Ankle 3 - goni and mobs

Question 1

what is a good test for the gastroc

Answer 1

striaght heel rises test

count rep until failure

Question 2

what is a good test for the soleus

Answer 2

heel rise with the knee bent

Question 3

how do we test the tib ant

Answer 3

up and in

Question 4

how do we test the tib post

Answer 4

down and in

Question 5

what is selective tissue tensioning

Answer 5

range of motion and strength testing

Question 6

how do we find the sinus tarsi

Answer 6

find the lateral malleolus and move inf and ant

it should be the hole between the talus and the calcaneus

Question 7

how do we find the deltoid ligament

Answer 7

medial, inf to the medial malleolus

evert the foot and feel the broad flat resistance

Question 8

goni - calcaneal inversion and eversion

Answer 8

axis - achilles tendon

stationary arm - middle of the calf

moving - posterior midline of the calcaneus

Question 9

goni - what is the normal ROM for inversion

Answer 9

20

Question 10

goni - what is the normal ROM for eversion

Answer 10

10

Question 11

what is the normal ratio between inversion and eversion

Answer 11

1:2

Question 12

goni- foot supination

Answer 12

axis - ant aspect of the talocural joint, mid- way between the malleoli

stationary - ant midline of the tibia

moving - ant midline of the 2nd met

Question 13

what is normal supination

Answer 13

30

Question 14

goni - foot pronation

Answer 14

axis - ant aspect of the talocural joint, mid- way between the malleoli

stationary - ant midline of the tibia

moving - ant midline of the 2nd met

Question 15

what is normal pronation

Answer 15

25

Question 16

goni - MTP flexion

Answer 16

axis - medial aspect of the 1st MTP

stationary - medial midline of the first met

moving - medial aspect of the first MTP

Question 17

what is normative data for the first MTP

Answer 17

flexion - 80

ext - 20

Question 18

goni - talocural DF/PF

Answer 18

axis - just distal to the lateral mall

stationary - in line with the fib head

moving arm - base of the calcaneus

Question 19

what is normal DF

Answer 19

15 - 25

Question 20

what is the end feel for DF

Answer 20

firm

Question 21

talocural - movements at this joint

Answer 21

PF and DF

Question 22

talocural - athro

Answer 22

convex talus moving on the concave distal tib fib

opposite

Question 23

talocural - how to improve DF

Answer 23

posterior glide of the talus

Question 24

talocural - how to improve PF

Answer 24

anterior glide of the talus

Question 25

subtalar - movement seen at this joint

Answer 25

inversion and eversion

Question 26

subtalar - increase eversion

Answer 26

pronation

Question 27

subtalar - increase inversion

Answer 27

supination

Question 28

talonavicular plantar medial

Answer 28

PF and EV

Question 29

talonavicular dorsolateral

Answer 29

DF and IN

Question 30

calcaneal-cuboid plantar medial

Answer 30

PF and IN

Question 31

calcaneal-cuboid dorsal lateral

Answer 31

DF and EV

Question 32

how do we improve GT ext

Answer 32

dorsal glide

Question 33

how do we imrpove GT flex

Answer 33

plantar glide

Question 34

GT arthokinematics

Answer 34

same cancave - proximal phalanx moving on convex - metatarsal

Question 35

artho - of plantarflexion

Answer 35

anterior glide of the talus posterior glide of the tibia

Question 36

artho - of dorsiflexion

Answer 36

posterior glide of the talus anterior glide of the tibia

Question 37

what are two mobs to improve PF in the ankle

Answer 37

anterior glide of the talus posterior glide of the tibia

Question 38

what is a moblization to improve DF

Answer 38

posterior glide of the talus

Question 39

what is the procedure for the posterior glide of the talus

Answer 39

assess the joint play: 20 -30 of plantar flexion needed pt long sitting PT leg pushing the foot into greatest amount of DF stablize the tibia close to the joint line mobilizing hand on the talus and provide a posterior mob

Question 40

what is the procedure for anterior glide of the talus -

Answer 40

improves plantarflexion put the foot into the OPP - 20 -30 of PF stabilize the tibia provide a posterior force through the calcaneus and talus

Question 41

what is the procedure for the posterior glide of the tibia

Answer 41

(this is a the same as the ant glide of the talus - improving PF) stabilizing hand - on the talar heads moving hand - provides a posterior glide of the tibia as close the joint line as possible

Question 42

what is the point of talocural distraction

Answer 42

to improve general joint motion of the talocural joint

Question 43

what is the procedure for the talocural distraction - long sit

Answer 43

hand grasp the talus as close to the joint line as possible keep your elbow in and distract back towards your body

Question 44

what is the procedure for the talocural distraction - prone

Answer 44

pt has their knee bent PT place their own knee on the pt's leg to avoid the transfer of force grasp the talus and distract up

Question 45

what is the procedure for subtalar distraction

Answer 45

stabilize the talus grasp the posterior calcaneus with you hand distract posteriorly

Question 46

subtalar supination improves

Answer 46

inversion

Question 47

subtalar pronation improves

Answer 47

eversion

Question 48

what is the procedure for subtalar supination

Answer 48

pt is prone with knee flexed stablize the talar heads mobilize the anterior facet of the calcaneus medially

Question 49

what is the procedure for subtalar pronation

Answer 49

pt is prone with knee flexed stablize the talar heads mobilize the anterior facet of the calcaneus laterally

Question 50

which mid tarsal mobs help with general supination and pronation

Answer 50

the lateral ones

Question 51

why would we mob the first metatarsal plantar or dorsal

Answer 51

the intermetatarsal joints need mobility to help the foot be a mobile adapter during gait

Question 52

what is the indication for distraction with add of the great toe

Answer 52

Indicator of hallux valgus (bunions)

Question 53

what is the procedure for distraction with add of the great toe

Answer 53

stabilize: the mets and provide a slight abd force distract the proximal phalanx and provide an add force this can also be applied as a thrust

Question 54

a plantar glide of the great toe improve what

Answer 54

flexion

Question 55

a dorsal glide of the great toe improve what

Answer 55

extension

Question 56

what are the indicators of the cuboid whip test

Answer 56

pain directly over the cuboid pain is worse with WB tasks weakness and discomfort with toe-off portion of gait may be the result of an ankle inversion sprain

Question 57

what is happening that causes the need for a cuboid whip

Answer 57

the lateral cuboid being sublexed in the plantar direction

Question 58

what is the procedure for a cuboid whip test

Answer 58

pt is prone with their knee flexed to 70-deg interlock fingers on the dorsum of the foot while thumbs are positioned on the plantar medial aspect of the cuboid extend the knee and plantarflex the ankle quickly while directing force over the lateral cuboid