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itzlinds
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In which plane does eversion occur?
A. frontal
B. transverse
C. sagittal
D. none
A. frontal (this multiple choice question has been scrambled)
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Which of the following is not an antagonist of the gastrocnemius?
A. extensor hallcuis longus
B. extensor digitorum longus
C. tibials posterior
D. tibials anterior
C. tibials posterior (this multiple choice question has been scrambled)
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What muscle action is involved in the movement of the ankle joint in the power phase of the standing long jump?
A. concentric action of the tibalis anterior
B. Concentric action of the gastrocnemius
C. eccentric action of the tibialis anterior
D. Eccentric action of the gastrocnemius
B. concentric action of the gastrocnemius (this multiple choice question has been scrambled)
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In performing a deep squat, which of the following is not an active muscle at the ankle?
A. gastrocnemius
B. tibialis posterior
C. soleus
D. tibialis anterior
D. tibialis anterior (this multiple choice question has been scrambled)
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Which of the following is not a prime mover in ankle dorsiflexion?
A. flexor digitorum longus
B. extensor hallucis longus
C. extensor digitorum longus
D. tibials anterior
A. flexor digitorum longus (this multiple choice question has been scrambled)
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Which muscle is most active at the ankle as a postural muscle?
A. peroneus
B. soleus
C. plantaris
D. gastrocnemius
B. soleus (this multiple choice question has been scrambled)
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Inversion occurs at the ankle joint.
a. true
b. false
b. false
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The extensor digitorum longus extends the toes and helps plantarflex the ankle.
a. true
b. false
b. false
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Inversion of the calcaneus occurs with supination of the foot.
a. true
b. false
a. true
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In normal, static upright posture, the arches of the feet need muscle force in order to maintain their structure.
a. true
b. false
b. false
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does inversion or eversion occur with pronation?
eversion
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does the weight shift medially or laterally during pronation?
medially
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does inversion or eversion occur at the ankle?
no
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what type of motion occurs at the ankle:
flexion and extension
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what segment is moved during open chain motion at the ankle:
proximal segment; tibia
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what are 2 important fxns of the ankle complex:
what 2 structural designs of the ankle complex allow these fxn to occur:
fxns: support, propulsion
- flexible structure; adaptablepronated position
- initial contact (heel strike)
- loading response (foot is flat, complete contact with the ground)
- rigid weight-bearing structurerigid structure to help propell forward
- becomes more supinated; more stable position of the foot
- midstance - weight is over supporting limb
- preswing
changes within a single step
what allows changes/adapatability? - interactions of bones (small bones and many of them), ligaments, & muscles
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foot trouble is one of the most common ailments today.
explain why?
what can one do to improve the ailment?
why foot ailments are most common: poor foot mechanics can lead to discomfort (weak muscles; high or low archs; can be built up over time)
- to improve ailmentsmuscular development (as children)
- muscle strength
- proper foot mechanics
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list the following...
# of bones:
# of joints:
# of muscles:
# of ligaments:
- # of bones: 28
- # of joints: 34
- # of muscles: 19 large, many intrinsic (start and end in the foot)
- # of ligaments: more than 100
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list the bones of the rearfoot:
is the ankle more stable in dorsiflexion or plantarflexion:
what is unique about the design of the bone that allows for this stable position:
- rearfoot bonestalus
- calcaneus
- most stable position: dorsiflexion
design of the bone that allows this stable position: anterior section of the talus is wider
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what is the basic structure of the foot:
what is the keystone of this strucutre:
in a static, upright, posture how is this structure maintained:
- structure of the foot: elastic arched structure
- keystone: talus; the "centerpiece of all the archs; force is imposed on this strucutre
- static, upright, posture maintained by: bones and ligaments; no muscles are needed
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list the arches of the foot:
describe "fallen arches"
