Ankle: Assessment 2 Flashcards

1
Q

PROMIS =

A

Patient Reported Outcome Instrument System

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2
Q

PROMIS developed by

A

NIH

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3
Q

This outcome measure is highly specific for Achilles tendinopathy

A

Visa-a

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4
Q

FAAM =

A

Foot and Ankle Ability Measure

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5
Q

What is the FAAM used for?

A

Wide range of foot/ankle pathologies including:

  • Achilles tendinopathy
  • Plantar fasciitis
  • Chronic ankle instability
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6
Q

CAIT =

A

Cumberland Ankle Instability Tool

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7
Q

AII =

A

Ankle Instability Index

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8
Q

What are the validated scales for discriminating and rating severity of ankle instability?

A
  • CAIT

- AII

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9
Q

This outcome measure has demonstrated better psychometric properties than SF-36

A

PROMIS

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10
Q

Methods for assessing foot posture

A
  • navicular height
  • dorsum height
  • longitudinal arch angle
  • foot line test
  • navicular drop
  • navicular drift
  • hindfoot and forefoot position
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11
Q

With all of the methods for assessing foot posture, what is the correlation with specific postures and dysfunction/pain?

A

No studies have correlated specific foot postures with dysfunction or pain

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12
Q

What test is used for PF endurance?

A

Heel raise test

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13
Q

In addition to PF endurance, the heel raise test has been used as what type of measure in research?

A

Balance

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14
Q

Gait assessment: reliability

A

Moderately reliable

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15
Q

Where is gait assessment most reliable? (Pt characteristics)

A

Pts with more pronounced deformity and gross adjustments

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16
Q

The Functional Lower Extremity Evaluation consists of how many tasks?

A

8

17
Q

The Functional Lower Extremity Evaluation consists of Which 8 tasks?

A
  1. Timed lateral stepdown
  2. Timed leap and catch hop sequence
  3. Single leg hop for distance
  4. Single leg timed hop
  5. Single leg triple hop for distance
  6. Crossover hop for distance endurance sequence
  7. Square hop test
  8. Lower Extremity Functional Test (LEFT)
18
Q

Ankle assessment: To assess the TCJ, should start in this position

A

Supine with knee bent

19
Q

Ankle assessment: How to assess TCJ mobility

A
  • foot in DF
  • thumbs in ankle crease on anterior talus
  • provide AP pressure bilaterally
20
Q

Ankle assessment: at the STJ, should look at these motions

A
  • combined PF/inversion

- combined DF/eversion

21
Q

Ankle assessment: STJ

How to assess combined DF/ev and PF/inv?

A
  • cup calcaneus in both hands (hand over hand fashion)

- make a figure 8 type movement

22
Q

Ankle assessment: patient positioning to assess cuneiforms

A

Supine

Knee flexed

23
Q

Ankle assessment: how to assess cuneiforms

A
  • grasp the foot with thenar eminence and thumb stabilizing cuneiform
  • with the other hand, assess or mobilize into an anterior or posterior direction
24
Q

Ankle assessment: Navicular on talus

Patient position

A

Supine

Knee bent

25
Q

Ankle assessment: Navicular on talus

Mobilize where?

A

Fingertips wrapped around navicular tuberosity

Stabilize at calcaneus with hand wrapped around dorsum of foot

26
Q

Ankle assessment: Medial cuneiform on navicular

Stabilizing hand where?

A

Around navicular bone close to distal joint surface

27
Q

Ankle assessment: Medial cuneiform on navicular

Mobilizing hand where?

A

Next to stabilizing hand, index fingers touching

28
Q

How should you assess the 1st MTP?

A

With and without stabilizing the ray

29
Q

Ankle assessment: Cuboid on calcaneus

Patient position

A

Supine

Knee bent

30
Q

Ankle assessment: Cuboid on calcaneus

Proximal hand stabilizes where?

A
  • Stabilizes foot splitting the calcaneus with the pointer and middle finger
  • webspace and thumb stabilizes calcaneus and talus
31
Q

Ankle assessment: Cuboid on calcaneus

Distal hand mobilizes where?

A
  • pointer finger wrapped around cuboid (base of 4th MTP

- remaining fingers stabilize the foot

32
Q

Ankle assessment: 5th ray on cuboid

Should plantar/dorsal glide what?

A

Both 4th and 5th metatarsal bones against the cuboid

33
Q

Ankle assessment: 5th ray on cuboid

Proximal hand location

A

Stabilizes foot with index finger on cuboid

34
Q

Ankle assessment: 5th ray on cuboid

Mobilizing hand where?

A
  • thumb on dorsal surface of 4th/5th metatarsal base

- 2nd-4th fingers on plantar surface