Ankle and Foot ROM/MMT` Flashcards

(58 cards)

1
Q

what occurs at the tibiofibular joint during dorsi/plantar

A

dorsi - fibula moves proximally / slightly poseriorly to tibia

plantar - fibula moves distally and slightly anteriorly to tibia

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2
Q

what is the talocrual joint

A

articulation between distal tib-fib and talus

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3
Q

talocrual degrees of freedom

A

1 - dorsi and plantarflexion in sagittal

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4
Q

what axis do inversion/eversion occur around

A

oblique

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5
Q

what motions make up inversion

A

adduction, plantar flexion and supination

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6
Q

what motions make up eversion

A

abduction, dorsiflexion, pronation

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7
Q

what joint allows for inversion/eversion

A

subtalar (talocaneal)

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8
Q

what is the subtalar joint composed of

A

three articulations between calcaneus and talus

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9
Q

what makes up the midtarsal joint?

A

talonavicular and calcaneocuboid joints

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10
Q

what is the transitional link between the forefoot and hindfoot?

A

transverse tarsal joint / midtarsal jt

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11
Q

motions at TMT joints

A

flexion/extension minimal ab/add or rotation

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12
Q

DoF at the MTP

A

2
flexion/extension
ab/add

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13
Q

DoF at the IP jt

A

1
flexion/extension

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14
Q

ROM for dorsiflexion / end feel

A

20
firm

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15
Q

goniometer alignment for ankle ROM (dorsi/plantar)

A

axis - lateral malleolus
SA - midline of fibula aimed at head of fibula
MA - parallel to lateral aspect of 5th metatarsal

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16
Q

what is the mean ROM for ankle plantarflexion? end feel?

A

50
firm

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17
Q

what plane are inversion/eversion measured in for ROM

A

frontal plane
ant-posterior axis

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18
Q

goniometer placement for inversion/eversion

A

axis - anterior ankle between malleoli
SA - midline of lower leg aimed at tibial tuberosity
MA - along midline of 2nd metatarsal

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19
Q

average ROM for inversion and eversion in the rearfoot? end feel?

A

5 each way
firm

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20
Q

how is rearfoot inversion/eversion measured w goniometer?

A

axis - posterior aspect of ankle between malleoli
SA - posterior midline of leg
MA - posterior midline of calcaneus

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21
Q

what would rearfoot inversion/eversion testing be for?

A

to see what the resting position of one’s ankle is
ensure subtraction of resting from end angle when testing

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22
Q

mean ROM for inv/eversion at forefoot? end feel?

A

inversion - 35
eversion - 15

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23
Q

normal ROM for 1st TMT flexion / extension

A

flex - 45
extension - 70

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24
Q

normal ROM for 2-5 TMT flex vs 2-5 TMT ext

A

flex- 40
extension - 40

25
goniometer placement for TMT flex/exten
axis - dorsal surface of MTP joint SA - midline of metatarsal MA - midline of proximal phalanx
26
goniometer placement for MTP abd/add
axis - dorsal aspect of MTP joint SA - dorsal midline of metatarsal MA - dorsal midline of proximal phalanx
27
mean 1st IP flexion/extension ROM
flex - 90 ext - 0
28
mean 2nd-5th PIP flex/ext ROM
flex - 35 ext - 0
29
mean 2nd-5th DIP flex/ext ROM
flex - 60 ext - 0
30
goniometer placement for IP flex/ext
axis - dorsal aspect of joint SA - midline of phalanx proximal to jt MA - midline of distal phalanx of JT
31
what muscles contribute to plantarflexion
gastrocnemius soleus
32
how many raises = what strength grade for gastroc/soleus
2+ = clear the heel but not a full rep 3 = 1 to 9 full reps 4 = 10 to 24 full reps 5 = >25 reps
33
what could examples of fatigue be in the gastroc/soleus gravity resisted test
lack of full ROM non-smooth reps ratcheting on the way down compensation of momentum leaning on / putting too much weight into support
34
what is the gravity eliminated position for gastroc? soleus?
G = side-lying on testing limb hip/knee extended S = knee flexed instead of extended
35
how may someone substitute in the plantarflexion wb test
FHL or FDL - toe flexion / lack of calcaneus movement fib long/brevis - eversion tib posterior - invert
36
if knee is flexed, ______% of activity decreases in the ________
70% of activity in gastrocnemius
37
if a patient has a NWB restriction, how is plantarflexion tested?
prone with knee extended foot off end of table resistance applied to superoposterior aspect of calcaneus in direction of dorsiflexion differentiation = knee flexed for soleus
38
what muscle does dorsiflexion/subtalar inversion
tibialis anterior
39
gravity resisted position for dorsiflexion/subtalar inversion?
seated w knees flexed off edge of table asked to pull foot up and in resistance applied over the dorsal surface of medial foot in direction of plantar flexion and eversion
40
gravity eliminated testing of dorsiflexion/subtalar inversion
supine with hips/knees extended ankle in neutral with foot off of table told to pull foot up and in
41
what muscle produces subtalar inversion
tibialis posterior
42
gravity resisted position for tibialis posterior
sidelying on side of tested limb with foot hanging off of the table asked to turn bottom of foot toward ceiling resistance applied to medial aspect of foot in direction of eversion
43
gravity eliminated testing position of tibialis posterior
supine with foot of testing limb extended off edge of table patient asked to invert
44
what muscles may be substituted when testing tibialis posterior
long toe flexors
45
what muscles allow for subtalar eversion?
fib long/brevis
46
gravity resisted fibularis longus / brevis test
sidelying with uppermost limb being the tested limb ankle in neutral with foot off of the table asked to turn bottom of foot toward the ceiling resistance applied over lateral border of foot and plantar surface toward inversion
47
how are fibularis longus / brevis resistance points different
brevis - at 5th metatarsal longus - at 1st metatarsal
48
gravity eliminated test for fibularis longus/brevis
supine with limb being tested off of the table asked to evert
49
what muscles contribute to MTP flexion
lumbricals flexor hallucis brevis
50
gravity resisted test for lumbricals and flexor hallucis brevis
seated or supine with ankle in neutral and feet off edge of table patient asked to bend toes at first knuckle resistance over proximal phalanx of 1st toe = flexor hallucis brevis 2-5 toe = lumbricals
51
gravity eliminated positioning for lumbricals and flexor hallucis brevis
no test for below 3 2 = flex through partial range
52
muscles that contribute to IP flexion
big toe = flexor hallucis longus every other = FDL / FDB
53
gravity resisted test for flexor hallucis longus, FDL or FDB
supine or sitting with feet extended off of table patient is asked to curl toes down resistance applied against toward extension FDL/B = middle / distal phalanges of lateral 4 toes FHL = distal phalanx of big toe
54
gravity eliminated test for FDL/B or FHL
no gravity eliminated test
55
what muscles perform MTP extension
Extensor Digitorum Longus Extensor Digitorum Brevis
56
gravity resisted test for EDL/B
seated or supine with feet extended off of table patient asked to extend their toes resistance applied over dorsum of proximal phalanx toward flexion
57
muscle that performs IP extension
extensor hallucis longus
58
gravity resisted positioning for extensor hallucis longus
seated or supine with feet extended off of table patient asked to extend their toes resistance applied over dorsum of distal phalanx toward flexion