ROM Ankle and Foot

Question 1

Talo-Cural DF/PF ROM

Answer 1

-DF: 20 and PF: 50 (firm)
-supine,leg off plinth for PF
-prone, leg flexed for DF
-stabilize calf

Stationary: lateral fibula
Axis: Lateral malleolus
Movement: 5th metatarsal

Question 2

Tarsal Joints SUP/PRON ROM

Answer 2

-SUP: 35 & PRON: 20 (firm)
-supine, legs off plinth
-stabilize calf, “down and in” or “up and out”

Stationary: midline of tibia
Axis: Anterior ankle btwn malleoli
Movement: midline of 2nd metatarsal

Question 3

Subtalar ROM

Answer 3

-inversion and eversion 5 (firm)
-prone, legs off plinth

Stationary: midline of lower leg
Axis: posterior ankle btwn malleoli
Movement: midline of calcaneus

Question 4

MTP all Toes ROM

Answer 4

-Great toe flx: 45, ext: 70
-2-5 flx: 40, ext: 40
(firm)
-supine, legs off plinth, ankle flexed
-stabilize metatarsals

Stationary: midline of metatarsals
Axis: medial MTP joint
Movement: midline of proximal phalanx

Question 5

MTP Great Toe AB/AD ROM

Answer 5

-Abd: 10
-Add: 30
(firm)
-supine, feet on floor
-stabilize metatarsals

Stationary: dorsal midline of metatarsals
Axis: dorsal MTP joint
Movement: dorsal midline of proximal phalanx

Question 6

Toes IP ROM

Answer 6

-Great toe: flx: 60, ext: 0
(firm)
-PIPs: flx: 35, ext: 0
-DIPs: flx: 60, ext: 5
-supine, legs off plinth, ankle flexed
-stabilize metatarsals

Stationary: Dorsal midline of proximal phalanx
Axis: dorsal IP joint
Movement: midline of distal phalanx

Question 7

Normal ROM Ankle

Answer 7

PF: 50
DF: 20
Inv: 30
Ev: 20

Rearfoot
-Inv: 5
- Ev: 5

Question 8

Normal Toe ROM

Answer 8

Hallux First MTP
-Flx: 45
-ext: 70
-Abd:10
-Add: 30

First Ip
-flx: 60

Digits 2-5
-PIP flx: 35
-DIP flx: 60

Question 9

End feels of Ankle

Answer 9

-firm