Workshops W1-4 Flashcards
How does the foot posture index work?
- 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+
When would you conduct an AP Glide talocrual joint?
Reduced DF
When would you conduct a PA glide of the talocrual joint?
Reduced PF
When would you conduct a subtalar joint transverse mobilisation?
Reduced pronation/ supination
When would you conduct a talocrual joint distraction?
Reduced ankle ROM
When would you conduct a subtalar joint distraction?
Reduced inversion/eversion (joint compression issue)
When would you conduct first MTP AP glide?
Increase extension (DF) of first toe
When would you conduct first MTP distraction?
Increase extension (DF) of first toe)
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?
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.
What is the purpose of foot doming?
Trains your medial longitudinal arch & intrinsic muscles
Contraindications for taping
- Check for contraindications:
- Allergy to tape
- Open wounds
- Diabetes or other conditions which may involve compromised circulation or sensation
What position should the foot be in when applying low dye?
Dorsiflexion and supinate the foot whilst applying the arch support
What is the purpose of low dye taping?
Arch collapse
What components make up augmented low dye taping? When would it be used?
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)
Purpose of reverse 6
Navicular drop
Purpose of calcaneal sling?
Calcaneal eversion
What 3 directions do you reach in the Y-balance test? What do the results indicate?
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
Purpose of ankle taping? Whats involved?
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
Describe the mechanism of the following ankle injuries
* Lateral ankle sprain
* Medial ankle sprain
* High ankle sprain
* Midfoot injury
* Bifurcate
- 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
What is the ROAST consensus? What are the 5 important considerations? **Read prep notes
- 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.
When would you conduct a PA glide of the tibiofemoral joint?
Reduced knee extension
When would you conduct a AP glide of the tibiofemoral joint?
Reduced knee flexion
When would you conduct a lateral rotation of the tibiofemoral joint?
Reduced knee extension, reduced external rotation of tibia
When would you conduct a medial rotation of the tibiofemoral joint?
Reduced knee flexion, reduced internal rotation of tibia
