ankle and foot hypomob

Question 1

discuss RA

Answer 1

affects MTP and subtalar then talocrural

rarelt affects ankle

assoc c:
- hallux valgus
- MT head subluxation
- tendon rupture

Question 2

discuss OA

Answer 2

most common type of arthritis in ankle

occurs in joint that is repetitively traumatized - recurrent ankle sprains

repetitive trauma = instab = OA

Question 3

discuss post immob stifness

Answer 3

contractures and adhesions p fx or surgery

Question 4

discuss gout

Answer 4

commonly affects 1st MTP jt and is unilateral

pain during terminal stance
- diff c walking since stance phase becomes shortened and diff in push off

Question 5

protection phase of ankle and foot hypomob

Answer 5

gr 1-2 PJM and orthotic devices

PROM-AAROM-AROM
aquatic therapy

muscle setting

pt educ, activity mod and jt protection

Question 6

controlled motion to return to function phase of ankle and foot hypomob

Answer 6

MWM, orthotic device

gentle stretching, gr 3-4 PJM

isoms - dynamic - OKC - CKC

balance and proprioception ex

low impact aerobics

Question 7

treatment for painful dorsiflexion

Answer 7

MWM

ant glide on post tibiofibular component of ankle with belt while talus is stab

ask pt to lunge forward

Question 8

treatment for painful plantarflexion

Answer 8

apply post directed force on tibiofibular component of ankle with other hand holds midfoot

passively pflex while applying post glide