Ankle: Assessment 2 Flashcards
PROMIS =
Patient Reported Outcome Instrument System
PROMIS developed by
NIH
This outcome measure is highly specific for Achilles tendinopathy
Visa-a
FAAM =
Foot and Ankle Ability Measure
What is the FAAM used for?
Wide range of foot/ankle pathologies including:
- Achilles tendinopathy
- Plantar fasciitis
- Chronic ankle instability
CAIT =
Cumberland Ankle Instability Tool
AII =
Ankle Instability Index
What are the validated scales for discriminating and rating severity of ankle instability?
- CAIT
- AII
This outcome measure has demonstrated better psychometric properties than SF-36
PROMIS
Methods for assessing foot posture
- navicular height
- dorsum height
- longitudinal arch angle
- foot line test
- navicular drop
- navicular drift
- hindfoot and forefoot position
With all of the methods for assessing foot posture, what is the correlation with specific postures and dysfunction/pain?
No studies have correlated specific foot postures with dysfunction or pain
What test is used for PF endurance?
Heel raise test
In addition to PF endurance, the heel raise test has been used as what type of measure in research?
Balance
Gait assessment: reliability
Moderately reliable
Where is gait assessment most reliable? (Pt characteristics)
Pts with more pronounced deformity and gross adjustments
The Functional Lower Extremity Evaluation consists of how many tasks?
8
The Functional Lower Extremity Evaluation consists of Which 8 tasks?
- Timed lateral stepdown
- Timed leap and catch hop sequence
- Single leg hop for distance
- Single leg timed hop
- Single leg triple hop for distance
- Crossover hop for distance endurance sequence
- Square hop test
- Lower Extremity Functional Test (LEFT)
Ankle assessment: To assess the TCJ, should start in this position
Supine with knee bent
Ankle assessment: How to assess TCJ mobility
- foot in DF
- thumbs in ankle crease on anterior talus
- provide AP pressure bilaterally
Ankle assessment: at the STJ, should look at these motions
- combined PF/inversion
- combined DF/eversion
Ankle assessment: STJ
How to assess combined DF/ev and PF/inv?
- cup calcaneus in both hands (hand over hand fashion)
- make a figure 8 type movement
Ankle assessment: patient positioning to assess cuneiforms
Supine
Knee flexed
Ankle assessment: how to assess cuneiforms
- grasp the foot with thenar eminence and thumb stabilizing cuneiform
- with the other hand, assess or mobilize into an anterior or posterior direction
Ankle assessment: Navicular on talus
Patient position
Supine
Knee bent
Ankle assessment: Navicular on talus
Mobilize where?
Fingertips wrapped around navicular tuberosity
Stabilize at calcaneus with hand wrapped around dorsum of foot
Ankle assessment: Medial cuneiform on navicular
Stabilizing hand where?
Around navicular bone close to distal joint surface
Ankle assessment: Medial cuneiform on navicular
Mobilizing hand where?
Next to stabilizing hand, index fingers touching
How should you assess the 1st MTP?
With and without stabilizing the ray
Ankle assessment: Cuboid on calcaneus
Patient position
Supine
Knee bent
Ankle assessment: Cuboid on calcaneus
Proximal hand stabilizes where?
- Stabilizes foot splitting the calcaneus with the pointer and middle finger
- webspace and thumb stabilizes calcaneus and talus
Ankle assessment: Cuboid on calcaneus
Distal hand mobilizes where?
- pointer finger wrapped around cuboid (base of 4th MTP
- remaining fingers stabilize the foot
Ankle assessment: 5th ray on cuboid
Should plantar/dorsal glide what?
Both 4th and 5th metatarsal bones against the cuboid
Ankle assessment: 5th ray on cuboid
Proximal hand location
Stabilizes foot with index finger on cuboid
Ankle assessment: 5th ray on cuboid
Mobilizing hand where?
- thumb on dorsal surface of 4th/5th metatarsal base
- 2nd-4th fingers on plantar surface
