quiz #4 - ankle & foot/ gait Flashcards

(74 cards)

1
Q

which ligaments are part of the medial ligament complex at the ankle?

A

tibionavicular
anterior & posterior tibiotalar
tibiocalcaneal
deltoid/ MCL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

which ligaments are part of the lateral ligament complex at the ankle?

A

anterior talo fibular
posterior talo fibular
calcaneofibular

NOT: tibionavicular

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

functions of the foot

A

-impact absorption & adaptation to uneven surfaces
-support
-propulsion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

supination of the foot is the combination of which three positions?

A

inversion, adduction, plantar flexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

pronation of the foot is the combination of which three positions?

A

eversion, abduction, dorsi flexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

which muscles are part of the deep posterior compartment of the leg?

A

tibialis posterior
flexor digitorum longus
flexor hallucis longus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

which muscles are part of the anterior compartment of the leg?

A

tibialis anterior
extensor hallucis longus
extensor digitorum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

which muscles are part of the super ficial posterior compartment of the leg?

A

soleus
gastrocnemius

lateral compartment: peroneus longus & brevis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

where would you expect to see pain in a patient with Periostitis?

A

posteromedial tibial pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

treatment plan for a patient with Compartment Syndrome

A

-address compensatory structures (chronic)
-joint play on hypomobile joints (chronic)
-cross fibre frictions to adhesions (chronic)

NOT: deep moist heat before stretching (acute)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

when observing a patient with Pes Planus, what would you likely see?

A

abduction of forefoot
valgus orientation of 1st metatarsal joint
flattened medial longitudinal arch

NOT: varus orientation of the Achilles tendon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

which 2 muscles should be strengthened in a patient with Pes Planus?

A

tibialis anterior & posterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

which 2 muscles should be stretched in a patient with Pes Planus?

A

gastrocnemius & soleus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

when treating a patient with Pes Planus, what are the CI’s?

A

-do not mobilize hypermobile joints along medial arch
-do not passively stretch tibialis ant & post
-friction techniques if patient using anti-infl ammatory medication

NOT: avoid using cold on plantar surface if inflammation present

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

causes of Plantar Fasciitis

A

overtraining
poor technique
prolonged standing
running on hard surfaces

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

when suggesting home care for a patient with Plantar Fasciitis, which of the following would be appropriate?

A

strengthening intrinsic foot mm
stretching plantar fascia
non-weight bearing activities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

this special test is used to determine an injury to the anterior talo fibular ligaments

A

anterior drawer test of the ankle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

this special test is used to measure the amount of pronation of the foot

A

Feiss line

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

this special test is used to determine whether a deep vein thrombosis may be present

A

Homan’s sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

this special test is used to determine if there is a calcaneofibular ligament injury

A

talar tilt test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

this special test is used to determine presence of syndesmosis injury

A

squeeze test of leg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

this special test determines of there is a stress fracture or morton’s neuroma

A

squeeze test of foot

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

this special test assesses for a ruptured achilles tendon

A

Thompson’s (Simmond’s) test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

a common foot deformity involving the lateral deviation (midline of the body, not of the foot) of the big toe

