L16 Impairment Based Exam

Question 1

Who is the ideal candidate for an impairment-based approach to exam and treatment?

Answer 1

1. improving QOL
2. decreased mobility
3. no acute trauma
4. no non-traumatic pathology that causes hazard
5. gradual change, vague complaints, healthy individual
6. wants to improve physical condition

Question 2

What are the advantages of beginning with functional portion of the assessment for the foot and ankle vs beginning with either strength or jt mobility?

Answer 2

1. functional encaptures mmt and joint mobility
2. biomechanical causes
3. no significant patterns w/mmt and joint
4. identify immediately the issues
5. Efficiency
6. motor control tests
7. muscle performance tests

Question 3

Walking eval

Answer 3

hind foot needs eversion!
to expose hidden problems, have pt walk fast
80% of power comes from pf

Question 4

Talocrural joint play

Answer 4

ER of talus should occur along with talocrural DF

Question 5

1st MTP Mobility

Answer 5

min 40°DF
30°PF
more abduction vs adduction

bunch skin around joint to facilitate joint glides

Question 6

Strength tests for Foot

Answer 6

PF heel rise
walk on heels (DF)
doming for midtarsal
big toe = paper pull, toe curl, MMT