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T3 JOINT MOBILIZATION > Topic 4 - Leg & Ankle > Flashcards

Topic 4 - Leg & Ankle Flashcards

1
Q

Despite some inconsistencies, it is generally accepted that there is slight movement of the ______ with ankle dorsiflexion and ______________.

A

Fibula
Plantarflexion

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2
Q

T/F - Movement of the fibula with dorsiflexion and plantarflexion is necessary to allow full movement of the calcaneus in the mortise.

A

False - Movement of the fibula with dorsiflexion and plantarflexion is necessary to allow full movement of the TALUS in the mortise.

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3
Q

T/F - Fusion or immobility in the superior or inferior tibiofibular joints will impair ankle function.

A

True

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4
Q

T/F - Ankle injuries cannot cause positional faults in the superior or inferior tibiofibular joints.

A

False - Ankle injuries CAN cause positional faults in the superior or inferior tibiofibular joints.

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5
Q

The fibular head moves superiorly, posteriorly and __________ rotates during ____________.

A

Externally
Dorsiflexion

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6
Q

The fibular head moves inferiorly, anteriorly and __________ rotates during ______________.

A

Internally
Plantarflexion

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7
Q

What is the loose-pack position of the proximal tibiofibular joint?

A

Plantarflexion (0 degrees)

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8
Q

What is the close-pack position of the proximal tibiofibular joint?

A

Full Dorsiflexion

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9
Q

Used to improve general ankle mobility or reduce positional faults at the proximal tibiofibular joint.

A

Proximal Tibiofibular Anterior & Posterior Glides

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10
Q

Which mobilization is being described below?
“The fingers mobilize the fibular head anteriorly.”

A

Proximal Tibiofibular Anterior Glide

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11
Q

Which mobilization is being described below?
“The thumb or thenar eminence mobilizes the fibular head posteriorly.”

A

Proximal Tibiofibular Posterior Glide

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12
Q

During mobilization of the proximal tibiofibular joint, care must be taken not to compress the ______ ________ nerve.

A

Common Peroneal

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13
Q

T/F - For proximal tibiofibular glides, you can sit on the patient’s foot using a towel as a barrier.

A

True

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14
Q

When performing anterior or posterior glides at the proximal tibiofibular joint, the stabilizing hand is positioned over the tibial __________ and the mobilizing hand fingers are wrapped posteriorly around _____________ with the thenar eminence positioned on the _______ head.

A

Tuberosity
Gastrocnemius
Fibular

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15
Q

T/F - Rotational movements at the superior tibiofibular joint are inconsistent based on structural variations.

A

True

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16
Q

Which mobilization is being demonstrated in the following image?

A

Proximal Tibiofibular Anterior Glide

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17
Q

Which mobilization is being demonstrated in the following image?

A

Proximal Tibiofibular Posterior Glide

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18
Q

What is the loose-pack position of the distal tibiofibular joint?

A

Maximum Dorsiflexion

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19
Q

What is the close-pack position of the distal tibiofibular joint?

A

Plantarflexion (10 degrees)

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20
Q

The distal fibula moves superiorly, posteriorly and __________ rotates during ____________.

A

Externally
Dorsiflexion

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21
Q

The distal fibula moves inferiorly, anteriorly and __________ rotates during ______________.

A

Internally
Plantarflexion

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22
Q

A mobilization at the distal tibiofibular joint that is used to improve dorsiflexion.

A

Distal Tibiofibular Anterior Glide

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23
Q

Which mobilization is being described below?
“Mobilize the fibula or lateral malleolus by pushing anteriorly using your body weight”

A

Distal Tibiofibular Anterior Glide

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24
Q

T/F - For distal tibiofibular anterior glide, the ankle does not need to be supported by a towel roll.

A

False - For distal tibiofibular anterior glide, the ankle DOES need to be supported by a towel roll.

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25
Q

The stabilizing hand holds the medial malleolus and the mobilizing hand grasps the lateral malleolus when performing distal ____________ glides.

A

Tibiofibular

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26
Q

Which mobilization is being demonstrated in the following image?

A

Distal Tibiofibular Anterior Glide

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27
Q

A mobilization at the distal tibiofibular joint that is used to improve plantarflexion.

A

Distal Tibiofibular Posterior Glide

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28
Q

Which mobilization is being described below?
“Mobilize the fibula or lateral malleolus by pushing posteriorly using your body weight.”

A

Distal Tibiofibular Posterior Glide

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29
Q

T/F - It is best for the patient to lay supine for a posterior glide of the distal tibiofibular joint.

A

True

30
Q

Which mobilization is being demonstrated in the following image?

A

Distal Tibiofibular Posterior Glide

31
Q

A mobilization (not a lot of movement) at the distal tibiofibular joint that is used to improve dorsiflexion.

A

Distal Tibiofibular Superior Glide

32
Q

Which mobilization is being described below?
“Mobilize the fibula or lateral malleolus by pushing superiorly using your body weight.”

A

Distal Tibiofibular Superior Glide

33
Q

T/F - For distal tibiofibular superior glide, it is best for the patient to lay supine with the ankle supported by a bolster.

A

True

34
Q

Which mobilization is being demonstrated in the following image?

A

Distal Tibiofibular Superior Glide

35
Q

A mobilization (not a lot of movement) at the distal tibiofibular joint that is used to improve plantarflexion.

