Ankle Foot Exam, Eval, Interventions

Question 1

injuries associated with pronatory foot type

Answer 1

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

Question 2

injuries associated with supinatory foot type

Answer 2

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

Question 3

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

Answer 3

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

Question 4

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

Answer 4

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

Question 5

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

Answer 5

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

Question 6

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

Answer 6

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

Question 7

what treatment should NEVER be done for ankle sprains?

Answer 7

ultasound

Question 8

what interventions have strong evidence for helping ankle sprains?

Answer 8

external support and AD
manual therapy*
ther ex

Question 9

Ottowa’s Ankle Rule

Answer 9

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

Question 10

Ottowa’s Foot Rule

Answer 10

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

Question 11

what interventions are most recommended for ankle sprains?

Answer 11

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

Question 12

what intervention is effective in prevention of ankle sprains?

Answer 12

wobble boards
balance training

Question 13

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

Answer 13

BMI

Question 14

does MFR significantly help ankle sprain rehab?

Answer 14

no (not above MCID)

Question 15

benefits of mobilizing DF

Answer 15

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

Question 16

what is compartment syndorme?

Answer 16

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

Question 17

compartment syndrome results in

Answer 17

mm and nerve ischemia

Question 18

pt complains for compartment syndrome

Answer 18

burning that worsens with stretching involved tissue

Question 19

what is contraindicated for compartment syndrome?

Answer 19

massage, compression, modalities

Question 20

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

Answer 20

AT the level

Question 21

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

Answer 21

eccentric
heavy load, slow speed

Question 22

characteristics of posterior tib tendon dysfunction

Answer 22

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

Question 23

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

Answer 23

cuboid sublux

Question 24

which way does the cuboid almost always sublux?

Answer 24

plantar

Question 25

T/F: cuboid sublux is commonly associated with lateral ankle sprains

Answer 25

T

Question 26

which is better for heel pain: orthosis or night splint?

Answer 26

orthosis

Question 27

what should NOT be used for heel pain?

Answer 27

ultrasound
isolated foot orthoses

Question 28

what type of shoe modification is recommended for hallux rigidus?

Answer 28

rocker bottom shoe

Question 29

steps for ruling in manual therapy

Answer 29

1. are radiographs needed
2. any chance of DVT
3. ID articular and/or structural dysfunctions
4. ID areas of hyper and hypo mobility