction

58
Q

what is the procedure for a cuboid whip test

A

pt is prone with their knee flexed to 70-deg

interlock fingers on the dorsum of the foot while thumbs are positioned on the plantar medial aspect of the cuboid

extend the knee and plantarflex the ankle quickly while directing force over the lateral cuboid

MSK basics (20 decks)

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