Ankle/Foot Flashcards

1
Q

Anterior Drawer Test of the Ankle

A
  • test the stability if the ATFL
  • Positive with excessive anterior talar translation and/or pain
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2
Q

pt and PT hand position for the anterior drawer of the ankle

A

pt: ankle in 10-15 degrees of PF
PT: S-tibia M- calcaneus with a PA force

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3
Q

Medial Talar Tilt Test

A
  • test the integrity of the CFL and the ATFL
  • positive with laxity compared the the contralateral side and/or pain
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4
Q

pt and PT positioning with the medial talar tilt test.

A

pt: seated or side-lying with the ankle in a neutral position
PT: S: tibia and fibula M: the talus tilts into adduction

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5
Q

External Rotation stress test (kleiger)

A
  • integrity of the distal tibiofibular syndemosis and/or deltoid ligament
  • positive with visible joint gapping and/or pain
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6
Q

pt and PT position for the External Rotation stress test (kleiger)

A

pt: seated with legs dangling over the edge, foot relaxed
PT: S- tibia and fibula M- the foot into external rotation

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7
Q

Dorsiflexion and external rotation of the foot test

A
  • tests the integrity of the distal tibiofibular syndesmosis by forcing the wider anterior portion of the talar dome into the mortise
  • positive with visible joint gapping and/or pain
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8
Q

pt and PT position for dorsiflexion external rotation test

A

pt: seated; knee flexed to 90, ankle maximal DF
PT: S- tibia and fibula M- external rotation of the foot

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9
Q

Syndesmosis Squeeze

A
  • Test the integrity of the syndesmosis
  • positive with distal pain near the syndesmosis.
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10
Q

pt and PT position for the syndesmosis squeeze

A

pt: any comfortable position
PT: wrap hands around the lower legs and produce an inward force with both hands.

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11
Q

Cotton Test/ Cotton Clunk / lateral stress test

A
  • checks for syndesmosis instability
  • postitive with an audible clunk or calcaneal translation over 3-5mm
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12
Q

pt and PT position for the cotton test

A

pt: supine foot in neutral
PT: S- tibia and fibula M- the calcaneus laterally

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13
Q

Thompson Test

A
  • used to determine an achilles tendon rupture
  • positive with lack of foot movement into PF
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14
Q

pt and PT position for the thompson’s test

A

pt: prone
PT: squeeze the pts calf and look for ankle PF
refer to ortho if test is positive.

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15
Q

The windlass test

A
  • used to test the integrity of the planter fascia
  • positive if passive extension is continued to end range or until reproduction of pain
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16
Q

pt and PT position in the windlass test

A

pt: sitting with knee flexed to 90 or weight bearing with big toe resting over an edge (have the arch supported) then part 2 witch is standing with met heads over step
PT: S- the ankle into neutral M- passively extend the 1st phalange while allowing the IP joint to flex.

17
Q

Jack toe raise test

A
  • used to determine mobility of the subtalar joint
  • positive if the medial arch elevates and supportive shoe wear is indicated
18
Q

pt and PT position of the jack toe raise test

A

pt: wight bearing foot flat on surface
PT: passively DF the 1st toe

19
Q

Toe Raise Test

A
  • used to test the subtalar motion
  • positive if valgus hindfoot in stance to varus hindfoot in toe raise
20
Q

Mortons Test

A
  • used to test neuroma, RX/stress fracture screen
  • positive with an increase in symptoms
21
Q

pt and PT position in the Morton’s test

A

pt in a neural foot position, feet hanging off table
PT: apply a squeeze to the metatarsal heads toward the midline

22
Q

Silfverskold test

A
  • assess contracture of the gastoc/soleus (heel cord)
  • length test of the gastroc and soleus
23
Q

pt and PT position of the Silfverskold test

A

pt: in supine
PT: find neutral subtalar joint, assess DF PROM with knee bent and knee extended.

24
Q

Tinel test (on foot)

A
  • used to assess tarsal tunnel syndrome
  • positive with reproduction of tingling
25
Q

pt and PT position in the tinel test

A

pt in supine or sitting. PT applies a tab to the posterior tibial nerve near medial malleolus