Ankle and Foot

Question 1

Squeeze test for high anlke sprain

Answer 1

Squeeze upper 1/3 of lower leg. If positive test, pain around distal tibia/fibula.

Question 2

Distal Tibiofibular joint diagnosis

Answer 2

Patient supine, flex knee so heel plants, stabilize middle foot with medial hand, other hand grab lateral malleolus, grab lateral malleolus, do anterior and posterior motion. Anterior lateral malleolus favors anterior motion and vice versa

Question 3

Distal Fibula Anterior Art

Answer 3

Patient Supine, physician standing, one hand stabilize lower ankle/foot, other hand grab distal fibula. Engage the dorsiflexion passive barrier, use articulatory techniques to improve.

Question 4

Distal Fibula posterior ART

Answer 4

Patient prone, physician standing, one hand stabilize ankle, engage plantaflexin, other hand grab distal fibula, engage RB and use articulatory to improve motion.

Question 5

Tibiotalar joint diagnosis

Answer 5

Dorsiflexion with posterior glide, plantarflexion with anterior glide

Question 6

Dorsiflexed Talus MET

Answer 6

One hand on ankle, other hand on dorsum of foot. Bring into plantar flexion, they push into dorsiflexion, etc.

Question 7

Plantarflexed Talus MET

Answer 7

One hand anlke, other hand bring them to dorsiflexion. They plantar flex, you hold, etc.

Question 8

Talocalcaneal joint diagnosis

Answer 8

Patient supine with foot at 90. One hand on plantar side of foot, other grabbing top of ankle. Evert foot (with anteromedial glide of talus), then invert foot (with posterolateral glide of talus). Everted talocalcaneal favors eversion, inverted favors inversion

Question 9

Articulator with traction (for talus eversion or inversion)

Answer 9

One hand grab heel, other grab talus and dorsum of foot. Traction on calcaneus and articulate figure 8 inversion and eversion until no new RBs or quality of ROM normalizes

Question 10

Dx: Plantar Glide somatic dysfunction (Navicular, cuboid, cuneiform)

Answer 10

Apply plantar pressure to these bones,note for resistance to pressure and TART changes

Question 11

Plantar Glide SD MET

Answer 11

They supine on table, grab foot and lift of table, they dorsiflex to engage rb.. Adjust inversion, eversion, dorsi and planterflexion to engage rbs. Cross your thumbs on cuboid and navic with a seperating force. Tell them to push your foot into my thumbs and maintain a counterforce for 3-5 seconds. Repeat until no new barriers met.

Question 12

Cuneiform/ metatarsal diagnosis

Answer 12

For each cuneiform or metatarsal, check for dorsal and plantar glide, stabilize the rest.

Question 13

Dx: Metatarsophalangeal and Interphalangeal joint

Answer 13

Inspect for Plantar/dorsal glide, medial/lateral glide, and internal/external rotation

Question 14

Metatarsophalangeal/interphalangeal joint SD: ART

Answer 14

check at each joint for Plantar/dorsal glide, medial/lateral glide, and internal/external rotation. When a restrictive barrier is met, motion trhoguh the barrier towards anatomic barrier.