S3_L4: Ankle and Foot Flashcards
What is the direction of arthrokinematics during OKC
Dorsiflexion?
Roll Anteriorly, Glide Posteriorly
What is the direction of arthrokinematics during CKC
Dorsiflexion?
Roll and Glide Anteriorly
What is the direction of arthrokinematics during CKC
Plantarflexion?
Rolls and Glides Posteriorly
Which muscle provides the most dynamic
stabilization on the medial longitudinal arch?
Tibialis Posterior Muscle
TRUE or FALSE: Pronation and Supination of the foot during ambulation increases the tension in plantar fascia?
TRUE.
This is when the plantar fascia tightens up, acting as a guy-wire to make the foot stable and rigid to generate
enough force for push-off
Windlass Effect
Gout is caused by high levels of _____
uric acid
The following are associated impairments with plantar fasciitis, EXCEPT:
A. Hypomobile gastrocsoleus muscle
B. Pes Cavus
C. Heel spur
D. Avoids heel-strike during the loading response
B. Pes Cavus
Where is pain felt in achilles tendinopathy?
midportion of the tendon or at the calcaneal
insertion
The following are associated impairments with achilles tendinopathy, EXCEPT:
A. Decreased ankle DF
B. Abnormal subtalar ROM
C. Decreased strength in ankle plantarflexion
D. Foot pronation
E. None
E. None
Determine whether the following ligaments are lateral or medial ligaments of the ankle.
- Posterior talofibular ligament
- Inferior tibiofibular ligaments
- Calcaneofibular ligament
- Deltoid ligaments
- Anterior talofibular ligament
A. Lateral Ligaments
B. Medial Ligaments
- A
- B
- A
- B
- A
In the protection phase of an ankle sprain, what is the best intervention scenario?
Primary: Compensatory
Secondary: Preventive
CASE: D.C. a 21 y/o male has been referred for PT mx 2° Gr. 2 (R) ankle sprain. Condition started 2 years ago when he fell from spike landing during volleyball practice. Pt continued to train and asked for a manghihilot to treat his sprain afterwards. Pain was relieved and pt continued to live normal s difficulties. After 2 months, pt suddenly experienced pain on his (R) lateral malleolus during swimming. Since then, pt reports of pain upon jumping and heavy impact on foot.
Based on the scenario, the following may be used as PT tx, EXCEPT:
A. Cryotherapy on (R) ankle in supine x 15 mins to decrease pain.
B. Cryotherapy on (R) ankle in sitting x 10 mins to decrease pain.
C. HMP on (R) ankle in supine x 20 mins to decrease pain.
D. HMP on (R) ankle in sitting x 20 mins to decrease pain.
E. C & D
F. All of the Above
G. None
G. None
CASE: D.C. a 21 y/o male has been referred for PT mx 2° Gr. 2 (R) ankle sprain. Condition started 2 years ago when he fell from spike landing during volleyball practice. Pt continued to train and asked for a manghihilot to treat his sprain afterwards. Pain was relieved and pt continued to live normal s difficulties. After 2 months, pt suddenly experienced pain on his (R) lateral malleolus during swimming. Since then, pt reports of pain upon jumping and heavy impact on foot.
Based on the scenario, the following interventions are indicated for the pt on the 1st PT session, EXCEPT:
A. Ankle Rotations in clockwise and counterclockwise direction in supine x 10 reps x 3 sets to facilitate ROM
B. Mechanical Resistance using red theraband towards inversion in supine x 10 reps x 3 sets to strengthen ankle
C. Partial wall squats x 6 SH x 10 reps to increase ankle stability
D. Toe raises x 10 SH x 10 reps to increase ankle stability
B. Mechanical Resistance using red theraband towards inversion in supine x 10 reps x 3 sets to strengthen
NOTE: since inversion is MOI, it’s best to stabilize ankle first rather than strengthen it on the 1st session.
CASE: D.C. a 21 y/o male has been referred for PT mx 2° Gr. 2 (R) ankle sprain. Condition started 2 years ago when he fell from spike landing during volleyball practice. Pt continued to train and asked for a manghihilot to treat his sprain afterwards. Pain was relieved and pt continued to live normal s difficulties. After 2 months, pt suddenly experienced pain on his (R) lateral malleolus during swimming. Since then, pt reports of pain upon jumping and heavy impact on foot.
OI > discoloration on ® lateral malleolus
> swelling on anterolateral aspect of ® ankle
Based on the scenario, what is the chronicity of the condition?
Chronic
Determine which of the following lateral ligaments are first to get injured or sprained.
A. PTFL > ATFL > CF
B. ATFL > CF > PTFL
C. CF > ATFL > PTFL
D. ATFL > PTFL > CF
E. CF > PTFL > ATFL
B. ATFL > CF > PTFL
What are the risk factors in achilles tendinopathy that makes up the metabolic triad?
obesity, Htn, DM
What structure tries to prevent the excessive supination of the foot?
Plantar fascia
Excessive pronation is counteracted by (1-3)___?
- Plantar fascia
- Tibialis posterior
- Intrinsics
Determine how long is the period of immobilization for each condition:
- Tibiofibular syndesmosis or subtalar fusion
- Cementless Fixation
- Achilles tendon lengthening or ligament repair
- No bony fusion or soft tissue repair
A. ~6 weeks
B. >6 weeks
C. ~2-3 weeks
D. 6 weeks
- A
- D
- B
- C
After ligamental repair, compression dressing &
protective cast is worn. How many days is this usually donned by the patient?
3-5 days Post-op, up to 10 days
_____ is the close-packed, stable position of the talocrural joint.
Dorsiflexion
This deformity in the great (large) toe
develops as the proximal phalanx shifts laterally toward
the second toe.
Hallux valgus
Source: Kisner 7th ed p856
This deformity is characterized by narrowing and eventual
obliteration of the first MTP joint space occur with
progressive loss of extension. This affects terminal stance
by not allowing the foot to roll over the metatarsal heads
and great toe for normal push-off.
Hallux limitus / hallux rigidus
Source: Kisner 7th ed p856