Ankle Mobs

Question 1

Malleolar Torsion

Answer 1

natural to have ~15 deg ER of tibia
pt sits off edge of plinth, middle part of med malleolus should be in line with ant lat malleolus. two points should be in line parallel with the plinth

Question 2

Post mob of Talus

Answer 2

increases DF
convex talus, concave tib-fib
supine, stabilize about malleoli, with web space around talus, give post directed force

Question 3

Tibial post mob

Answer 3

increases PF

supine, stabilize calcaneus, hands around malleoli, give post directed force

Question 4

Ant mob of Talus

Answer 4

improves PF
pt lies prone, stabilize underneath malleoli, give ant directed force through the achilles tendon to the talus
watch to not give force through the calcaneus

Question 5

Ant mob of Tibia

Answer 5

improves DF

pt prone, stabilize dorsal forefoot, ant directed force through the achilles over the malleoli

Question 6

Calcaneal Medial mob

Answer 6

increases eversion
side-lying on uninvolved side, stabilize ankle with your leg, stabilize talus, apply medially directed force with your thenar eminence over the calcaneus. (not a lot of motion)

Question 7

Calcaneal lateral mob

Answer 7

increases inversion
pt lies on involved side, support ankle with your leg. stabilize talus, give laterally directed force over calcaneus with your thenar eminence

Question 8

Superior Fibular Head mob

Answer 8

improves DF
pt sits off edge of table, lock fib head inbetween PIP and index finger, do general mobs, place pt in DF - only done if pt lacks terminal DF
careful of peroneal nerve compression

Question 9

First MTP ext ROM

Answer 9

need 60-65 deg for gait

AOR - MTP joint

Question 10

Ray Mobility

Answer 10

inc IP and IMT mobility

stabilize other mets while mob one of them. 1 has most mobility, 2 & 3 more stable, 4 & 5 slight motion