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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Order of Foot/Ankle Exam

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Subjective Hx Foot/Ankle Specific

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Foot Posture Index

A

-2: supination
2+: Pronation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Palpation

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Foot/Ankle MMT

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Joint Play: Talocrual PA Glide

A

-improve PF

  1. Pt prone, slightly PF
  2. PT stabilizes Tibia
  3. Anterior mob through calcaneus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Joint Play: Subtalar Medial Glide

A

-improve eversion

  1. Pt sidelying
  2. Push medially
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Joint Play: Subtalar Lateral Glide

A

-improve inversion

  1. Pt sidelying
  2. Push laterally
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Joint Play: MTP and IP Dorsal Glide

A

-Distraction
-Extension

  1. Stabilize distal MT
  2. Mobilize dorsally
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Joint Play: MTP and IP Plantar Glide

A

-Flexion

  1. Stabilize distal MT
  2. Mobilize plantarly
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
Forced Dorsiflexion Test
-anterior ankle impingement 1. Pt supine, knee flexed 2. PT stabilizes distal tibia 3. Forceful DF (+): ROS
26
Ankle Joint Mobs
-open packed positions Proximal and Distal Tibiofibular Joint Talocrual Joint Cuboid (whip/squeeze) Forefoot Joints Mobs
27
Cuboid Manip/Mob
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
AP with Progressive DF
-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
Mobilization with Movement: DF at TC
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