Lecture 13 Flashcards
Ankle sprains
combination of inversion, adduction, plantarflexion
Walking level ground
10° dorsiflexion
15° plantarflexion
Ascending stairs
15° dorsiflexion
30° plantarflexion
Descending Stairs
20-25° dorsiflexion
Squatting w/feet flat
40° dorsiflexion
Ankle Dorsiflexion test
Knee flexed to 30°
axis = intersection between lines of fibula and 5th metatarsal
stationary = fibular head
moving = 5th metatarsal
Ankle Plantarflexion test
Knee flexed to 30°
axis = intersection between lines of fibula and 5th metatarsal
stationary = fibular head
moving = 5th metatarsal
Ankle Inversion test
pt in short sitting
axis = anterior aspect of talocrural joint
stationary = tibial crest
moving = anterior midline of 2nd metatarsal
Ankle eversion test
pt in short sitting
axis = anterior aspect of talocrural joint
stationary = tibial crest
moving = anterior midline of 2nd metatarsal
Lunge test
closed chain dorsiflexion
inclinometer @ midpoint of tibia
ensure heel stays down and movement stays in sagittal plane
normal = 40-45°
Knee to wall test
closed chain dorsiflexion
tape measure or goni flat on ground
pt scoots back until knee cannot touch wall or heel comes off ground
normal >12 cm
Gastrocnemius length test
knee muscle stay in full extension
axis: lateral malleolus
stationary = line w/fibular head
moving = parallel to 5th metatarsal
Soleus length test
Knee flexed to 90°. can be done prone or supine
axis: lateral malleolus
stationary = line w/fibular head
moving = parallel to 5th metatarsal
Achilles tendon testing angle
valid and reliable test to determine passive tension in an injured, repaired, rehab achilles tendon
helps to identify if tendon is healing in an elongated position
tendon will not decrease in length if it heals in an elongated position
