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MSK LQ > Lecture 8B > Flashcards

Lecture 8B Flashcards

1
Q

These are associated with what foot type:

Plantar fasciitis

A

Pronator and Supinator, but moreso Pronator

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2
Q

These are associated with what foot type:

Interdigital neuroma

Shin splint

A

Pronator

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3
Q

These are associated with what foot type:

Tarsal tunnel syndrome

Patellofemoral dysfunction

Posterior tibialis tendon dysfunction

A

Pronator

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4
Q

These are associated with what foot type:

Stress fracture

Peroneal tendinitis

A

Supinator

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5
Q

These are associated with what foot type:

IT band friction

Lateral ankle sprain

Low back pain

A

Supinator

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6
Q

Do studies support the use of manual therapy alone to treat ankle sprains?

A

Yes

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7
Q

Do studies support RICE and immobilization for ankle sprains

A

No

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8
Q

Do studies show that exercise can help prevent chronic ankle sprains?

A

Yes, but does not reduce postural sway

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9
Q

Studies show a large relationship between _____ and the occurrence of ankle sprains

A

BMI

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10
Q

What does the McGuine et al balance program include for treating ankle sprains

A

Static and dynamic balance activities

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11
Q

What is the CPG for using manual therapy to help with inversion ankle sprains

A

Symptoms worse when standing

Symptoms worse in evening

Navicular drop over 5mm

Distal tibiofibular joint hypomobility

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12
Q

Is manual therapy with therex proven better than just therex alone for lateral ankle sprains?

A

Yes

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13
Q

Is manual therapy + therex + soft tissue release proven better than just

Manual therapy + therex

for the management of acute inversion ankle sprain?

A

No

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14
Q

When implementing the 4 week comprehensive rehab program for chronic ankle instability do we need to do all of the exercises listed?

A

Don’t do all exercises immediately, focus on fewer exercises with quality movement

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15
Q

What clinical measures are important for ankle

A

Measure ankle swelling

Measure ankle ROM (particularly dorsiflexion in open and closed chain when possible)

Talar inversion/eversion

SL balance (star excursion test)

Note: need to measure everything 2 or more times during care

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16
Q

What outcome measures have Strong evidence for foot and ankle

A

FAAM (foot ankle ability measure)

LEFS

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17
Q

how much evidence do single leg hop tests have for foot and ankle outcomes

A

moderate

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18
Q

Should you use ultrasound for acute ankle sprains?

A

NO

strong evidence NOT to use

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19
Q

Evidence levels for ankle

Cryotherapy:

Manual therapy:

Therex:

External support/Assistive devices:

A

Cryotherapy: weak

Manual therapy: strong

Therex: strong

External support/Assistive devices: strong

20
Q

What do you need to rule out for every case that could be an ankle sprain:

A

Fractures!

Use the ottawa ankle and foot rules

21
Q

What is needed if a patient is positive under the ottawa foot and ankle rules

A

Immobilization, clearance by MD w/ repeated imagining required

NO MANIPS or MOBs

22
Q

While a patient has an immobilized ankle/foot what do we treat

A

edema, gait w/ AD, and CV conditioning

23
Q

Ottawa ankle rule

A

Boney tenderness at lat mal

Bone tenderness at med mal

Inability to bear weight in ER and after injury

24
Q

Ottawa foot rules:

A

bone tenderness at base of 5th met

bone tenderness at navicular

inability to bear weight in ER and after injury

25
Q

Is compartment syndrome urgent or emergent?

A

acutely, it can be emergent (especially if there is pulselessness)

26
Q

How do we prevent compartment syndrome from developing:

No massage, no modalities, if casted use bivalve cast, extended rest

Place limb ________________

A

AT the level of heart

not above or below

27
Q

What is the progression for achilles tendinopathy rehab

A

Start with isometrics -> eccentric -> energy storage

28
Q

What intervention has grade A evidence for achilles tendinopathy

A

Eccentric loading

heavy load and slow speed eccentric/concentric

29
Q

What level of evidence does PF stretching have for achilles tendinopathy

A

C level, weak evidence

30
Q

Loss of arch height, forefoot abduction, rear foot valgus

painful plantarflexion

A

Posterior Tibialis Tendon Dysfunction

31
Q

Weak/painful single leg heel raise, assymetrical bilateral heel raise, weakness with inversion and plantarflexion. Decreased push off during gait

A

Posterior tibialis tendon dysfunction

32
Q

Which way does the cuboid most commonly sublux

A

Plantar

33
Q

Overuse injury with flat pronated foot, pain along the medial ankle and along the PTT, swelling at medial posterior ankle, weakness with push off, difficulty and/or pain with heel raise

A

posterior tibialis tendon dyfunction

34
Q

When is a plantar cuboid dyslocation most common in dancers

A

during transition from foot-flat to demipointe

35
Q

How good is the evidence for corticosteroid injection for SHORT TERM relief of pain in the plantar heel

A

limited evidence

36
Q

How good is the evidence for night splints for reducing pain in CHRONIC conditions of the plantar heel

A

limited evidence

37
Q

What is the evidence like for manual therapy for plantar heel pain?

A

Young et al JOSPT found that manual therapy works and cured all patients to 0/10 pain at discharge and short term follow up

37
Q

How helpful are Orthoses for plantar fascitis

A

only for short term relief

Grade B evidence NOT to use isolated foot orthoses

38
Q

how helpful is plantar fascia stretching for plantar fascitis

A

good

39
Q

is manual therapy + Therex better than therex alone for plantar fascitis?

A

yes

40
Q

Is ultrasound helpful for plantar fascitis?

A

no, dont use it!

41
Q

are night splints helpful for plantar fascitis?

A

Yes, grade A evidence

especially for people who have consistent pain with first step in the morning

perscribe for 1-3 months

42
Q

what has strong evidence for plantar fascitis?

A

Manual + Stretching (plantar fascia and gastroc/soleus) + Taping + Night splints

43
Q

What has moderate evidence for plantar fascitis

A

Therex

Low level laser therapy

Dry needling

44
Q

How much great toe ext is needed for gait

A

65-70

45
Q

how do we treat hallux rigidus

A

Mobilization

Rigid insert

Rocker bottom shoe

MSK LQ (26 decks)

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