Ankle Joint/ Region Examination

Question 1

Ankle clearing related joints

Answer 1

•Lumbar spine and SI joint
–Trunk flexion
–Trunk extension
•Hip
–Flexion and extension ROM with overpressure
•Knee
–Flexion and extension ROM with overpressure

Question 2

Ankle Joint/Region Specific Tests

Answer 2

1. Active movements
heel/toe walk
2. resisted isometrics/MMT
place in neutral position to apply pressure and look to see if there are any symptoms
3. Passive movements
-physiological
-accessory (mobilization)
is motion normal--end feel
4. Special Test
5. Palpation

Question 3

Ankle: Active Movements

Answer 3

1. Check willingness to move, synergy, presence of painful arc
2. Heel and toe walking
   - general strength and ROM assessment
3. Myotome assessment for L4 and S1 spinal levels

Question 4

Ankle: Resisted Isometrics

Answer 4

•Perform in sitting with ankle in neutral position
•Test ankle DF, PF, INV, and EV
•Recorded as:
–Strong/painless = normal
–Strong/painful = musculotendinous lesion
–Weak/painless = nerve compression, neuropathy, long standing muscle rupture, or tendon avulsion
–Weak/painful = serious pathology (neurological, muscular, or recent tear)
–All movements painful – acute condition or psychogenic

Question 5

Metatarsialgia

Answer 5

can’t test plantarflexion in weight bearing because of pain. Deferred due to metatarsialgia

Question 6

Ligament

Answer 6

Check for pain or laxity
2-lax -have an end feel and pain
3 complete disruption–

Question 7

Ankle Joint Tests

Anterior Drawer

Answer 7

This test is performed to estimate the stability of the ATFL (sn78, sp 75)  Dutton 986
Slightly plantarflexed for open packed position 10' plantarflexion
used to access stability of ankle
testing the laxity of the ATFL 
Stabilize one hand
one hand on the heel
Bilateral and Compare the results
Pull Heel Upward.

Question 8

Talar TIlt Test

Answer 8

This test is performed to estimate the stability of the cfl. A positive test is pain or laxity. pg. 986
foot rest on forearm. stabilize above malleoli
Invert the foot>position of valgus
look for excessive laxity or pain
CFL laxity will give you degree of injury and ligaments involved