Brainscape's Knowledge GenomeTM

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


See full index

DPT 691 - MSK II > Practical #2 Ankle > Flashcards

Practical #2 Ankle Flashcards

1
Q

Closed Chain Ankle ROM

Tests & Measure

A

Closed Chain Ankle ROM:

  • Toes in tandem stance with lead foot toes against the wall.
  • Elbows flexed to 90d with fist against the wall. Bend back knee as far as possible without the heel lifting off.
  • Back knee should clear the lead leg malleous if the ankle has 40d DF.

  • 35-40d is normative number
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Navicular Drop Test

Tests & Measure

A

Navicular Drop Test

  • Bunion
  • Posterior Tib Issue
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Ankle Anterior Drawer Test

Tests & Measure

A

Ankle Anterior Drawer Test: Anterior talofibular ligament

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

Reverse Anterior Drawer Test

Tests & Measure

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

Talar Tilt Test

Tests & Measure

A

Talar Tilt Test:

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

Cotton Test

Tests & Measure

A

Cotton Test: Special tests for syndesmotic ankle sprain.

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

External Rotation Test

Tests & Measure

A

External Rotation Test: Special tests for syndesmotic sprain.

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

Syndesmotic Squeeze Test

Tests & Measure

A

Syndesmotic Squeeze Test: Special tests for syndesmotic sprain.

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

Forced Dorsiflexion Impingement Test

Tests & Measure

A

Forced Dorsiflexion Impingement Test: Ankle impingement special test.

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

Hyper Plantar Flexion Thrust Test

Tests & Measure

A

Hyper Plantar Flexion Thrust Test: Ankle impingement special test.

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

Royal London Hospital Test

Tests & Measure

A

Royal London Hospital Test: Positive test if the painful spot moves w/ plantarflexion and no pain is felt dorsiflexing.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Thompson Test

Tests & Measure

A

Thompson Test: Achilles Rupture

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

Heel Raise Test

Tests & Measure

A

Heel Raise Test: Achilles Tendinopathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Windless Test

Tests & Measure

A

Windless Test: Test for PF.

  • Stand with the toe over the edge of the table.
  • Extend the big toe
  • (+) Reproduction of pain in the insertion of the plantar fascia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Dorsiflexion Eversion Test

Tests & Measure

A

Dorsiflexion Eversion Test: Tarsal tunnel syndrome special test (Posterior tibial nerve).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Triple Compression Test

Tests & Measure

A

Triple Compression Test: Tarsal tunnel syndrome special test.

  • Nerve glides w/ external rotation = pt. has compression
  • Neutral nerve glides = pt. has tension
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Foot Squeeze Test

Tests & Measure

A

Foot Squeeze Test: Morton’s Neuroma

  • Morton’s neuroma, also known as Morton metatarsalgia, is a benign condition that occurs when the intermetatarsal plantar nerve becomes trapped.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Webspace Tenderness

Tests & Measure

A

Webspace Tenderness: Morton’s Neuroma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Functional Hallux Limitus Test

Tests & Measure

A

Functional Hallux Limitus Test:

  • Patient is NWB
  • Examiners uses one hand to maintain the subtalar joint in neutral while maintaining first ray in DF.
  • Moving hand DF’s proximal phalanx.
  • (+) Test = Limited movement at the toe. Immediate PF of the first ray with DF of the proximal phalanx

Grade:

  • Grade 0: 40-60 deg. of DF
  • Grade I: 30-40 deg. of DF
  • Grade II: 10-30 deg. of DF
  • Grade III: 0-10 deg. of DF

  • Functional hallux limitus is a loss of metatarsophalangeal joint extension during the second half of the single-support phase, when the weightbearing foot is in maximal dorsiflexion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Promote Ankle Dorsiflexion

Therapeutic Exercise

A
  • Rocker Board
  • Banded Self A-P Ankle Mobilization for restoring DF
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Promote Basic Ankle Balance activities

Therapeutic Exercise

A
  • Floor - SL
  • AIREX - SL
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Promote Advanced Ankle Balance/Proprioception Activities

