LE Diagnostic Manual - MD of Foot/Ankle Flashcards
(30 cards)
list the mobility deficits of the ankle/foot
OA
anterior impingement
Hallux rigidus
plantar fasciitis
what are the CPG recommended foot/ankle outcome measures
LEFS
foot and ankle ability measure (FAAM)
foot functional index (FFI)
foot health status questionnaire
– PSFS as well but it is not recommended per CPG
what is a common impairment post ankle fx
post-traumatic ankle arthritis
what typically reproduces pain for those with anterior ankle impingement
extreme dorsiflexion
what structures are involved in anterior ankle impingement
osteophytes
soft tissue entrapment
inflammation/swelling
scarring
what can anterior ankle impingement be secondary to
synovitis/capsulitis
– recurrent inversion sprains
repeated dorsiflexion
hallux rigidus in adolescents onset
consistent with osteochondritis dessecans
or
localized articular disorder
adult hallux rigidus onset
degenerative arthritis
presentation of hallux rigidus
decreased dorsiflexion/extension of 1st MTP
- pain/swelling in posterior aspect of joint
- pain when loading the joint
- may have bump at top of big toe
explain timing of plantar fasciitis pain
first few steps after a period of inactivity (sleep most often)
or
prolonged standing
what can lead to an increased risk for plantar fasciitis development
decreased dorsiflexion
high BMI (in non-athletic pop)
running/work demand
ROM finding associated with MD at foot/ankle
ankle DF
hallux rigidus - 1st toe extension
muscle performance finding associated with MD at foot/ankle
reduced gastrocnemius length
palpation finding associated with MD at foot/ankle
for plantar fasciitis:
– tenderness at medial calcaneal tubercle or medial aspect of plantar fascia
jt mobility finding associated with MD at foot/ankle
global reduction in joint mobility
what is considered a valid manual treatment option for anterior impingement
posterior glide at talocrural joint
special tests for MD at foot/ankle
Windlass Test
- plantar fasciitis
PT interventions for OA/ anterior ankle impingement
improve:
talocrural joint mobility
gastroc muscle length
retrain through range
how to retrain muscles through new range
force production of musculature of LE chain
functional training
highest recommended treatment options for plantar fasciitis
ther ex
manual therapy
taping
night splints
explain therex for plantar fasciitis
improving tissue length
- plantar fascia, gastroc/soleus
explain manual therapy for plantar fasciitis
necessary jt mobs, especially for talocrural dorsiflexion
soft tissue mobilization of plantar fascia, gastroc/soleus or any trigger points
explain taping interventions for plantar fasciitis
rigid or elastic
– conjunction with other physical therapy treatments for short term
1-6 wks
explain night splints for plantar fasciitis
splints for 1- 3 month
– for those who consistently have pain after sleep