- longitudinal archesmedial longitudinal arch (usually low or high arch)
- lateral longitudinal arch
- view in sagittal plane
- heel to metatarsal head ( intrinsic muscles help to maintain the arches
- transverse archside to side concavity
- at anterior tarsal bones & metatarsals
- best seen in the frontal plane
- fallen arches
- lax ligaments
- navicular position
- plantar apuronsis.. provides tension
- inflammed - plantar fascitits
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describe the fundamental movement definitions of eversion and inversion of the ankle:
plane:
axis:
- plane: frontal plane
- axis: anterior - posterior axis
que: in a posterior view, the position of the inferior portin of the calcaneus
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describe the fundamental movement definitions of abduction and adduction:
plane:
axis:
- plane: transverse plane
- axis: vertical axis
que: how the talus moves in the transverse plane; talus (toes) toward/away from midline
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describe the fundamental movement definitions of dorisflexion and plantarflexion:
plane:
axis:
- plane: sagittal plane
- axis: medial - lateral axis
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list the joints of the ankle/foot complex starting from the most proximal, moving distally:
- talocural (ankle; most proximal)
- subtalar (talocalcaneal) & transverse tarsal
- metatarsophalangeal
- interphalangeal
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osteology (bones this joint includes):
joint type:
degrees of freedom:
dorsiflexion ROM:
plantarflexion ROM:
of the talocrural joint
- osteolgoy: talus, tibia, fibula
- joint type: hinge joint
- degress of freedom: 1
- dorsiflexion ROM: 15-200
plantarflexion ROM: 500
- explain why it is more beneficial to be seated to gain more dorsiflexionthe gastroc crossed both the ankle and knee joint
- there is passive instability when standing
- trying to pass the gastroc over both joints during sitting allows for more ROM because the muscle is not as tight
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list the ligamentouus reinforcement of the ankle on the medial side:
- deltoidscalcaneotibial
- anterior talotibial
- tibionavicular
- posterior talotibial
- plantar calcaneonavicular
- strong ligaments
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list the ligamentous reinforcement of the ankle on the lateral side:
- anterior talofibular
- calcaneofibular
- posterior talofibular
- weaker than medial ligaments
- more sprains
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osteology:
joint type:
degress of freedom:
inversion ROM:
eversion ROM:
of the subtalar joint
- osteology: talus, calcaneus
- joint type: gliding joint
- degrees of freedom: 1
- inversion ROM: 20-300
eversion ROM: 5-100
supination and pronation at the subtalar joint describe the position of the foot as a whole
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osteology:
joint type:
degress of freedom:
motions occurin at this joint:
of the transverse tarsal joint
- osteology: talus, calcaneus, tarsal bones
- joint type: gliding joints
- degrees of freedom: 2
- motions that occur at transverse tarsal jointinversion/eversion
- abduction/adduction
- plantarflexion/dorsiflexion
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osteology:
joint type:
degress of freedom:
motions occuring at this joint and ROM:
of the metatarsophalangeal joint
- osteology: metatarsal, phalanges (convex,concave)
- joint type: condyloid joint
- degress of freedom: 2
- motions at metatarsophalangeal jointFlexion/Extension
- -Great toe ROM: 45/700
-lesser toes ROM: 40/400minimal abduction/adduction (passive abduction when standing)
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joint type:
degree of freedom:
motion occuring at this joint and ROM:
of the interphalangeal joint:
- joint type: hinge joint
- degree of freedom: 1
- motions occuring at the interphalangeal jointFlexion/Extension
- -PIP joints: 35/00
-DIP joints: 60/300
much vairation within & between subjects
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during open chain supination...
what sagittal plane motion occurs:
what is the motion of the calcaneus:
what frontal plane motion occurs:
what transverse plane motion occurs:
- sagittal plane: plantarflexion
- motion of the calcaneus: inversion
- frontal plane motion: inversion
- transverse plane: ADDuction
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during closed chain supination... (segment is proximal; external rotation of the proximal segment)..
what motion occurs in the sagittal plane:
what motion occurs in the frontal plane:
what motion occurs in the transverse plane:
- sagittal plane: dorsiflexion
- frontal plane: inversion
- transverse plane: ABDuction
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during open chain pronation...
what motion occurs in the sagittal plane:
what motion occurs in the frontal plane:
what motion occurs in the transverse plane:
- sagittal plane: dorisflexion
- frontal plane: position of the calcaneus moves laterally; eversion
- transverse plane: ABDuction
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during closed chain pronation..