Therapeutic Exercise

A
  • Add specific activity to SL balance
  • SL balance on Aerex w/ opposite leg, band resisted hip flexion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Promote Higher Level Eccentric Gastroc / Soleus Strength

Therapeutic Exercise

A
  • Two-up / One-down loaded eccentric heel raise

  • Insertional stops at floor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Promote Plantar Fascia specific heel raises/lowering

Therapeutic Exercise

A
  • Heel raise w/ great toe extension (use towel)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Promote Basic Foot intrinsic strengthening

Therapeutic Exercise

A
  • Doming
  • ” “ w/ mini band resistance
  • Toe Yoga
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Promote Abductor digiti minimi & Abductor Hallucis strengthening

Therapeutic Exercise

A
  • Toe spreading with pencils
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Promote Advanced short foot strengthening

Therapeutic Exercise

A
  • Tripod reinforcing band challenge for short foot
  • Planter flexed Dome w/ mini-band march
  • Planter flexed Dome w/ iso-hold
28
Q

Promote Ankle Dorsiflexion Eccentric Strengthening

Therapeutic Exercise

A

Tibialis Anterior Strengthening:

  • Ecc. Tib raise on slant board
  • Ecc. toe raise w/ band or KB
29
Q

Standing Lunge for ankle Dorsiflexion mobility

Therapeutic Exercise

A

Standing Lunge for ankle Dorsiflexion mobility:

  • 3x30 sec.
30
Q

Promote Ankle Pronation and supination

Therapeutic Exercise

A
  • Chops & Lifts for the Foot & Ankle w/ MB, Band, Cable

  • FMS Chops & Lifts Video
31
Q

Promote Ankle Eversion Strengthening

Therapeutic Exercise

32
Q

Promote Posterior Tibialis Strengthening

Therapeutic Exercise

33
Q

Triplanar Dynamic Calf Stretching

Therapeutic Exercise

A

1) Sagital = Front & Back

2) Frontal = Chest to hands on wall

3) Transverse = Rotation / Shoulder to outside of knee

34
Q

Promote Advanced Gastroc Soleus Strengthening for insertional Achilles tendonitis

Therapeutic Exercise

A
  • Seated - heal raise with DB/KB’s on knees
  • Standing - heal raise with DB/KB’s on knees

  • Iso → Ecc → Concentric → Landing
35
Q

Advanced Ankle/Foot motor control exercises involving the entire LE/Trunk

Therapeutic Exercise

A
  • Y-Balance
  • Lunge matrix
  • Rotation w/ KB
36
Q

Peroneus Longus Strengthening on slant board

Therapeutic Exercise

A

- TheraBand strengthening:

- Slant Board neuromuscular re-education: SL Balance 3x30-45 sec

- Reactive Neuromuscular Reeducation:

Board & Arch up

37
Q

Basic Ankle AROM exercises

Therapeutic Exercise

A
  • Ankle Pumps
  • Ankle “A,B,C’s”
  • Banded 4-way ankle
38
Q

Bosu Therex progression

Therapeutic Exercise

A

Beginner:

  • DL Balance - 3x30 sec.
  • ”” w/ eyes closed
  • ”” w/ eye closed and head rotations
39
Q

Return to sport agility drills for ankle

Therapeutic Exercise

A
  • Sports cord resisted jogging with multiple leg movement challenges.
  • Single leg lateral hops lower level
40
Q

Low level Gastroc / Soleus strengthening

Therapeutic Exercise

A
  • Seated DL Heel Raise - 3x12-15 (RPE 8)
  • Standing DL Heel Raise - 3x12-15 (RPE 8)
41
Q

Mobilization for Increased Ankle Dorsiflexion (Grade III)

A

Mobilization for Increased Ankle Dorsiflexion (Grade III):

  • Hold dorsiflexion w/hip
42
Q

Mobilization with movement for Increased Ankle Dorsiflexion (Grade III)

A

Mobilization w/ movement for Increased Ankle Dorsiflexion (Grade III):

  • Place a mobilization belt around the posterior inferior tibia and fibula.
  • Anchor the belt around therapist at hip level.
  • Place the web space of the therapists hand on the anterior talus.
  • Have the patient squat (if performed in standing) or move anteriorly over the foot (if in tall kneeling).
  • A posterior glide is applied to the talus during the motion of the patient.

