Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MSK: LQ > lecture 8b: foot/ ankle examination > Flashcards

lecture 8b: foot/ ankle examination Flashcards

1
Q

what are 7 injuries associated with pronatory foot types (flat)

A

• Plantar fasciitis
• Interdigital neuroma
• Shin-splint
• Sesamoiditis
• Tarsal tunnel syndrome
• Patellofemoral dysfunction
• Posterior Tibialis Tendon Dysfunction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are 7 injuries associated with supinatory foot types (high arch)

A

• Metatarsalgia or stress fracture
• Peroneal tendinitis
• IT band friction syndrome
• Lateral ankle sprain
• Lower back pain
• Sesamoiditis
• Plantar fasciitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

most studies for lateral ankle sprains support ____ and/or ___ over immobilization , ultrasound , RICE alone and RICE + meds

A

manual therapy and/or manipulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

is functinal treatment or immbolization better for acute ankle sprains

A

functional treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

t/f: as BMI increases so does the risk for no contact ankle sprains in HS FB players

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

the balance program made by McGuine , included both ___ and ___ balance activities for ankle sprains

A

static and dynamic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what are teh variables for doing manipulations post inversion ankle sprains (lateral)

A
  • symptoms worse when standing
  • symptoms worse in evening
  • navicular drop > or even to 5 mm
  • distal tibiofubular joint hypomobility

if 3 are presents then probability to do manip is high

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

does adding myofascial therapy with manipulations add help with management of acute inversion ankle sprain (lateral)

A

no it does not help by adding myofascial release

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

the study where they looked at the effects of mobilization with movement on DF range of motion , dynamic balance and self reported function individuals with chronic amkel instability what did they find a positive change in

A

sport specific function but no change in DF ROM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the moderate evidence (B) for risk factors for acute lateral ankle sprain

A

• Pt age
• BMI
• Pain coping strategies
• Report of instability
• Hx of ankle sprain
• Ability to WB/pain w/ WB
• Ankle DF ROM
• Balance
• Ability to jump and land

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is considered weak evidence (C) for chronic ankle instability for risk factors

A
  • Previous tx
  • Number of previous ankle sprains
  • Pain level
  • Self reported function
  • Dynamic postural control
  • Balance systems
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what clinical measures from strong evidence (A) for lateral ankle sprains

A
  • ankle swelling
  • ankle ROM (particularly DF in open and closed chain)
  • talar translation/Inversion
    -SL balance ( star excursion balance test )

** Need to measure >2 times during episode of care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what** self report measures** for lateral ankle sprains are consider strong evidence (A)

A
  • Foot and Ankle Ability Measure (FAAM)
  • Lower Extremity Functional Scale (LEFS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what pain/self efficacy outcome measure for lateral ankle sprain is weak evidence (C)

A
  • Tampa Scale of Kinesiophobia
  • FAB-Q
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what physical performance test for lateral ankle sprain is moderate evidence (B)

A
  • Single limb hop tests
  • Timed when appropriate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what PT interventions for lateral ankle sprain is considered strong evidence (A)

A
  • external support and AD
  • manual therapy
  • ther ex exercise
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what kind of evidence is Cryotherapy and diathermy for laterla ankle sprains

A

C weak

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is the strong evidence against the use of ___ for lateral ankle sprains

A

ultrasound

19
Q

what is the first thing u do for ankle fx? and then what

A

1st see if ankle is broken or if imagin is needed with the ottawa ankle or foot rules

if (-) then treat as needed as sprain
if (+) then immobilization and clearance by MD

20
Q

what are the ottawa ankle and foot rules

A

ankle:
- bone tenderness of lateral malleolus
- bone tenderness of medial malleolus
- inability to WB in ER and after injury

foot:
- bone tenderness at base of 5th MT
- bone tenderness of navicular tubercle
- inability to WB in ER or after injury

just need 1 to be true to need imagine

21
Q

how does compartment syndrome occur

A

when tissue pressure within a closed mm compartment exceeds perfusion pressure

22
Q

when does compartment syndrome occur

A

w high velocity injuries , bone fx , penetrating injuries , snake bite and vigorous exertion

23
Q

what does a pt complain of w compartment syndrome

A

complain of “burning”, and worsens w/ stretching involved tissue

24
Q

what are the similar findings of achilles tendinopathy as w patellar tendinopathy

A

vasculo-neural in growth and lack of inflammatory markers

25
Q

achilles tendinopathy is suggest that neovascularization and neural in growth in ____ tendinosis related to pain

A

midsubstqnace

26
Q

for achilles tendinopathy … ___ training program appears to enhance more normal tendon structure and eradicate neovascularization … however, consider your pt’s
starting point

A

Eccentric

27
Q

what exercise for achilles tendinopathy is considered strong evidence (A)

A
  • Eccentric loading
  • Heavy load, slow speed (concentric/eccentric
28
Q

what stretching for achilles tendinopathy is considered weak evidence (A)

A
  • Ankle PFs w/ knee flexed and extended
  • Improve ankle DF ROM
29
Q

what is Posterior Tibialis Tendon Dysfunction

A

degenerative and progressive condition of the posterior tibialias tendon

30
Q

what is the observation and mobility for Posterior Tibialis Tendon Dysfunction

A
  • Observation: Loss of arch height, forefoot abduction, rearfoot valgus
  • Mobility: limited and/or painful plantarflexion
31
Q

what is the function and strength for Posterior Tibialis Tendon Dysfunction

A
  • Function: abnormal gait mechanics: decreased push off, pain with WB or single leg balance
  • Strength: weak and painful single leg heel raise, asymmetrical bilateral heel raise, weakness with inversion and plantarflexion
32
Q

what is the mechanics of dysfucntion of cuboid subluxation

A

almost always plantar subluxation

33
Q

what is the treatment for cuboid subluxation

A

• Cuboid whip
• Cuboid squeeze

34
Q

how do u want to customize the orthotics for plantar fasciitis

A

subtalar neutral

35
Q

how should the shoe wear be from plantar faciitis

A

improved CUSHIONING for supination foot
improved SUPPORT (rear foot) for pronator foot

36
Q

the cochrane review from plantar heel pain says there is ____ evidence supporting corticosteroids injections for short term relief of pain and ___ evidence supporting night splints for reducing pain in chronic conditions

A

limited 2x

37
Q

the study for plantar heel pain (young et al) used manual therapy techniques targeting the ___ , ___ and ____ joints and all 4 patients reported _____ pain at discharge

A

talocrural , subtalar , and tarsometatarsal joints
0/10

38
Q

according to the study (roos et al) did orthoses help with plantar faciitis

A

slight higher functional scores in orthotics groups but not difference in out come measures at 1 year

39
Q

what is considered strong eviednce for interventions for heel pain

A
  • manual therapy
  • stretching
  • taping
  • night splints
40
Q

what is considered strong eviednce on what NOT to do for heel pain interventions

A

ultrasound

41
Q

what is considered moderate evidence for interventions for heel pain

A
  • do not use isolated foot orthoses
  • low lever laser therapy
  • therapeutic exercises/ NM re ed
  • dry needling
42
Q

what is the ROM of the hallux during gait

A

65-70°

43
Q

what is the etiology for hallux rigidus

A

trauma and degenerative changes

44
Q

what is the wells criteria for PE/DVT

A

-clinical signs of DVT
- HR > 100 BPM
- immobilization for 3 days or longer
- previous ex of PE or DVT
- hemotysis
- pts w cancer receiving treatment
- alternative dx less likely then PE

> 6 pints is high
2-6 is mod
<2 is low

MSK: LQ (22 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions