Ankle/Foot Lab

Question 1

talocrural joint mobility assessment

Answer 1

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

Question 2

lateral calcaneal glide

Answer 2

improve inversion
prone
S: talus
M: calcaneus
move medial to lateral
can also be done in sidelying

Question 3

subtalar mobility assessment

Answer 3

eversion/inversion
distraction

Question 4

medial calcaneal glide

Answer 4

improve eversion
prone
S: talus
M: calcaneus
move lateral to medial

Question 5

AP fibular glide

Answer 5

supine, 20 degrees IR leg
assess fibular mobility
mama cat grip, stabilize medial malleoli and move fibula

Question 6

PA fibular glide

Answer 6

sidelying or prone
stabilize tibia under
move fibular w mama cat grip

Question 7

cuboid/calcaneus joint assessment

Answer 7

stabilize calcaneus
use two fingers to move cuboid plantar/medial and dorsal/lateral

Question 8

cuboid/metatarsal mobility assessment

Answer 8

assess in prone
hold cuboid with two fingers and move metatarsals 4 and 5

Question 9

cuboid/navicular mobility assessment

Answer 9

navicular stabilized, move cuboid plantar and dorsally

Question 10

2nd and 1st cuneiform mobility assessment

Answer 10

stabilize one while moving other with thumb plantar and dorsal

Question 11

1st metatarsal joint mobility assessment

Answer 11

hold metatarsal and move phalanx AP/PA

Question 12

anterior drawer ankle

Answer 12

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

Question 13

medial talar tilt

Answer 13

assess CFL ligament
+laxity or pain
position: pt seated, ankle neutral
move ankle into inversion

Question 14

Kleiger’s

Answer 14

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

Question 15

DF ER test

Answer 15

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

Question 16

syndesmosis squeeze

Answer 16

position: seated, supine, sidelying
+: pain
start mid calf and move downwards
more severe sprains will hurt higher up

Question 17

cotton clunk

Answer 17

assess syndesmosis injury
stabilize malleoli, push calcaneus laterally
+: clunk or excess translation

Question 18

Thompson test

Answer 18

assess achille’s tendon rupture
if pt can do heel raises, don’t perform
+: no PF w squeeze on calf

Question 19

Windlass

Answer 19

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

Question 20

Morton’s test

Answer 20

assess morton’s neuroma
compress MTP joints

Question 21

Jack toe raise test

Answer 21

subtalar joint test for 1st ray hypermobility
lift toe off ground and look at arch

Question 22

Tarsal Tunnel - Tinels

Answer 22

tapping on posterior tibial nerve posterior to the medial malleolus
+: tingling

Question 23

Mulligan’s mobilization with movement

Answer 23

only pain free
combine joint mob with physiologic motion
OP at end of PROM
3x then reassess

Question 24

DF MWM

Answer 24

NWB: supine, hold talus and pull calcaneus
WB: standing pt, PT apply AP on talus with belt pulling tib/fib PA

Question 25

Foot intrinsics

Answer 25

short foot
tapping toes (big and others)
play the piano
toe waving