Posterior Lower Leg Flashcards
1
Q
Observation for lower leg
A
- Gait analysis
- Foot mechanics
2
Q
AROM/PROM for lower leg
A
- PF, DF
- Inversion, Eversion
3
Q
Strength test for lower leg
A
- PF, DF
- Inversion, Eversion
4
Q
Strength test for soleus
A
- Lay on stomach, bring knee to 90 degrees, stabilize lower leg and push down on foot while they PF
5
Q
Strength test for gastroc
A
- Lay on stomach, stabilize lower leg and push down on foot while they PF
6
Q
What are the special tests for the lower leg?
A
Thompson’s test
7
Q
Thompson’s test
A
- Patient lays flat on stomach, squeeze the calf, looking for plantar flexion of foot
8
Q
Palpation of lower leg
A
- Achilles tendon
- Gastroc, soleus
9
Q
What are the injuries for the lower leg?
A
- Achilles tendon rupture –> acute
- Achilles tendinopathy –> chronic
- Calf strain –> acute
10
Q
History for achilles tendon rupture
A
- Push off acute injury with feeling of being kicked in the heel
11
Q
Assessment for achilles tendon rupture
A
- No active PF, no movement with thompson’s test, execessive passive DF
12
Q
Treatment for achilles tendon rupture
A
- Immediate referral to hospital
- POLICE, use boot or cast in plantar flexed position to protect, once pain and inflammation subsides introduce isometric single raise calf raises, ice and compression to reduce swelling
13
Q
History for achilles tendinopathy
A
- Chronic condition over training, biomechanical issues, pain worse in morning
14
Q
Assessment for achilles tendinopathy
A
- Pain with active PF, no weakness, mild pain with passive DF, tenderness on palapation above calcanues
15
Q
Treatment for achilles tendinopathy
A
- Biomechanical correction of feet
- Eccentric loading –> stand on platform with heels hanging off edge, perform calf raises with both legs, slowly lower the injured leg
- Achilles tape job
16
Q
History for calf strain
A
- Acute injury, feeling of being hit in calf, can occur in either gastroc or soleus
17
Q
Assessment for calf strain
A
- Pain and weakness with active PF, pain with palpation over gastroc or soleus
18
Q
Treatment for calf strain
A
- POLICE
- No stretching for first 1-2 weeks depending on severity
- Isometric exercises –> seated calf raises, progress to standing calf raises
- Concentric exercises –> calf raises on an elevated step or block, do both legs and then progress to injured leg
- Eccentric exercise –> calf raises on an elevated step or block with emphasis on a slow eccentric, do both legs and then progress to injured leg
- Taping, KT tape
