lab 8: foot/ankle

Question 1

how many bones are in our feet

Answer 1

28

Question 2

when would u do palpation for the ankle and foot

Answer 2

after observation if u dont do a LQ screen

Question 3

what is the ottawa ankle and foot rules

Answer 3

bone tenderness at lateral/medial mal
bone tenderness at navicular / 5th MT
inability to WB in ER or after injury

Question 4

pertaining to the foot posture index what is measured in the rearfoot and forefoot

Answer 4

rearfoot
- talar head position
- curves above and below the malleoli
- calcaneal inversion/eversion

forefoot
- talo navicular concgruence
- medial arch height
- forefoot abd/add

more pro is (+) score
more sup is (-) score

Question 5

• Tibial crest
• Lateral malleolus
• Fibularis longus tendon
• Fibularis brevis tendon
• Anterior talo-fibular ligament (ATFL)
• Calcaneo-fibular ligament (CFL)
• Posterior talo-fibular ligament
• Sinus tarsi
• Cuboid

these are part of what palpation

Answer 5

anterior and antero lateral

Question 6

• Great toe
• Phalanges
• 1st cuneiform
• Navicular
• 2nd and 3rd cuneiforms
• Dorsalis pedis pulse
• Medial malleolus
• Talus
• Sustentaculum tali
• Posterior tib tendon
• Posterior tib artery
• Deltoid ligament

these are apart of what palpation

Answer 6

anterior and antero medial

Question 7

what foot/ankle ROM is required

Answer 7

• DF/PF
• Inversion/eversion
• Great toe flex/ext

Question 8

what is normal talocural DF and PF

Answer 8

DF: 20°
PF: 50°

Question 9

what is normal talocural sup and pro

Answer 9

Supination 45-60º
Pronation 15-30º

Question 10

what is normal hind foot inversion and eversion

Answer 10

Inversion 20º
Eversion 10º

Question 11

what is normal GT MTO flexion and extesnion

Answer 11

extesnio: 70°
flexion: 45°

Question 12

what mm are u testing if the pts foot is DF and INV

Answer 12

tib ant

Question 13

what mm are u testing if the pt toes are down and in

Answer 13

tib POST ( PF and INV)

Question 14

during flexion which was does the fibular move

Answer 14

anterior (tib move post)

Question 15

during knee extension which way does the fibula move

Answer 15

post (tib movs anterior)

Question 16

during DF what is happening at the proximal fibula

Answer 16

ER and moves superiorly

Question 17

what joint play can u do at the ankle

Answer 17

distal tibio fibular
talocrural
subtalar
MTP and IP

Question 18

what joint play can u do at the ankle to check/improve ankle PF and ankle DF

Answer 18

PA glide - improve PF (bc roll pos and glide ant)
have pt on tummy

AP glide - imrpove DF (bc roll ant and glide post)

Question 19

what subtalar joint play/mob would u do to check/improve eversion and inversion

Answer 19

medial glide - for eversion (bc glides medial when u evert)
mob medially toward GT

laterla glide - for inversion ( bc glides laterla when u invert)
mob laterally toward 5th rat

Question 20

what joint play./mob would u do for MTP and IP extension and flexion

Answer 20

dorsal glide - for extension
towards you

plantar glide - for flexion
towards ground

Question 21

what special test can u use for high ankle sprain

Answer 21

fibular translation test (just like distal tib fib mob)
or /and
external rotation test ( pt knee is flexed w heel on table and ER w some DF

Question 22

what special test cna u use to check the ATFL and lateral ligaments for a low ankle sprain

Answer 22

ATFL : anterior talus displacement - anterior drawer
anterior glide of talus on calcaneus

laterla ligaments: medial talar tilt stress test
mob mallows medially

Question 23

if u think the patient has an anterior ankle impinment what test can u do

Answer 23

forced DF test (provactive in nature)

PT stabilizes distal tibia w thumb palpating anterio lateral TC joint line and put pt into forceful DF

(+) ROS

Question 24

if you found that the pt was hypomobile in their talocrual joint and has decreased DF and some pain what manip would u do

Answer 24

talocrural gapping

make sure to clear contras

Question 25

what is the foot positions for a cuboid manipulation

Answer 25

thumb over plantar surface of cuboid and place foot into PF , inversion and ADD and whip (same position for cuboid squeeze)

Question 26

what joint treatment would u do for decreased DF

Answer 26

AP mob of talocrural with progressive DF given by the therapist thigh

Question 27

what is another joint treatment u could do for decreased DF w movement

Answer 27

mobilization w movement

have pt lunge forward and bring knee over toes while PT is holding the talus for a AP mob

or

u can add a strap or band behind the pt and have them squat adn it is giving the distal tib a PA mob while giving teh AP mob at talus

Question 28

what is another joint treatment u could do for decreased DF w movement

Answer 28

mobilization w movement

have pt lunge forward and bring knee over toes while PT is holding the talus for a AP mob

or

u can add a strap or band behind the pt and have them squat adn it is giving the distal tib a PA mob while giving teh AP mob at talus