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Thompson's Test (Achillies Tendon Rupture Test)
- Prone, foot off edge of table:
- Action: Squeeze gastroc and soleus *note plantarflexion
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Plantar Fascitis Test
- Seated or Supine with test foot off table:
- Action: Dorsiflex ankle + extend toes, PRESS into plantar fascia with thumb
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Anterior Drawer (ligament test)
- Supine, foot off table, 20 degrees of plantar flexion:
Action: Hold distal tibia against table, pull calcaneous anteriorly
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Talar Tilt (ligament test)
- Seated
Action: Hold/fixate calcaneus, tilt talus into inversion, eversion
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Homan's Test (Vascular test)
- Prone, foot off table
- Action: Push fingers into calf + dorsiflex
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Morton's Neuroma (neurological test)
- Seated
- Action: Grasp posterior ankle, squeeze metatarsals
- * impinges digital nerves branching from the deep peroneal nerve
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Tinel's Sign (neurological)
- Seated
- Action for Deep Peroneal Nerve:
- Tap on Dorsum on foot (btwn medial and lateral malleolus)
- Action for Posterior Tibial Nerve:
- Tap around posterior aspect of medial malleolous
- * FDL, FHL
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Compression test for Stress fractures of Tibia
- Seated:
- Action: Squeeze tibia and fibula down the leg
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Concussion Test
- Seated:
- Action: Stabalizing foot with one hand, hit their heel with the other
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Injuries & Conditions:
Achilles Tendinitis
- Running and Jumping
- *tibia varum
- pain on passive dorsiflexion
- painful and weak on plantarflexion RIT
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Injuries & Conditions:
Peroneal Tendinitis
- *pes cavus / supinated foot
- pain on passive dorsiflexion, also with MLT dflx'ing
- Pain and weak with plfx RIT and eversion
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Injuries & Conditions:
posterior tibial tendinitis
- *pronated foot
- pain with plantarflexing, inversion or streching (dorsiflexion and everting)
- pain and weak: resisted plantarflexion & inversion
-
Injuries & Conditions:
Anterior tibial tendinitis
- *excessive downhill running, down the exterior retinaculum of ankle
- painful contracting tib ant: (dorsiflexion/inversion)
- painful steching tib ant:
- passive plantarflexion with eversion
-
Injuries & Conditions:
Shin Splints- anterolateral (tib ant)
(Lateral Tibial Stress Syndrome)
&
Posteromedial ( Tib Post)
(Medial tibial stress syndrome)
- TIB ANT*pronated foot
- pain with contracting and streching tib ant
TIB POST Painful contracting (plfx and inversion), ainful streching (dfx and everting)
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Injuries & Conditions:
Plantar Fascitis
- *pes cavus, excessive pronation
- pain on plantarflexion (strehing) and walking on the heels (dorsiflexion)
- Pain and weak on toe flexion
-
Injuries & Conditions:
Retro Calcaneal Bursitis (inflmm of bursa btwn achillies tendon and calcaneus)
pain with plantarflexion (contracting), dorsiflexion (stretching)
-
Injuries & Conditions:
tarsal tunnel syndrome
- Compression of posterior tibial nerve
- worse standing/night
- Positive Tinel's sign
-
Injuries & Conditions:
Peroneal Nerve Palsy
- PERONEUS LONGUS ENTRAPMENT
- Bed ridden, legs crossed, *foot drop (common peroneal nerve)
- weakness of dorsiflexion and very weak eversion (superficial peroneal), Deep peroneal- weak dfx and toe extension
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