Ankle Flashcards
When would you perform an ankle ligament stress test
- when you need to rule in/rule out a diagnosis
- when you are concerned about a certain MOI
- subjective complaint
- observation (walking/body analysis/ swelling)
- population (does their symptoms fit w diagnosis/tests)
- location of their pain (aligns with other signs)
- duration of symptoms (chronic/acute, specifc/nonspecific)
when would you perform a distal tibiofibular joint mobilitu assesment?
- when you are wanting to rule in/out diagnosis
- when you see location of pain +MOI
What direction is the movement of force when performing a distal tib-fib joint mobility assesment?
the heel of the clinicians assessing hand holds the anterior surface of the distal fibula. using their assessing hand, the clinican glides the fibula in a posteriro direction along the plant of the joint.
what are some reasons you would assess mobility at the distal tib-fib joint?
what does reproduction of symptoms indicate when performing?
done for joint play/passive accessory motion, client response and end feel.
reproduction of concordant pain suggests dysfunction. impaired joint mobility or end feel may also suggest dysfunction if pain is also reproduced.
distal tib-fib joint mobility
primary:
secondary (note, not a true positive finding)
primary: joint play (accessory motion), end feel
secondary: reproduction of symptoms
what are the primary ankle sprain grades?
secondary?
grade 0: no laxity
grade 1: mild laxity
grade 2: moderate laxity
grade 3: gross laxity
secondary:
reproduction of symptoms
What does the PTFL resist?
Posterior movment of the talus on the calcanus
What does the ATFT resits?
torsion and inversion stresses in plantar flexed foot
What does CFL resits?
Torsion and inversion in dorsiflexed foot
with an ankle ligament stress test such as the anterior drawer test/revserse anterior drawer test what would indicate a + test?
1 cm of movement compared to uninvolved side
remember R1 and R2 when performing
