Ankle Foot Exam, Eval, Interventions Flashcards
injuries associated with pronatory foot type
plantar fasciitis
interdigital neuroma
shin splints
sesamoiditis
tarsal tunnel syndrome
patellofemoral dysfunction
posterior tibialis tendon dysfunction
injuries associated with supinatory foot type
metatarsalgia or stress fracture
peroneal tendonitis
ITB friction syndrome
lateral ankle sprain
lower back pain
sesamoiditis
plantar fasciitis
what are the 4 predictors for manip success in patients post inversion ankle sprain?
symptoms worse with standing
symptoms worse in evening
navicular drop >/= 5 mm
distal tib fib joint hypomobility
(3 = 95% success)
what are risk factors for acute lateral ankle sprains (B/moderate evidence)?
age
BMI
pain coping strategies
report of instability
hx of ankle sprain
ability to WB/pain with WB
ankle DF ROM
balance
ability to jump and land
what are risk factors for chronic ankle instability (C/weak evidence)?
previous tx
number of previous ankle sprain
pain level
self reported function
dynamic postural control
balance systems
what are physical impairments that predict lateral ankle sprain (A/strong evidence)?
ankle swelling
ankle ROM (DF)
talar translation/inversion
SL balance (Star excursion balance test)
NEED TO MEASURE AT LEAST 2 TIMES
what treatment should NEVER be done for ankle sprains?
ultasound
what interventions have strong evidence for helping ankle sprains?
external support and AD
manual therapy*
ther ex
Ottowa’s Ankle Rule
bone tenderness at lat mal
bone tenderness at med mal
inability to WB in ER and after injury
Ottowa’s Foot Rule
bone tenderness at base of 5th met
bone tenderness at navicular tubercle
inability to WB in ER and after injury
what interventions are most recommended for ankle sprains?
manual therapy and/or manip + exercise
exercise over immobilization
balance training
supervised exercise
what intervention is effective in prevention of ankle sprains?
wobble boards
balance training
an increased _____ increases the chance of non-contact ankle sprains
BMI
does MFR significantly help ankle sprain rehab?
no (not above MCID)
benefits of mobilizing DF
no change in DF ROM or SEBT reach
(+) changes in sport-specific function (FAAM)
what is compartment syndorme?
occurs when tissue pressure within a closed mm compartment exceeds perfusion pressure
compartment syndrome results in
mm and nerve ischemia
pt complains for compartment syndrome
burning that worsens with stretching involved tissue
what is contraindicated for compartment syndrome?
massage, compression, modalities
a limb with compartment syndrome should be placed _____ level of heart
AT the level
_____ training program appears to enhance more normal tendon structure and eradicate neovascularization
eccentric
heavy load, slow speed
characteristics of posterior tib tendon dysfunction
loss of arch height
painful and decreased PF and inversion
pain with SLS and WB
forefoot abduction
rearfoot valgus
decreased push off during gait
what is suspected when a pt states they feel a pebble at the bottom of their shoe?
cuboid sublux
which way does the cuboid almost always sublux?
plantar
T/F: cuboid sublux is commonly associated with lateral ankle sprains
T
which is better for heel pain: orthosis or night splint?
orthosis
what should NOT be used for heel pain?
ultrasound
isolated foot orthoses
what type of shoe modification is recommended for hallux rigidus?
rocker bottom shoe
steps for ruling in manual therapy
- are radiographs needed
- any chance of DVT
- ID articular and/or structural dysfunctions
- ID areas of hyper and hypo mobility
