Anterior Lower Leg

Question 1

Observation for anterior lower leg

Answer 1

• Gait analysis
• Tibial torsion
• Footwear

Question 2

AROM/PROM for anterior lower leg

Answer 2

• PF/DF
• Inv/Ever
• Big Toe Flexion/Extension
• 2nd-5th Flexion/Extension

Question 3

Strength Test for anterior lower leg

Answer 3

• PF/DF
• Inv/Ever
• Big Toe Flexion/Extension
• 2nd-5th Flexion/Extension

Question 4

Special tests for anterior lower leg

Answer 4

• Gastroc, soleus length test
• Tuning fork

Question 5

Gastroc length test

Answer 5

1. Lay on their back with knee fully extended
2. Stabilize thigh with hand
3. Dorsiflex the foot to stretch gastroc muscle

Question 6

Palpation of anterior lower leg

Answer 6

• Dorsal pedal pulse
• Anterior compartment
• Tibia

Question 7

Soleus length test

Answer 7

1. Lay on back with knee bent 90 degress
2. Stabilize thigh with hand
3. Dorsiflex the foot to stretch soleus

Question 8

What are the injuries for the anterior lower leg?

Answer 8

• Acute anterior compartment syndrome
• Chronic anterior compartment syndrome
• Medial tibial stress syndrome –> chronic

Question 9

History for acute anterior compartment syndrome

Answer 9

• Impact from external force
• Numbness in foot, pain and tightness in front of leg
• Loss of sensation 1st inter-webbed space
• Not relieved with rest

Question 10

Assessment for acute anterior compartment syndrome

Answer 10

• Decreased dorsal pedal pulse
• Pain with palpation
• weakness DF
• No improvement with rest

Question 11

Treatment for acute anterior compartment syndrome

Answer 11

• Medical emergency, send to ER

Question 12

History for chronic anterior compartment syndrome

Answer 12

• Pain every time athlete exercises lower extremity
• Numbness, possible weakness (drop foot)
• Feeling of tightness in anterior leg

Question 13

Assessment for chronic anterior compartment syndrome

Answer 13

• Weakness with resisted DF
• Decreased dorsal pedal pulse
• Tightness and pain palpating
• Improves immediately with rest

Question 14

Treatment for chronic anterior compartment syndrome

Answer 14

• POLIE
• Biomechanical corrections
• Compartmental pressure testing requested by do
• Stretch tight muscles
• Pull your toes toward your shin to stretch tibialis anterior
• Knee towards the wall to stretch gastroc

Question 15

History for medial tibial stress syndrome

Answer 15

• Chronic, overuse
• Pain with palpation over distal 1/3 tibia
• Pain increases with exercise and lingers post activity

Question 16

Assessment for medial tibial stress syndrome

Answer 16

• Poor biomechanics
• Weakness with resisted inversion
• Pain along medial aspect of tibia

Question 17

Treatment for medial tibial stress syndrome

Answer 17

• Correct biomechanics
• Alternative workouts –> running/jogging on softer surfaces
• Strengthening exercises –> leg on floor, lift toes while keeping heels on the ground, can add a kettlebell to increase strength
• Towel scrunches
• Balance exercises –> single-leg stand, as progress do it with eyes closed
• Low dye tape job