Ankle/Foot Lab Flashcards
talocrural joint mobility assessment
AP - supine, DF accessory motion
PA - prone/supine, PF accessory motion
distraction - hold tib/fib, other hands pulls down w grip around foot anchored over talus
lateral calcaneal glide
improve inversion
prone
S: talus
M: calcaneus
move medial to lateral
can also be done in sidelying
subtalar mobility assessment
eversion/inversion
distraction
medial calcaneal glide
improve eversion
prone
S: talus
M: calcaneus
move lateral to medial
AP fibular glide
supine, 20 degrees IR leg
assess fibular mobility
mama cat grip, stabilize medial malleoli and move fibula
PA fibular glide
sidelying or prone
stabilize tibia under
move fibular w mama cat grip
cuboid/calcaneus joint assessment
stabilize calcaneus
use two fingers to move cuboid plantar/medial and dorsal/lateral
cuboid/metatarsal mobility assessment
assess in prone
hold cuboid with two fingers and move metatarsals 4 and 5
cuboid/navicular mobility assessment
navicular stabilized, move cuboid plantar and dorsally
2nd and 1st cuneiform mobility assessment
stabilize one while moving other with thumb plantar and dorsal
1st metatarsal joint mobility assessment
hold metatarsal and move phalanx AP/PA
anterior drawer ankle
assess ATFL stability
MOI: inversion trauma
+: excess talar motion or pain
position: supine w foot off table, ankle 20 PF
hold tibia and shear talus anteriorly moving the calcaneus
medial talar tilt
assess CFL ligament
+laxity or pain
position: pt seated, ankle neutral
move ankle into inversion
Kleiger’s
external rotation stress test for syndesmosis of tib/fib
+: visible joint gap, pain, indicates more testing is needed
position: seated, relaxed foot
ER force on foot
DF ER test
assess tib/fib syndesmosis by forcing talar dome into mortise
+: visible joint gapping or pain
position: seated, knee flexed, maximal DF
ER force on foot
syndesmosis squeeze
position: seated, supine, sidelying
+: pain
start mid calf and move downwards
more severe sprains will hurt higher up
cotton clunk
assess syndesmosis injury
stabilize malleoli, push calcaneus laterally
+: clunk or excess translation
Thompson test
assess achille’s tendon rupture
if pt can do heel raises, don’t perform
+: no PF w squeeze on calf
Windlass
assess plantar fasciitis fascial and ligament impairments in the foot
+: reproduced pain, excess passive extension
position: NWB seated w feet on ground; WB standing with met heads over edge of step
Morton’s test
assess morton’s neuroma
compress MTP joints
Jack toe raise test
subtalar joint test for 1st ray hypermobility
lift toe off ground and look at arch
Tarsal Tunnel - Tinels
tapping on posterior tibial nerve posterior to the medial malleolus
+: tingling
Mulligan’s mobilization with movement
only pain free
combine joint mob with physiologic motion
OP at end of PROM
3x then reassess
DF MWM
NWB: supine, hold talus and pull calcaneus
WB: standing pt, PT apply AP on talus with belt pulling tib/fib PA