  • Progress from NWB to weight bearing.
43
Q

Mobilization for Increased Ankle Plantar Flexion (Grade IV)

A

Talocrural Anterior Glide of Talus: Apply an anterior force through the calcaneus driving the talus in an anterior direction.

- Indications:

  • Limited Talocrural mobility (plantarflexion)
44
Q

Mobilization for Increased Ankle Eversion (Grade IV)

A

Lateral Subtalar Glide:

- Indications:

  • Hypomobility of the subtalar joint, limited pronation / eversion of the foot and ankle.

  • If ankle Talocrural ROM is limited assess the subtalar join
45
Q

Rearfoot Distraction manipulation (Grade V)

A

Rearfoot Distraction manipulation (Grade V)

- Indications: Overall decrease in ROM in the Talocrural joint

- Possible conditions:

  • Ankle Sprain
  • Impingement syndrome
  • Plantar Fasciitis

- Impairments:

  • Decreased PF & DF
  • Decreased Closed Chain DF Test
46
Q

Plantar fascia Manual Release

A

Soft tissue mobilization plantar fascia

  • PhysioU Plantar Fascia : Forefoot Eversion Stretchin - Video
47
Q

Distal tibiofibular posterior mobilization

A

Distal Tibiofibular Posterior Mobilization: Posterior glide of the tibiofibular joint.
* Use thenar eminence of hand to apply pressure to the distal tibiofibular joint

- Indications:

  • Ankle sprains (NOT Syndesmotic)
  • Difficulty with dorsiflexion, inversion, and eversion.
48
Q

Cuboid Whip manipulation

A

Cuboid Whip manipulation:

PhysioU Video

49
Q

Cross Friction to the Achilles

A

Cross Friction to the Achilles:

50
Q

Medial glide to the calcaneous

A

Medial glide to the calcaneous: Apply a glide of the calcaneus into the medial direction.

- Indications:

  • Limited Talocrural joint mobility
  • Limitations in Inversion & supination.

  • Realize this looks just like the lateral glide but the difference is if you are working on the top leg or the bottom leg.
51
Q

Pin and stretch to the Gastroc/Soleus

A

Pin and Stretch to the Gastroc/Soleus:

52
Q

First Toe Mobilization to promote MTP Extension

A

First Toe Mobilization to promote MTP Extension: First toe mobilizations for limited mobility

  • AP glides
  • Medial-Lateral Glides

- Traction glides:

  • Hallux rigidus
  • Hallux valgus

  • 1st MTP Extension Stretching
  • Hallux rigidus, also known as stiff big toe, is a degenerative arthritis that causes stiffness in the joint at the base of the big toe.
  • Hallux valgus, also known as a bunion, is a deformity that occurs when the base joint of the big toe develops sideways, causing the big toe to bend towards the other toes.
53
Q

Pin and Stretch to the Peroneals

A

Pin and Stretch to the Peroneals:

54
Q

Lateral Glide to the Calcaneous

A

Lateral Glide to the Calcaneous:

  • To improve ankle eversion
  • Cross the involved leg over the uninvolved leg
  • Apply a lateral force through the calcaneus with a distraction force
55
Q

Intertarsal mobilizations

A

Intertarsal Mobilizations in the Midfoot

  • Piano key up and down the metatarsals.
  • Assess for hypomobility and treat
  • Re-test the patient for changes in pain and range of motion

56
Q

ROM

  • DF = ?
  • PF = ?
  • Inversion = ?
  • Eversion = ?
  • Great Toe Ext = ?
A

ROM:

  • DF = 0-20 deg. Video
  • PF = 0-50 deg. Video
  • Inversion = 0-35 deg. Video
  • Eversion = 0-20 deg. Video
  • Great Toe Ext = 70 deg. Video
57
Q

What am I = ?

  • ↓ great toe - dorsiflexion
  • ↓ great toe - extension
A

Functional Hallux Limits:

  • ↓ great toe - dorsiflexion
  • ↓ great toe - extension

- Tests:

  • Functional hallux limitus test
  • 1st Ray mobility
58
Q

What am I = ?

