Ankle Foot Exam, Eval, Interventions Flashcards

1
Q

injuries associated with pronatory foot type

A

plantar fasciitis
interdigital neuroma
shin splints
sesamoiditis
tarsal tunnel syndrome
patellofemoral dysfunction
posterior tibialis tendon dysfunction

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2
Q

injuries associated with supinatory foot type

A

metatarsalgia or stress fracture
peroneal tendonitis
ITB friction syndrome
lateral ankle sprain
lower back pain
sesamoiditis
plantar fasciitis

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3
Q

what are the 4 predictors for manip success in patients post inversion ankle sprain?

A

symptoms worse with standing
symptoms worse in evening
navicular drop >/= 5 mm
distal tib fib joint hypomobility
(3 = 95% success)

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4
Q

what are risk factors for acute lateral ankle sprains (B/moderate evidence)?

A

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

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5
Q

what are risk factors for chronic ankle instability (C/weak evidence)?

A

previous tx
number of previous ankle sprain
pain level
self reported function
dynamic postural control
balance systems

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6
Q

what are physical impairments that predict lateral ankle sprain (A/strong evidence)?

A

ankle swelling
ankle ROM (DF)
talar translation/inversion
SL balance (Star excursion balance test)
NEED TO MEASURE AT LEAST 2 TIMES

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7
Q

what treatment should NEVER be done for ankle sprains?

A

ultasound

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8
Q

what interventions have strong evidence for helping ankle sprains?

A

external support and AD
manual therapy*
ther ex

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9
Q

Ottowa’s Ankle Rule

A

bone tenderness at lat mal
bone tenderness at med mal
inability to WB in ER and after injury

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10
Q

Ottowa’s Foot Rule

A

bone tenderness at base of 5th met
bone tenderness at navicular tubercle
inability to WB in ER and after injury

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11
Q

what interventions are most recommended for ankle sprains?

A

manual therapy and/or manip + exercise
exercise over immobilization
balance training
supervised exercise

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12
Q

what intervention is effective in prevention of ankle sprains?

A

wobble boards
balance training

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13
Q

an increased _____ increases the chance of non-contact ankle sprains

A

BMI

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14
Q

does MFR significantly help ankle sprain rehab?

A

no (not above MCID)

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15
Q

benefits of mobilizing DF

A

no change in DF ROM or SEBT reach
(+) changes in sport-specific function (FAAM)

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16
Q

what is compartment syndorme?

A

occurs when tissue pressure within a closed mm compartment exceeds perfusion pressure

17
Q

compartment syndrome results in

A

mm and nerve ischemia

18
Q

pt complains for compartment syndrome

A

burning that worsens with stretching involved tissue

19
Q

what is contraindicated for compartment syndrome?

A

massage, compression, modalities

20
Q

a limb with compartment syndrome should be placed _____ level of heart

A

AT the level

21
Q

_____ training program appears to enhance more normal tendon structure and eradicate neovascularization

A

eccentric
heavy load, slow speed

22
Q

characteristics of posterior tib tendon dysfunction

A

loss of arch height
painful and decreased PF and inversion
pain with SLS and WB
forefoot abduction
rearfoot valgus
decreased push off during gait

23
Q

what is suspected when a pt states they feel a pebble at the bottom of their shoe?

A

cuboid sublux

24
Q

which way does the cuboid almost always sublux?

25
T/F: cuboid sublux is commonly associated with lateral ankle sprains
T
26
which is better for heel pain: orthosis or night splint?
orthosis
27
what should NOT be used for heel pain?
ultrasound isolated foot orthoses
28
what type of shoe modification is recommended for hallux rigidus?
rocker bottom shoe
29
steps for ruling in manual therapy
1. are radiographs needed 2. any chance of DVT 3. ID articular and/or structural dysfunctions 4. ID areas of hyper and hypo mobility