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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
The stabilizing hand holds the medial malleolus and the mobilizing hand grasps the lateral malleolus when performing distal ____________ glides.
Tibiofibular
26
Which mobilization is being demonstrated in the following image?
Distal Tibiofibular Anterior Glide
27
A mobilization at the distal tibiofibular joint that is used to improve plantarflexion.
Distal Tibiofibular Posterior Glide
28
Which mobilization is being described below? "Mobilize the fibula or lateral malleolus by pushing posteriorly using your body weight."
Distal Tibiofibular Posterior Glide
29
T/F - It is best for the patient to lay supine for a posterior glide of the distal tibiofibular joint.
True
30
Which mobilization is being demonstrated in the following image?
Distal Tibiofibular Posterior Glide
31
A mobilization (not a lot of movement) at the distal tibiofibular joint that is used to improve dorsiflexion.
Distal Tibiofibular Superior Glide
32
Which mobilization is being described below? "Mobilize the fibula or lateral malleolus by pushing superiorly using your body weight."
Distal Tibiofibular Superior Glide
33
T/F - For distal tibiofibular superior glide, it is best for the patient to lay supine with the ankle supported by a bolster.
True
34
Which mobilization is being demonstrated in the following image?
Distal Tibiofibular Superior Glide
35
A mobilization (not a lot of movement) at the distal tibiofibular joint that is used to improve plantarflexion.
Distal Tibiofibular Inferior Glide
36
Which mobilization is being described below? "Mobilize the fibula or lateral malleolus by pushing inferiorly using your body weight."
Distal Tibiofibular Inferior Glide
37
T/F - Having the patient high seated when performing distal tibiofibular inferior glide is the most effective position.
False - Having the patient SUPINE when performing distal tibiofibular inferior glide is the most effective position.
38
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.
Dorsum Inferior
39
Which mobilization is being demonstrated in the following image?
Distal Tibiofibular Inferior Glide
40
What is the loose-pack position of the talocrural joint?
Plantarflexion (10 degrees) Midway b/w Inversion & Eversion (maximum)
41
What is the close-pack position of the talocrural joint?
Dorsiflexion (maximum)
42
Used to improve general ankle/talocrural mobility, pain control and to increase nutrition to articular structures.
Talocrural Distraction
43
T/F - Subtalar distraction is helpful with old ankle sprains if the talus is out of alignment.
False - TALOCRURAL distraction is helpful with old ankle sprains if the talus is out of alignment.
44
Which mobilization is being described below? "Both hands distract the talus distally from the mortise using your body weight."
Talocrural Distraction
45
T/F - During a talocrural distraction, the patient's ankle should be kept in neutral as you mobilize.
True
46
For a talocrural distraction, the medial hand grasps the ____ of the talus and the lateral hand grasps the _________ talus and calcaneus.
Neck Posterior
47
Which mobilization is being demonstrated in the following image?
Talocrural Distraction
48
Main mobilization used to improve dorsiflexion.
Talocrural Posterior Glide
49
Which mobilization is being described below? "Mobilize the talus posteriorly using your body weight while keeping the ankle neutral."
Talocrural Posterior Glide
50
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.
Supine Bolster Side
51
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.
Superior Inferior Medial
52
Which mobilization is being demonstrated in the following image?
Talocrural Posterior Glide
53
Main mobilization used to improve plantarflexion.
Talocrural Anterior Glide
54
Which mobilization is being described below? "Mobilize the talus anteriorly using your body weight while keeping the ankle neutral."
Talocrural Anterior Glide
55
T/F - Talocrural anterior glide is not similar to the anterior drawer test of the ankle.
False - Talocrural anterior glide IS similar to the anterior drawer test of the ankle.
56
Which mobilization is being demonstrated in the following image?
Talocrural Anterior Glide
57
What is the loose-pack position of the subtalar joint?
Midway b/w Inversion & Eversion
58
What is the close-pack position of the subtalar joint?
Full Inversion (some say supination)
59
Used to improve general subtalar mobility.
Subtalar Distraction
60
Which mobilization is being described below? "Distract the calcaneus distally using your body weight while maintaining a neutral ankle."
Subtalar Distraction
61
For a ________ distraction, the stabilizing hand grasps the neck of the talus and the mobilizing hand grasps the posterior _________.
Subtalar Calcaneus
62
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.
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
Which mobilization is being demonstrated in the following image?
Subtalar Distraction
64
Used to improve inversion.
Subtalar Lateral Glide
65
Which mobilization is being described below? "Distract the calcaneus distally then glide the calcaneus laterally using your body weight while maintaining a neutral ankle."
Subtalar Lateral Glide
66
T/F - Subtalar glides can be performed prone, supine or sidelying.
True
67
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.
Subtalar Palm
68
Which mobilization is being demonstrated in the following image?
Subtalar Lateral Glide
69
Used to improve eversion.
Subtalar Medial Glide
70
Which mobilization is being described below? "Distract the calcaneus distally then glide the calcaneus medially using your body weight while maintaining a neutral ankle."
Subtalar Medial Glide
71
T/F - The affected leg should be on the bottom when performing a subtalar medial glide in sidelying.
False - The affected leg should be on TOP when performing a subtalar medial glide in sidelying.
72
Which mobilization is being demonstrated in the following image?
Subtalar Medial Glide

T3 JOINT MOBILIZATION (10 decks)

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