Ankle Flashcards

1
Q

Dorsiflexion ROM testing position

A

supine with pillow support under the bent knee to eliminate the gastroc

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1
Q

Normal dorsiflexion ROM

A

20 degrees (10-15 needed for gait)

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2
Q

Dorsiflexion ROM Stationary Arm

A

lateral midline of the fibula in line with fibular head

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3
Q

Dorsiflexion ROM axis

A

distal to but in line with the lateral malleolus

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4
Q

Dorsiflexion ROM Moving arm

A

lateral midline of the 5th metatarsal

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5
Q

Normal Plantarflexion ROM

A

30-50

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6
Q

plantarflexion ROM testing position

A

supine with LE extended

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7
Q

plantarflexion ROM stationary arm

A

lateral midline of the fibula in line with the fibular head

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8
Q

plantarflexion ROM axis

A

distal to but in line with the lateral malleolus

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9
Q

planarflexion ROM moving arm

A

lateral midline of the 5th metatarsal

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10
Q

Normal Ankle Inversion ROM

A

35-60

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11
Q

Ankle Inversion ROM testing position

A

long sitting LE extended

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12
Q

Ankle Inversion ROM stationary arm

A

anterior midline of the tibia in line with tibial crest

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13
Q

Ankle Inversion ROM axis

A

anterior aspect of the talocrural midway between malleoli

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14
Q

Ankle Inversion ROM moving arm

A

anterior midline of the 2nd metatarsal

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15
Q

What should be the end feel of a normal/ healthy ankle inversion

A

ligamentous

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16
Q

Normal Ankle Eversion ROM

A

15-30 degrees

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17
Q

Ankle eversion ROM testing position

A

long sit with LE extended

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18
Q

Ankle eversion ROM stationary arm

A

anterior midline of the tibia in line with the tibial crest

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19
Q

Ankle eversion ROM axis

A

anterior aspect of the talocrural joint, midway between the medial and lateral malleoli

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20
Q

what is a typical ankle eversion compensation?

A

rolling the leg in

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21
Q

normal hindfoot inversion ROM

A

5-10 degrees

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22
Q

hindfoot inversion ROM testing position

A

prone, LE being measured in anatomical position foot off of the table

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23
Q

hindfoot inversion ROM stationary arm

A

posterior midline of the leg

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24
Q

hindfoot inversion ROM axis

A

achilles tendon in line with the malleoli

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25
Q

hindfoot inversion ROM moving arm

A

posterior midline of the calcaneus

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26
Q

hindfoot eversion normal ROM

A

5-10 degrees

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27
Q

hindfoot eversion ROM testing position

A

prone with LE measured in anatomical position foot off the table

28
Q

hindfoot eversion ROM stationary arm

A

posterior midline of the leg

29
Q

hindfoot eversion ROM axis

A

over achilles tendon in line with the malleoli

30
Q

hindfoot eversion ROM moving arm

A

posterior midline of the calcaneus

31
Q

Major muscles in plantarflexion

A

soleus and gastoc

32
Q

Minor muscles in Plantarflexion

A

Tibialis Posterior, Plantaris, Fibularis long and brev, flexor hall and dig

33
Q

Ankle plantarflexion MMT grade 1 (trace)

A

prone with any joint movement or look at tendon muscles belly for contraction

34
Q

Ankle Plantarflexion MMT grade 2

A

prone and able to complete full ROM and take max resistance

35
Q

Ankle Plantarflexion MMT grade 2+

A

can lift heel off the ground weight-bearing 1 time

36
Q

ankle plantarflexion MMT grade 3

A

1 heel raise in weight bearing through full ROM

37
Q

ankle plantarflexion MMT grade 4

A

2-24 heel raises in weightbearing through full ROM

38
Q

ankle plantarflexion MMT grade 5

A

25 heel raises in weight bearing through full ROM

39
Q

what is a common compensation for Plantarflexion

A

flex knee and rock forward to get higher onto the ball of the foot

40
Q

Normative Plantarflexion MMT reps for children ages 5-6

A

12.5

41
Q

normative plantarflexion MMT reps for children ages 7-8

A

18.1

42
Q

normative plantarflexion MMT reps for children ages 9-10

A

22

43
Q

normative plantarflexion MMT reps for children ages 11-12

A

31

44
Q

Main Muscles of foot dorsiflexion and inversion

A

TA

45
Q

Minor muscles of foot dorsiflexion and inversion

A

fibularis tertius, and extensor dig and hall

46
Q

Foot Dorsiflexion and inversion MMT testing position (in all grades)

A

supine or long sitting

47
Q

Foot dorsiflexion and inversion MMT grade 1

A

trace movement of TA when palpated at the anteromedial aspect of ankle at the same level of the malleoli

48
Q

Foot dorsiflexion and inversion MMT grade 2

A

Completes only a partial range of motion.

49
Q

Dorsiflexion and inversion MMT grade 3

A

Completes available range of motion without resistance

50
Q

Dorsiflexion and inversion MMT grade 4

A

Holds test position against strong to moderate resistance.

51
Q

Dorsiflexion and inversion MMT grade 5

A

Holds test position against maximal resistance.

52
Q

main muscle of foot inversion

A

Tibialis posterior

53
Q

minor muscles of foot inversion

A

TA, flexor dig and hall longus, soleus, extensor hall longus

54
Q

foot inversion grade 2/3/4/5 position

A

sitting with legs over the table

55
Q

foot inversion grade 2 MMT

A

The patient will be able to complete only partial range of motion.

56
Q

foot inversion grade 3 MMT

A

The patient will be able to invert the foot through the full available range of motion

57
Q

foot inversion grade 4 MMT

A

The patient holds the test position against strong to moderate resistance

57
Q

foot inversion grade 5 MMT

A

The patient holds the test position against maximal resistance.

57
Q

foot inversion grade 1 MMT

A

trace movement when palpated the tibialis posterior between the medial malleolus and navicular bone

58
Q

main muscles of foot eversion with plantarflexion

A

fibularis longus and brevis

59
Q

main muscles of eversion with dorsiflexion

A

ex. digit longus and fib tertius

60
Q

foot plantarflexion and eversion MMT positon

A

supine or long sitting

61
Q

foot plantarflexion and eversion MMT grade 1

A

trace movement at the palpation of the fibularis longus posterior to the lateral malleolus

62
Q

foot plantarflexion and eversion MMT grade 2

A

Patient will be able to complete only a partial range of eversion motion

63
Q

foot plantarflexion and eversion MMT grade 3

A

Patient completes available range of eversion but without resistance

64
Q

foot plantarflexion and eversion MMT grade 4

A

Patient holds test position against strong to moderate resistance.

65
Q

foot plantarflexion and eversion MMT grade 5

A

Patient holds test position against maximal resistance.