Workshops W1-4

Question 1

How does the foot posture index work?

Answer 1

• Identifies pronated, supinated or normal foot posture
• Scores between +12 (Pronated) and - 12 (Supinated)

*Scoring categories
Highly supinated -5 to -12
Supinated -1 to -4
Normal = 0 to 5+
Pronated + 6 to + 9
Highly pronated 10+

Question 2

When would you conduct an AP Glide talocrual joint?

Answer 2

Reduced DF

Question 3

When would you conduct a PA glide of the talocrual joint?

Answer 3

Reduced PF

Question 4

When would you conduct a subtalar joint transverse mobilisation?

Answer 4

Reduced pronation/ supination

Question 5

When would you conduct a talocrual joint distraction?

Answer 5

Reduced ankle ROM

Question 6

When would you conduct a subtalar joint distraction?

Answer 6

Reduced inversion/eversion (joint compression issue)

Question 7

When would you conduct first MTP AP glide?

Answer 7

Increase extension (DF) of first toe

Question 8

When would you conduct first MTP distraction?

Answer 8

Increase extension (DF) of first toe)

Question 9

Shelly is a 44-year-old recreational runner. She has increased her training load in the last 4 weeks leading to a 10km run, she reports pain over her Achilles (by pinching the middle of the Achilles tendon).

What stage of the continuum model would you place Shelly in? How would you decide this?

Answer 9

A reactive tendon is the 1st stage on the tendon continuum and is a non-inflammatory proliferative response in the cell matrix. This is as a result of compressive or tensile overload.

The cells change shape and have more cytoplasmic organelles for increased protein production (proteogycans and collagen). During this process, the collagen integrity is usually maintained although some elongation separation has been shown previously. This phase is a relatively short term adaptation, this process thickens the tendon to reduce stress and increases the stiffness.

Question 10

What is the purpose of foot doming?

Answer 10

Trains your medial longitudinal arch & intrinsic muscles

Question 11

Contraindications for taping

Answer 11

• Check for contraindications:
• Allergy to tape
• Open wounds
• Diabetes or other conditions which may involve compromised circulation or sensation

Question 12

What position should the foot be in when applying low dye?

Answer 12

Dorsiflexion and supinate the foot whilst applying the arch support

Question 13

What is the purpose of low dye taping?

Answer 13

Arch collapse

Question 14

What components make up augmented low dye taping? When would it be used?

Answer 14

1 x Low dye, 2 reverse 6’s & 2 x calcaneal slings

There are three elements contributing to pronation: arch collapse (low dye), navicular drop (reverse 6) and calcaneal eversion (calcaneal sling)

Question 15

Purpose of reverse 6

Answer 15

Navicular drop

Question 16

Purpose of calcaneal sling?

Answer 16

Calcaneal eversion

Question 17

What 3 directions do you reach in the Y-balance test? What do the results indicate?

Answer 17

A = Anterior reach direction
B = Posteromedial reach direction
C = Posterolateral reach direction

Asymmetry between limbs equal to or greater than 4cm for the anterior distance and/or a composite sore less than 94% is related to a higher probability of lower limb injuries

Question 18

Purpose of ankle taping? Whats involved?

Answer 18

Prevent inversion

• Anchor
• x 2-3 x stirrups
• x 1-2 x 6’s
• x 1-2 x reverse 6’s
• x 1 heel lock
• x Lock off

Question 19

Describe the mechanism of the following ankle injuries
* Lateral ankle sprain
* Medial ankle sprain
* High ankle sprain
* Midfoot injury
* Bifurcate

Answer 19

• Lateral ankle sprain: inversion and plantarflexion (ATFL/CFL)
• Medial ankle sprain: eversion and plantarflexion
• High ankle sprain: dorsiflexion & eversion
• Midfoot injury: midfoot supination
• Bifurcate: complete inversion

Question 20

What is the ROAST consensus? What are the 5 important considerations? **Read prep notes

Answer 20

• ROAST helps clinicians identify these impairments for a lateral ankle sprain
• With regard to injury diagnosis, there were five important considerations, which the expert panel reached consensus on. These are as follows: (1) mechanism of injury; (2) history of previous lateral ankle sprain; (3) weightbearing status; (4) clinical assessment of bones; and (5) clinical assessment of ligaments.

Question 21

When would you conduct a PA glide of the tibiofemoral joint?

Answer 21

Reduced knee extension

Question 22

When would you conduct a AP glide of the tibiofemoral joint?

Answer 22

Reduced knee flexion

Question 23

When would you conduct a lateral rotation of the tibiofemoral joint?

Answer 23

Reduced knee extension, reduced external rotation of tibia

Question 24

When would you conduct a medial rotation of the tibiofemoral joint?

Answer 24

Reduced knee flexion, reduced internal rotation of tibia

Question 25

When would you conduct a tibiofemoral traction

Answer 25

General reduction in ROM Compression issues – knee OA)

Question 26

When would you conduct a patella mobilisation?

Answer 26

Desensitisation
Prior to taping

Question 27

When would you massage the hamstring belly

Answer 27

Hamstring guarding / Reduced hamstring ROM

Question 28

When would you use patella taping - medial glide

Answer 28

PFP

Question 29

When would you use fat pad de-load taping and extension blocking taping

Answer 29

Fat pad impingement