Manual Therapy For Ankle (2) Flashcards
What is the short term response of manual therapy in post inversion ankle sprain patients?
At least +5 on GROC
What are some exercise interventions for inversion ankle sprain?
Achilles WB & NWB stretch 3 x 30 sec twice a day
Ankle alphabet 2x a day
Self mobilization
Maintain activity
Ice and elevation
What are the 4 predictor variables of manual therapy for ankle sprains?
Symptoms worse when standing
Symptoms worse in the evening
Navicular drop > 5 mm
Distal tibiofibular joint hypomobility
What are the results between manual therapy and at home program for ADLs?
Manual therapy had higher outcomes
What are the results between manual therapy and at home program for sport subscale?
Manual therapy had higher outcome
What are the results between manual therapy and at home program for lower extremity functional score?
Manual therapy had higher outofme
What are the results between manual therapy and at home program for pain?
Home care had higher outocme
What is manual therapy used for in an acute (projected motion) ankle sprain?
Lymph drainage
Edema reduction
Pain free soft tissue
Joint mobilizations
What is manual therapy used for in progressive loading/ sensorimotor training phase?
Graded mobilization
Manipulation
What are the results of mobilization with movement on dorsiflexion?
Same day change of Dorsiflexion
Are mobilizations with movement or TCJ thrusts better to improve dorsiflexion?
No difference between outcomes
What is cuboid syndrome?
Pain on plantar region of cuboid
What is the mechanism of cuboid syndrome?
Forceful contraction of the peroneus longus with plantar subluxation
What is prevalence of cuboid syndrome in dancers?
17%
What is prevalence of cuboid syndrome in athletes?
4%
What is prevalence of cuboid syndrome in lateral ankle sprains?
7%
What are some symptoms of cuboid syndrome?
Pain during gait (reduced push off)
Localized pain and tenderness
Pain with passive physiological and accessory motion testing
What is a treatment option for cuboid syndrome?
Manipulation (allows early return to sport without recurrence)
What is Hallux rigidus/limitus?
Degenerative arthrosis of 1st MTP
How common is Hallux rigidus/limitus?
2nd most common great toe disorder
Who does Hallux rigidus/limitus affect?
1/45 age over 50
How common is Hallux rigidus/limitus in athletes?
Most common
What percentage of the population does Hallux valgus affect?
1% (incidence increases with age)
What is female ratio for Hallux valgus?
4:1
What is the male ratio for Hallux valgus?
2:1
