Ortho 2 (special tests/glides): Ankle/Foot

Question 1

MTP joint (DF, PF, ABD, ADD, traction and compression)

Answer 1

Flexion: plantar glide phalanx

Extension: dorsal glide phalanx

Abd/add: relative to 2nd ray

Abd: Phalanx 1: lat glide (away from 2nd ray), Phalanx 3-4-5: lat glide

Add: Phalanx 1: med glide (toward 2nd ray), Phalanx 3-4-5: med glide

Question 2

Talocrural dorsal (post) glide

Answer 2

• for DF

Question 3

Talocrural anterior glide

Answer 3

• for PF

Question 4

Talocrural traction

Answer 4

-

Question 5

Talocrural compression

Answer 5

-

Question 6

dorsi in WB – ligament stress test - for inf tib/fib

Answer 6

The inf TF lig restricts splaying of the mortise during DF in WB
If Inf TF lig sprain, pt will complain of pain or pinching in the front of the ankle & will have splaying of the mortise with DF in WB

Test result: (+)ve test = sprain inf TF ligament if:

Acute phase:
-↓ pain with compression (& may have ↑ ROM because less pain) OR

• Δ > 2mm in circumference around malleoli from neutral to full DF OR

Chronic phase (chronic hypermobility/instability):

• ↓ROM when applying compression with DF in WB

Question 7

ankle - Posterior drawer test

Answer 7

-

Question 8

ankle - Anterior drawer test

Answer 8

-

Question 9

ankle - alternative anterior drawer test

Answer 9

-

Question 10

ligament stress test - ATFL

Answer 10

-

Question 11

ligament stress test - ptfl

Answer 11

-

Question 12

ligament stress test - cfl

Answer 12

-

Question 13

ligament stress test - tibionavicular

Answer 13

-

Question 14

ligament stress test - tibiotalar ant

Answer 14

-

Question 15

ligament stress test - tibiocalcanear lig

Answer 15

-

Question 16

ligament stress test - tibiotalar post

Answer 16

-

Question 19

ankle/foot - observation

Answer 19

Single leg stance

• Proprioception
• Foot hyper-pronation/hyper-supination

Question 21

IP joint (toes) glide

Answer 21

Question 22

ankle - special test - ant-lat impingement test

Answer 22

Pt sitting position

Pht

Lat hand: grasps calcaneum (fingers around calc tuberosity & thumb over ant-lat part of ankle (gutter))

Med hand: grasps forefoot to control ankle movt

1. Apply thumb pressure over the ant-lat ankle with foot in full PF (looking for pain reproduction – painful area)
2. Bring ankle in full DF without any pressure
3. Repeat ankle Full DF while applying thumb pressure over painful area

(+)ve: if pain provoked with pressure from thumb is > in DF than PF

Molloy-Bendall impingement test :94.8% sensitive 88% specific

Question 23

ankle - special test - windlass

Answer 23

Question 24

ankle - special test - homan’s sign

Answer 24

Question 25

ankle - special test - thompson’s test

Answer 25

Question 54

ankle - functional tests

Answer 54

slides 12-15

Question 55

ankle - talar swing

Answer 55

Question 56

Ankle - Subtalar eversion ROM

Answer 56

Question 57

Ankle - Subtalar inversion ROM

Answer 57

Question 58

ankle - subtalar medial glide (ant and post facet)

Answer 58

Question 59

ankle - subtalar lateral glide (ant and post facet)

Answer 59

Question 60

ankle/foot - calcaneo-cuboid glides

Answer 60

Question 61

ankle/foot - talonavicular glides

Answer 61

Question 62

ankle - traction thrust manip (for articular restriction of TC joint)

Answer 62

Whitmore p 331

Question 63

ankle - J stroke and thrust manip (for TC restriction of DF)

Answer 63

Whitmore p 332

Question 64

ankle - talus posterior thrust (for TC restriction of DF)

Answer 64

Question 65

ankle - J stroke for PF (for TC restriction in PF)

Answer 65

Whitmore p 333

Question 66

ankle - Talus anterior thrust (for TC restriction of PF)

Answer 66

Whitmore p 334

Question 67

ankle - subtalar lateral glide and thrust (for articular restriction of ST joint)

Answer 67

whitmore p 336 and 338

Question 68

ankle - subtalar medial glide and thrust (for articular restriction of ST joint)

Answer 68

Whitmore p 337 & 339