Ankle and Foot

Question 1

Distal Fibula Anterior Articulatory Treatment

Answer 1

• Have patient lay on their back with their foot hanging off the edge of the bed.
• Wrap one hand under calcaneus.
• Dorsiflex their foot and push posteriorly on their distal fibula with your other hand.
• Apply a gentle but firm force, rhythmically for about 1-2 seconds.
• Rest for 1-2 seconds and repeat until motion improves.
• REASSESS TART

Question 2

Distal Fibula Posterior Articulatory Treatment

Answer 2

• Have patient lay on their stomach with their foot hanging off the edge of the bed.
• Wrap one hand over calcaneus.
• Plantarflex their foot and push anterioly on their distal fibula with your other hand.
• Apply a gentle but firm force, rhythmically for about 1-2 seconds.
• Rest for 1-2 seconds and repeat until motion improves.
• REASSESS TART

Question 3

Dorsiflexed Talus Muscle Energy Treatment

Answer 3

• Pt lays on back with foot over bed.
• Grab persons ankle with one hand.
• Grab the top of the foot with the other
• Put them into plantarflexion
• Have them dorsiflex
• Hold for 3-5, rest and go to new barrier until a new one cannot be met.
• REASSESS TART

Question 4

Plantarflexed Talus Muscle Energy Treatment

Answer 4

• Pt lays on back with foot over bed.
• Grab persons ankle with one hand.
• Grab the top of the foot with the other
• Put them into dorsiflexion
• Have them plantarflexion
• Hold for 3-5, rest and go to new barrier until a new one cannot bemet.
• REASSESS TART

Question 5

1. Talus Eversion with anteromedial glide
2. Talus Inversion with posterolateral glide

Articulatory Treatment
(with traction)

Answer 5

• Have pt sit on the bed with the foot hanging over.
• Grab persons calcaneus and dorsum of their foot
• Add traction & make a figure 8.
• Continue until motion improves
• REASSES TART

Question 6

1. Everted Cuboid with plantar glide
2. Inverted Navicular with plantar glide
3. Cuneiform plantar glide

Muscle Energy Treatment

Answer 6

• Have pt laying down
• Lift their foot off of the table and dorsiflex to engage the RB. Adjust with inversion, eversion and dorsiflexion, plantarflexion.
• Make an x with my fingers, with one finger on the cuboid and one on the navicular.
• Tell them to push down while you apply an equal force for 3-5 seconds.
• Rest
• engage new RB
• REASSESS TART

Question 7

Dorsal or Plantar Glide Articulatory Treatment for the cuneiform- metarsal joint

Answer 7

• Sit at the foot of the table and isolate the joint.
• Engage the barrier
• Apply a gentle but firm force, rhythmically for about 1-2 seconds.
• Rest for 1-2 seconds and repeat until motion improves.
• Reassess TART

Question 8

Dorsal or Plantar Glide

Articulatory Treatment for the MTP and PIP joint

Answer 8

• Sit at the foot of the table and isolate the joint.
• Engage the barrier
• Apply a gentle but firm force, rhythmically for about 1-2 seconds.
• Rest for 1-2 seconds and repeat until motion improves.
• Reassess TART