Magee Chapter 24 Flashcards
Compartments of the Lower Leg
Anterior
Lateral
Superficial Posterior
Deep Posterior
Anterior Compartment
Tibialis anterior
Extensor hallucis longus
Extensor digitorum communis
Peroneus tertius
Lateral Compartment
Peroneus longus
Peroneus brevis
Deep Posterior Compartment
Tibialis posterior
Flexor digitorum longus
Flexor hallucis longus
Superficial Posterior Compartment
Soleus
Medial head of gastrocnemius
Lateral head of gastrocnemius
Red Flags for Tibial Stress Fracture
Night Pain
Focal Pain
Tender area that is acutely sensitive to ultrasound
Variables that can be manipulated in balance training
Legs- standing on both feet progressing to one foot
Visual- starting with eyes open progressing to eyes closed
Surface- starting with firm progressing to foam progressing to unstable progressing to narrow
Arm Position- starting outstretched progressing to at side progressing to across chest
Attention- starting with focused balance progressing to rote memory (ABC’s) progressing to simple computations progressing to external stimuli (ball toss)
Levels of neuromuscular control
Control of voluntary movements
Control of reflex reactions
Control of functional movement patterns
Steps to return to functional activities
- Control inflammation, pain, and restore integrity of injured tissue
- Address muscle inhibition and restore ROM and control of volitional contractions
- Restore reflex reactions and muscle strength and endurance
- Restore functional movement patterns
- Return to functional activities
CECS characterizations
Severe cramping
Diffuse pain
Tightness in one or more compartments
Another name for gastrocnemius strain
Tennis leg
Usually occurs with explosive sports that require quick movements in multiple directions
MOI is forced dorsiflexion while knee is extended or vice versa
Symptoms of Achilles Tendinopathy
Stiffness Pain with elongation or stretching Pain with load on toes Pain with running Local tenderness Palpable nodules Possible crepitus
Sever’s disease
Apophysitis at the insertion of the Achilles tendon