what motion occurs in the sagittal plane:
what motion occurs in the frontal plane:
what motion occurs in the transverse plane:
- sagittal plane: plantarflexion; big toe is being pushed down
- frontal plane: eversion
- transverse plane: ADDuction (the talus)
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list the action of the metatarsophalangeal joints (MTPJ):
list the action of the interphalangeal joints (IPJ):
- metatarsophalangeal jointflexion/Extension
- limited abduction/adduction
- interphalangeal jointsFlexion/Extension
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list the 8 plantarflexors of the foot/ankle complex:
- gastrocnemius
- soleus
- flexor digitorum longus
- flexor hallucis longus
- peroneus longus
- peroneus brevis
- tibialis posterior
- plantarsi (very weak PF, basically disregarded)
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what is the fxn of the gastrocnemius:
- plantarflexion
- powerful
- more effective when knee extended
- greater % of fast twitch fibersrunning, jumping
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what are the 2 fxns of the soleus:
- plantarflexion
- supination (with gastroc, locks foot into rigid lever during WB)
- more slow twitch fibers
- important postural muscle
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list the fxn of the flexor digitorum longus:
list the fxn of the flexor hallucis longus:
- flexor digitorum longusflexion of the toes
- PF, helps invert the ankle
- supports the longitudinal arch
- flexor hallucis longusflexion of the great toe
- PF, helps invert ankle
- supports longitudinal arch
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what are the fxns of the peroneus longus:
- primary pronator of the foot (eversion)
- PF of the ankle
- supports the transverse and longitudinal arches
- PF & pronation helps transfer BW from lateral to medial side of the foot
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what are the fxns of the peroneus brevis:
- with the peroneus longus, primary pronator of the foot (eversion)
- PF of the ankle
- helps maintain longitudinal arch
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what is the fxn of the tibials posterior:
- predominantly supinator of the foot (inversion)
- PF of the ankle
- important in controlling and reversing pronation of foot during gait
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list the 4 dorsiflexors of the ankle/foot complex:
- tibialis anterior
- peroneus tertius
- extensor digitorum longus
- extensor halluces longus
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list the fxn of the tibialis anterior:
- primary dorsiflexor
- weak supination (inversion)
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list the fxn of the extensor hallucis longus:
- extension of the great toe
- dorsiflexion of the ankle
- weak inversion of the foot
- both the extensor hallucis longus and the tibialis anterior supinate at heel strike (a period of strong pronation)
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list the fxn of the extensor digitorum longus:
- extension of the toes
- weak ankle dorsiflexion
- eversion of the foot
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list the fxn of the peroneus tertius:
- eversion (primary)
- weak dorisflexion
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list the 4 evertors of the foot/ankle complex:
where are these muscles located:
- peroneus longus
- peroneus brevis
- peroneus tertius
- extensor digitorum longus
located: laterally on foot
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list the 4 invertors of the foot/ankle complex:
where are these muscles located:
- tibialis anterior
- tibialis posterior
- flexor digitorum longus
- flexor hallucis longus
located: medially on the foot
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list the planes in which each of the following movements occurs. list the axis of rotation for each movement in each plane:
plantarflexion:
dorsiflexion:
- plantarflexion: sagittal
- dorsiflexion: sagittal
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list the planes in which each of the following movements occurs. list the axis of rotation for each movement in each plane:
inversion:
eversion:
- inversion: frontal plane
- eversion: frontal plane
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list the planes in which each of the following movements occurs. list the axis of rotation for each movement in each plane:
flexion of the toes:
extension of the toes:
sagittal plane
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how do you stretch the gastrocnemius and soleus muscles:
- gastrocnemiusstand facing a wall, placing both palms on the wall about 3 feet apart, leaning into the wall
- feet should be pointed straight ahead, heels remain on the floor
- soleusstretched in the same manner as the gastrocnemius, except the knees must be slightly flexed
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how do you strengthen the gastrocnemius and the soleus:
- gastrocnemiusheel raising exercises with the knees in full extension
- toes resting on a block of wood
- soleusplantarflexion exercises against resistance
- heel raising exercises as described for the gastroc, except with the knee slightly flexed
- exercisesstanding calf raises
- one-leg toe raises
- donkey calf raises
- seated calf raises
- seated barbell calf raises
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how do you stretch the peroneus longus and the peroneus brevis muscles:
passively taking the foot into extreme inversion and dorisflexion with the knee flexed
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how do you stretch the peroneus tertius and the extensor digitorum longus muscles:
- peroneus tertiusextreme inversion and plantarflexion
- extensor digitorum longus musclespassivley taking the 4 lesser toes into full flexion whil the foot is inverted and plantarflexed
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how do you strengthen the peroneus longus, peroneus brevis, peroneus tertius, and the extensor digitorum longus muscles:
eversion exercises, such as turning the sole of the foot outward against resistance
- peroneus tertiuspulling the foot up toward the shin against a weight or resistance
- everting the foot
- weighted towel drags
- exercisestowel drags
- elastic band turn outs
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