  • Pain - posterior heel
  • Pain - worse with activity
  • Abnormal dorsiflexion
  • ↑ Foot pronation
A

Achillies Tendinosis / Tendonitis:

  • Pain - posterior heel, worse with activity, and after sleeping.
  • Popping heard
  • Abnormal dorsiflexion (hyper/hypo)
  • ↓ PF strength
  • ↑ Foot pronation

- Test

  • Palpation test
  • Royal london hospital test
  • Thompson test
  • Heel raise test
59
Q

What am I = ?

  • Female
  • Pain - Worse 1st thing in the morning
  • Abnormal arch
A

Plantar Fascitis:

  • Pain - over inferior heel and plantar surface.
  • Pain - Worse 1st thing in the morning, and with activity.
  • ↓ Cross-sectional area
  • Females
  • Abnormal arch
  • Posterior chain tightness

- Tests:

  • Windless test
  • Palpation of proximal plantar fascia
  • Heel pain with first step
60
Q

What am I = ?

  • Pain - Anterior, lateral ankle
  • ↓ Proprioceptive awareness
  • Played soccer
A

Chronic Ankle Instability:

  • Episodes of instability
  • Pain - Anterior, lateral ankle
  • ↓ Proprioceptive awareness
  • History of previous ankle sprains
  • Sports - w/ end-range of motion, twisting and pivoting

- Impairment =

  • Path - mechanical
  • Sensory - percepual
  • Motor - behavior

- Tests:

  • No specific
  • Reverse anterior drawer
61
Q

What am I = ?

  • Pain - Lateral ankle w/ trauna
  • Popping
  • ↓ ROM
A

Lateral Ankle Sprain:

  • Pain - Lateral ankle w/ trauna
  • Popping
  • Forced plantar flexion and inversion
  • Males
  • Swelling, bruising
  • ↓ ROM

- Tests

  • Anterior drawer
  • Reverse anterior drawer
  • Talar Tilt
62
Q

What am I = ?

  • Medial side tenderness
  • Difficulty WB
  • MOI = ER, hyper dorsiflexion, axial load
A

Syndesmotic Ankle Sprain:

  • Pain - Anterior lateral ankle, proximal to AITFL
  • Medial side tenderness
  • Difficulty WB
  • MOI = ER, hyper dorsiflexion, axial load
  • Football, rugby, westling

- Tests:

  • Syndesmotic squeeze
  • Cotton
  • ER
63
Q

What am I = ?

  • Pain - Anterior jamming restriction in motion
  • Dorsal/Posterior “Block”
  • Previous ankle injuries/fractures
A

Ankle Impingement:

  • Pain - Anterior and posterior with jamming restriction in motion
  • Dorsal/Posterior “Block”
  • Post. impingement may look like achilles tendonopthy
  • Previous ankle injuries/fractures
  • High impact/high stress athletic events (dance, ballet, soccer)
  • Hypermobility in ankle

- Tests:

  • Forced dorsiflexion impingement tests
  • Hyper plantar flexion is common in eliciting factor for posterior impingement
64
Q

What am I = ?

  • Gradual onset
  • patient demonstrates over-pronation
  • Numbness in toes and foot
A

Tarsal Tunnel:

  • Gradual onset
  • Could be due to over pronation
  • Smells like nerves (pain and numbness in toes and foot)

- Tests:

  • Tinel’s sign
  • Dorsiflexion eversion test
  • Triple compression
65
Q

What am I = ?

  • Medial sided foot and ankle pain
  • Middle aged to older adults
  • Gastroc/Soleus tightness
A

Posterior Tibial Tendonopathy:

  • Medial sided foot and ankle pain
  • Floot foot and over pronation
  • Middle aged to older adults
  • Difficulty doing HR
  • Gastroc/Soleus tightness

- Tests:

  • HR Test
66
Q

What am I = ?

  • Runners
  • Medial shin pain
  • Poor running mechanics
A

Medial Tibial Stress Fracture:

  • Runners
  • Medial shin pain
  • Poor running mechanics
  • Over & rapid pronation
  • ↑ mileage

- Tests:

  • HR is hard
  • Poor running mechanics

DPT 691 - MSK II (20 decks)

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