Foot and Ankle Flashcards

1
Q

What objective does the heel rocker in initial contact facilitate

A

forward progression

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2
Q

what angle and direction of flexion at the ankle is expected in loading response?

A

5 degrees PF

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3
Q

What muscle assists in forward progression heel rocker mechanism?

A

Tibialis anterior

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4
Q

From the end of loading response to the end of mid stance what is the change in ankle flexion?

A

5 PF to 5 DF

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5
Q

What does the change from 5 PF to 5 DF facilitate?

A

Progression of COM over BOS

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6
Q

What is the arc of motion from the end of loading response to the end of terminal stance at the ankle?

A

15 DF

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7
Q

What is the change in ankle flexion in terminal stance?

A

5 DF - 10 DF

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8
Q

What is the change in ankle flexion in pre-swing?

A

10 DF - 20 PF

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9
Q

What is the most rapid change of angle in the ankle in the gait cycle?

A

10 DF - 20 PF (Pre-swing)

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10
Q

What is the change in ankle flexion in initial swing?

A

20 PF - 5 PF

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11
Q

What is the change in ankle flexion in mid-swing?

A

5 PF - 0

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12
Q

What does the change in ankle flexion from 5 PF to 0 facilitate?

A

Foot clearance

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13
Q

What is the change in ankle flexion in Terminal Swing?

A

NONE (remains neutral)

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14
Q

What is the change in ankle rotation in initial contact?

A

3-5 Sup

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15
Q

Wha is the change in ankle rotation in loading response?

A

4-6 Pro

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16
Q

what is the change in ankle rotation in Midstance-terminal stance?

A

Pronation to neutral

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17
Q

What are objectives of pronation in loading response and midstance?

A

Shock absorption and Stance stability

18
Q

What is the angle of the ankle in the sagital plane at initial contact?

19
Q

What does pronation do to the midtarsal joints?

A

Unlockes them turning the foot into a mobile adaptor

20
Q

What does supination in midstance/terminal stance facilitate?

A

Progression of COM beyond BOS (toe rocker)

21
Q

What does supination do to the midtarsal joints?

A

Locks them turning the foot into a rigid lever

22
Q

What does foot pronation during loading response facilitate in the tibia?

A

Internal rotation

23
Q

What is the moment at the ankle during loading response?

A

Plantarflexion

24
Q

What are the agonists at the ankle in loading response?

A

Eccentric dorsiflexors

25
What is the moment at the ankle during midstance?
Dorsiflextion
26
What are the agonists of the ankle during midstance?
Eccentric plantarflexors
27
What is the moment of the ankle during terminal stance?
increasing Dorsiflexion
28
What are the agonists of the ankle during terminal stance?
Eccentric plantarflexors
29
What is the moment of the ankle during pre-swing?
Reducing dorsiflexion
30
What are the agonists of the ankle during pre-swing?
Reducing concentric calf demand
31
What is the moment of the ankle during initial swing
Gravity driven plantarflexion
32
What are the agonists of the ankle during initial swing?
Concentric dorsiflexors
33
What is the moment of the ankle during mid-swing?
Gravity driven plantarflexion
34
What are the agonists of the ankle during mid-swing?
Concentric dorsiflexors
35
What is the moment of the ankle during Terminal swing?
Gravity driven plantarflexion
36
What are the agonists of the ankle during Terminal swing?
Isometric dorsiflexors
37
What 4 muscles control foot pronation during loading response?
Eccentric Inversion muscles: 1. Tibialis posterior 2. Tibialis Anterior 3. Flexor hallicus longus 4. Flexor digitorum longus
38
What 3 muscles control foot supination during midstance-terminal stance?
Concentric inversion muscles 1. Tibialis posterior 2. Flexor hallicus longus 3. Flexor digitorum longus
39
What kind of torque pronates the foot?
Vertical
40
What is lateral sheer force?
Counterclockwise (pronation) torque
41
What increases lateral sheer force in footwear?
Wider platform
42
What increases plantarflexion torque and increases the demand of dorsiflexors in footwear?
Posterior flare