A

Distal Tibiofibular Inferior Glide

36
Q

Which mobilization is being described below?
“Mobilize the fibula or lateral malleolus by pushing inferiorly using your body weight.”

A

Distal Tibiofibular Inferior Glide

37
Q

T/F - Having the patient high seated when performing distal tibiofibular inferior glide is the most effective position.

A

False - Having the patient SUPINE when performing distal tibiofibular inferior glide is the most effective position.

38
Q

Facing the ______ of the patient’s foot and mobilizing with the heel of your hand on the superior lateral malleolus is an option for distal tibiofibular ________ glide.

A

Dorsum
Inferior

39
Q

Which mobilization is being demonstrated in the following image?

A

Distal Tibiofibular Inferior Glide

40
Q

What is the loose-pack position of the talocrural joint?

A

Plantarflexion (10 degrees)
Midway b/w Inversion & Eversion (maximum)

41
Q

What is the close-pack position of the talocrural joint?

A

Dorsiflexion (maximum)

42
Q

Used to improve general ankle/talocrural mobility, pain control and to increase nutrition to articular structures.

A

Talocrural Distraction

43
Q

T/F - Subtalar distraction is helpful with old ankle sprains if the talus is out of alignment.

A

False - TALOCRURAL distraction is helpful with old ankle sprains if the talus is out of alignment.

44
Q

Which mobilization is being described below?
“Both hands distract the talus distally from the mortise using your body weight.”

A

Talocrural Distraction

45
Q

T/F - During a talocrural distraction, the patient’s ankle should be kept in neutral as you mobilize.

A

True

46
Q

For a talocrural distraction, the medial hand grasps the ____ of the talus and the lateral hand grasps the _________ talus and calcaneus.

A

Neck
Posterior

47
Q

Which mobilization is being demonstrated in the following image?

A

Talocrural Distraction

48
Q

Main mobilization used to improve dorsiflexion.

A

Talocrural Posterior Glide

49
Q

Which mobilization is being described below?
“Mobilize the talus posteriorly using your body weight while keeping the ankle neutral.”

A

Talocrural Posterior Glide

50
Q

For a talocrural glides, the patient lays ______ with a _______ under the distal leg and the therapist stands at the ____ of the table facing the patient’s ankle.

A

Supine
Bolster
Side

51
Q

For a talocrural glides, the ________ hand grasps the malleoli to stabilize the distal leg and the ________ hand grasps the neck of the talus with the fingers on the ______ aspect of the foot.

A

Superior
Inferior
Medial

52
Q

Which mobilization is being demonstrated in the following image?

A

Talocrural Posterior Glide

53
Q

Main mobilization used to improve plantarflexion.

A

Talocrural Anterior Glide

54
Q

Which mobilization is being described below?
“Mobilize the talus anteriorly using your body weight while keeping the ankle neutral.”

A

Talocrural Anterior Glide

55
Q

T/F - Talocrural anterior glide is not similar to the anterior drawer test of the ankle.

A

False - Talocrural anterior glide IS similar to the anterior drawer test of the ankle.

56
Q

Which mobilization is being demonstrated in the following image?

A

Talocrural Anterior Glide

57
Q

What is the loose-pack position of the subtalar joint?

A

Midway b/w Inversion & Eversion

58
Q

What is the close-pack position of the subtalar joint?

A

Full Inversion (some say supination)

59
Q

Used to improve general subtalar mobility.

A

Subtalar Distraction

60
Q

Which mobilization is being described below?
“Distract the calcaneus distally using your body weight while maintaining a neutral ankle.”

A

Subtalar Distraction

61
Q

For a ________ distraction, the stabilizing hand grasps the neck of the talus and the mobilizing hand grasps the posterior _________.

A

Subtalar
Calcaneus

62
Q

T/F - For a subtalar distraction, internally rotate the hip so the talocrural joint can be stabilized in dorsiflexion with pressure from the therapist’s forearm.

A

False - For a subtalar distraction, EXTERNALLY rotate the hip so the talocrural joint can be stabilized in dorsiflexion with pressure from the therapist’s forearm.

63
Q

Which mobilization is being demonstrated in the following image?

A

Subtalar Distraction

64
Q

Used to improve inversion.

A

Subtalar Lateral Glide

65
Q

Which mobilization is being described below?
“Distract the calcaneus distally then glide the calcaneus laterally using your body weight while maintaining a neutral ankle.”

A

Subtalar Lateral Glide

66
Q

T/F - Subtalar glides can be performed prone, supine or sidelying.

A

True

67
Q

For ________ glides, the stabilizing hand grasps the talus and the mobilizing hand requires the base of the ____ to be against the side of the calcaneus.

A

Subtalar
Palm

68
Q

Which mobilization is being demonstrated in the following image?

A

Subtalar Lateral Glide

69
Q

Used to improve eversion.

A

Subtalar Medial Glide

70
Q

Which mobilization is being described below?
“Distract the calcaneus distally then glide the calcaneus medially using your body weight while maintaining a neutral ankle.”

A

Subtalar Medial Glide

71
Q

T/F - The affected leg should be on the bottom when performing a subtalar medial glide in sidelying.

A

False - The affected leg should be on TOP when performing a subtalar medial glide in sidelying.

72
Q

Which mobilization is being demonstrated in the following image?

A

Subtalar Medial Glide

T3 JOINT MOBILIZATION (10 decks)

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