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MSK > Ankle/Foot Functional/Special Tests > Flashcards

Ankle/Foot Functional/Special Tests Flashcards

1
Q

Windlass Effect

A

-plantar fascia slack until ext of big toe during push off

  1. Check arch
  2. Lift big toe and check for arch
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2
Q

Order of Foot/Ankle Exam

A

Pt Hx
Observation
Scanning Exam
Palpate**
ROM
Flexibility
MMT
Joint Play
Special Tests

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3
Q

Subjective Hx Foot/Ankle Specific

A

-Activities?
-Flat feet or high arches
-Types of shoes
-Pop?
-Child bracing?
-Surgeries?
-OA?

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4
Q

Foot Posture Index

A

-2: supination
2+: Pronation

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5
Q

Palpation

A

-Achilles tendon
-Calcaneus
-Great Toe/phalanges
-Cuneiform
-Navicular
-Malleoli
-Deltoid ligament
-ATFL
-Shin
-Fibulari

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6
Q

Foot/Ankle ROM

A

DF/PF: 20/50
Sup/Pro: 45-60/15-30 (measure at top of ankle)
Inv/Env: 20/10 (measure calcaneus)
Great toe Ext/Flx: 70/45

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7
Q

Foot/Ankle MMT

A

-Gastroc/Soleus
-Tib ant/post
-Fibulars
-Hallucis Flex/ext
-Foot Intrinsics

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8
Q

Joint Play: Proximal Tibio-Fibular

A

-AP glide or PA
-Lacking last ext or flx

Knee Joint:
-Flx: anterior
-Ext: posterior

Ankle Joint:
-DF: ER
-PF: IR

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9
Q

Joint Play: Distal Tibio-fibular

A

-AP and PA
-For lacking DF

  1. Pt supine, foot PF
  2. Stabilize tibia and mobilize fibula
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10
Q

Joint Play: Talocrual PA Glide

A

-improve PF

  1. Pt prone, slightly PF
  2. PT stabilizes Tibia
  3. Anterior mob through calcaneus
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11
Q

Joint Play: Talocrual AP Glide

A

-improve DF

  1. Pt supine, slightly PF
  2. PT stabilizes tibia
  3. Posterior mob through anterior talus
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12
Q

Joint Play: Subtalar Medial Glide

A

-improve eversion

  1. Pt sidelying
  2. Push medially
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13
Q

Joint Play: Subtalar Lateral Glide

A

-improve inversion

  1. Pt sidelying
  2. Push laterally
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14
Q

Joint Play: MTP and IP Dorsal Glide

A

-Distraction
-Extension

  1. Stabilize distal MT
  2. Mobilize dorsally
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15
Q

Joint Play: MTP and IP Plantar Glide

A

-Flexion

  1. Stabilize distal MT
  2. Mobilize plantarly
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16
Q

High (Syndesmotic) Ankle Sprain Special Tests

A

-Fibular translation test
-External Rotation test

17
Q

Lateral Ankle Special Tests

A

-Anterior Talus Displacement- Anterior Drawer
-Lateral Ligament Integrity - Medial Talar Tilt

18
Q

Anterior Ankle Impingement Special Tests

A

-Forced Dorsiflexion Test

19
Q

Midtarsal Joint Pronation Special Tests

A

-Navicular Drop Test
-Feiss Line

20
Q

Achilles Tendon Integrity Special Tests

A

-Thompson Test

21
Q

FIbular Translation Test

A

-high ankle sprain

  1. Pt supine
  2. PT mobs tibia and fibula

(+): ROS and/or increased displacement

22
Q

External Rotation Test

A

-high ankle sprain

  1. Pt supine; knee flexed to 90
  2. PT ER and DF ankle

(+): ROS or excessive movement

23
Q

Anterior Drawer (Ankle)

A

-stress ATFL
-Lateral ankle sprain

  1. Pt supine in PF
  2. PT give anterior glide of talus and calcaneus

(+): Excessive translation

24
Q

Medial Talar Tilt Stress Test

A

-stress CFL
-lateral ankle sprain

  1. Pt supine, foo in neutral
  2. PT stabilizes malleoli med mobilization at calcaneus

(+): excessive laxity

25
Q

Forced Dorsiflexion Test

A

-anterior ankle impingement

  1. Pt supine, knee flexed
  2. PT stabilizes distal tibia
  3. Forceful DF

(+): ROS

26
Q

Ankle Joint Mobs

A

-open packed positions

Proximal and Distal Tibiofibular Joint
Talocrual Joint
Cuboid (whip/squeeze)
Forefoot Joints Mobs

27
Q

Cuboid Manip/Mob

A
  1. Pt prone
  2. Foot in PF, INV, ADD
  3. PT thumb over thumb on plantar surface of cuboid
  4. Sharp Whip motion or squeeze
28
Q

AP with Progressive DF

A

-talocrual mobilization
-go the end range

  1. Pt in long sitting
  2. PT Stabilize tibia
  3. PT Mobilize in AP direction while using high to increase
29
Q

Mobilization with Movement: DF at TC

A
  1. Pt in squat or lunge
  2. AP mob at talus under tibia
    OR
    PA mob at distal tibia with belt
  3. During squat or lunge to increase

MSK (34 decks)

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