A

Hallux valgus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
a foot deformity where the forefoot is dorsfiexed on the hindfoot (broken midfoot)
Rocker-bottom Foot
26
a foot deformity where there is limited dorsflexion at the talocrural joint
Equinus Deformity
27
a foot deformity where there is a high medial longitudinal arch
Pes Cavus Pes Planus: flat foot Pes Rectus: normal arch
28
a foot deformity where there is inversion of the forefoot on the hindfoot at the midtarsal joint
forefoot Varus forefoot valgus: eversion of the forefoot on the hindfoot
29
1st metatarsal is longer than the 2nd - squared type foot
index plus type
30
1st metatarsal is equal in length to the 2nd metatarsal - squared type foot
index plus-minus type
31
2nd metatarsal is longer than the 1st & 3rd
index minus type Morton's or Greek type foot
32
what is the lateral longitudinal arch made up of?
calcaneus, cuboid, 4th & 5th metatarsals medial arch: calcaneal tuberosity, talus, navicular, 3 cuneiforms, 1st/ 2nd/ 3rd metatersals transverse arch: navicular, cuneiforms, cuboid, metatarsals
33
prominence of the lateral aspect of the 5th toe metatarsal head
bunionette (Tailor's bunion)
34
sharp pain between 3rd & 4th toes
Morton's neuroma (nerve compression)
35
a calcaneal varus foot would most likely put tensile (pulling) stress on which structure?
lateral ankle ligaments
36
what would likely be a symptom of anterior compartment syndrome but not of anterior shin splints?
paresthesia in the leg
37
which condition is most often associated with repetitive motion and excessive pronation?
posterior shin splints
38
a primary factor leading to overpronation
weakness in tibialis posterior
39
bone spur
exostosis
40
pain in the bottom of the foot upon first walking in the morning is a common characteristic of...
plantar fasciitis
41
compression of the posterior tibial nerve on the medial side of the ankle is known as...
tarsal tunnel syndrome (confused with plantar fasciitis)
42
if your patient has a calcaneal varus foot, which muscle would most likely be frequently overstretched?
peroneus longus
43
most frequently injured ligament in a lateral ankle sprain
anterior talofibular ligament
44
a "high ankle sprain" would involve which structure as the primary source of pain?
tibiofibular syndesmosis
45
functional vs structural pes planus
functional: ligamentous laxity/ mm weakness structural (rigid): bony malformation, cannot be altered
46
other conditions that may be present with pes planus
plantar fasciitis shin splints ITB contracture
47
makes up 60-65% of walking cycle
stance phase (closed kinetic chain) swing phase: 35-40% (open chain)
48
initial contact load response midstance terminal stance preswing
initial contact: heel strike load response: foot flat midstance: single-leg stance terminal stance: heel off preswing: toe off
49
which stages of the stance phase have a double leg stance (double support)?
initial contact terminal stance & preswing
50
which stages of the stance phase have a single leg stance (single support)?
load response midstance
51
initial swing mid-swing terminal swing
initial swing: acceleration mid-swing terminal swing: deceleration
52
double leg stance makes up _____ of the cycle, while single leg stance makes up ____ of the cycle
25% 30%
53
normal gait patterns occur between ages of ____
8-45
54
gait deviations may occur for 3 reasons
1. pathology/ injury in specific joint 2. compensation for injury/ pathology in other joints on same side 3. compensations for injury/ pathology on opposite limb
55
in the standing position, the center of gravity is 2 inches _____ to the second sacral vertebrae
anterior slightly higher in men due to greater body mass in shoulder area
56
self protective gait, results of injury to pelvis, hip knee ankle or foot resulting in shorter step length
antalgic gait
57
gait resulting from stiffness, laxity or deformity client lifts entire leg higher than normal to clear the ground
arthrogenic gait
58
gait is irregular, jerky and weaving, clt has poor sensation or lacks mm coordination
ataxic gait
59
gait where joints of lower limb exhibit contracture
contracture gait
60
painful gait that is due to arthritis, clt lurches toward affected side
coxalgic gait
61
toe walking gait
equinus gait
62
gait where glute max is weak, patient thrusts thorax to maintain hip extension, backward lurch of trunk
gluteus maximus gait
63
gait where hip abductors are weak, thorax thrusts laterally to keep COG over stance leg
trendelenburg gait (gluteus medius gait)
64
patient swings paraplegic leg outward and ahead in a circle, neurogenic or flaccid gait
hemiplegic gait
65
gait due to quadricep weakness resulting in knee hyperextension
knee hyperextension gait
66
waddling gait with increased lateral displacement of trunk
obesity gait
67
gait characterized by shuffling or short rapid steps, neck, trunk & knees are flexed, festination
parkinsonian gait
68
gait where plantar flexors are unable to perform their function, ankle & knee stability greatly affected, decrease or absence of push off
plantar flexor gait
69
gait seen in clients with hip conditions (legg-calve-perthes), difficulty in swing through, limp accompanied by exaggerated trunk & pelvic movement, weakness of psoas major
psoatic limp
70
gait where quads have been injured, clt compensates in trunk & lower leg, trunk flexion with strong plantar flexion and knee extension
quadriceps avoidance gait
71
spastic gait, spastic paralysis of hip adductor muscles, causes knees to be drawn together
scissor gait
72
painless osteogenic gait, if one leg is shorter than the other, lateral shift
short leg gait
73
drop foot gait, weak/ paralyzed dorsiflexors, patient lifts knee higher than normal to avoid dragging toes
steppage gait
74
gait due to weakness of hip and upper thigh mm, seen in myopathies, waddling from side to side on a wide base
waddling gait