Patient Positioning for Calcaneus Adjustment
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Questions and Answers

What is the patient position for the calcaneus long-axis distraction adjustment I taught you in class?

  • Prone (correct)
  • Supine
  • Seated
  • Lateral
  • Using the adjustment you have been taught in class, what is the vector for the adjustment of the foot/ankle when utilizing a Tuli board?

  • A-P (correct)
  • P-A
  • L-M
  • M-L
  • When we are distracting the tarsals very generally, which side of the foot are we concerned with? AKA: Which side is 'opening up'?

  • Medial side (correct)
  • Lateral side
  • Dorsal side
  • Plantar side
  • Following an inversion ankle sprain, the talus biomechanics have been altered. What listing makes the most sense in this scenario?

    <p>L-M Glide restriction</p> Signup and view all the answers

    If you are adjusting the navicular in a plantar to dorsal vector and you're using your hypothenar, what is your doctor position?

    <p>Ipsilateral side of the affected side</p> Signup and view all the answers

    Why is obtaining a good superior to inferior tissue pull prior to thrusting important for creating long-axis distraction of the talus?

    <p>To prevent sliding down to the navicular</p> Signup and view all the answers

    When adjusting the various phalangeal and metacarpal joints, which joint are we most concerned about and need to take into special consideration?

    <p>1st MCP</p> Signup and view all the answers

    What clinical finding does NOT support the adjustment of an anterior malpositioned talus?

    <p>Decreased plantar flexion</p> Signup and view all the answers

    Which adjustment for the hip requires the doctor to be on the contralateral side of the patient?

    <p>Creating A-P glide</p> Signup and view all the answers

    Using the technique taught in lab and in your textbook, what is your force generator for a supine, hip long-axis distraction?

    <p>Arms and lats</p> Signup and view all the answers

    What is the vector for the 'Bimanual grasp/proximal femur; inferior glide in flexion'?

    <p>A-P</p> Signup and view all the answers

    When performing external rotation of the hip using the adjustment learned in class, does the foot move more toward midline or away from midline after creating the tissue pull and locking the joint out?

    <p>Toward midline</p> Signup and view all the answers

    Excessive anteversion would cause what findings?

    <p>Toe-in posture and gait</p> Signup and view all the answers

    In elderly populations, which location on the femur is most likely to fracture?

    <p>Femoral neck</p> Signup and view all the answers

    If the hip is externally rotated, what happens to the anterior ligaments of the hip?

    <p>Become taut</p> Signup and view all the answers

    Which adjustment puts the hip in the most compromising position in relation to the way it most likely dislocates? AKA: What adjustment causes the most stress in the same way the hip dislocates?

    <p>A-P Glide</p> Signup and view all the answers

    _______ is characterized by a burning pain in the anterior and lateral portions of the thigh.

    <p>Meralgia paresthetica</p> Signup and view all the answers

    Your patient is supine with their leg abducted off the table and you are straddling their leg creating gentle LAD. If you are pressing on the inside of the patient's knee away from the patient (M-L), what are you creating and what structure are you testing the integrity of? (Stretching)

    <p>Varus stress, LCL</p> Signup and view all the answers

    Compression and rotation of the knee would best test what structures for injuries?

    <p>Menisci</p> Signup and view all the answers

    What structure does NOT make up part of the 'Unhappy Triad' for knee injuries?

    <p>PCL</p> Signup and view all the answers

    Which of these conditions is more chronic than acute?

    <p>Chondromalacia Patella</p> Signup and view all the answers

    When creating a valgus force on the knee, what is being compressed and what is being stretched?

    <p>Lateral meniscus, MCL</p> Signup and view all the answers

    Patient has reduced knee flexion, what could possibly be a reason why? Choose the best answer.

    <p>Trigger points causing weakened firing on the Biceps Femoris</p> Signup and view all the answers

    Which way will tarsals primarily subluxate?

    <p>Plantar malposition</p> Signup and view all the answers

    A patient presents with the beginning of hallux valgus and is a teenager. What is NOT a recommendation for them?

    <p>Surgery</p> Signup and view all the answers

    What wearing pattern is common for patients with over-pronation issues? Choose the best answer.

    <p>Medial side wearing</p> Signup and view all the answers

    A patient with pronation syndrome may show what in their Achilles tendons?

    <p>Medial bowing</p> Signup and view all the answers

    The talocrural joint is composed of the following bones except:

    <p>Calcaneus</p> Signup and view all the answers

    Where does Gout like to live?

    <p>1st MTP</p> Signup and view all the answers

    What bone can be found by palpating a tuberosity or tubercle on the medial side of the foot that we learned in class?

    <p>Navicular</p> Signup and view all the answers

    Which of these is not a treatment for plantar fasciitis?

    <p>Foot binding</p> Signup and view all the answers

    When mapping pressure along the bottom of the foot, if the force runs on the lateral side of the foot until propulsion, where it streaks across the MTPs during the stance phase, what is the patient likely favoring?

    <p>Supination</p> Signup and view all the answers

    For the average person, our intrinsic foot muscles are __________ while our plantar flexors are __________.

    <p>Weak, Tight</p> Signup and view all the answers

    Are foot strengthening exercises generally better for flat feet or people with high arches?

    <p>Flat feet</p> Signup and view all the answers

    How would we rehab someone with shin splints?

    <p>Slow and controlled eccentric muscle contractions</p> Signup and view all the answers

    What is an easy shortcut to palpate the cuboid when attempting to adjust it using the reinforced thumb contact?

    <p>Palpating the 5th metatarsal styloid and moving slightly proximal and medial</p> Signup and view all the answers

    The subtalar joint formed between the _________ is also a hingelike joint.

    <p>talus and calcaneus</p> Signup and view all the answers

    With an inversion ankle injury, which ligament is NOT in danger of being overstretched?

    <p>Deltoid ligament</p> Signup and view all the answers

    What condition can present with the patient saying it feels like they're "walking on a marble"?

    <p>Morton's Neuroma</p> Signup and view all the answers

    If your patient is prone with their knee flexed to 90 degrees and you squeeze the calf muscles, what do you expect to happen?

    <p>Plantarflexion of the foot with an intact Achilles tendon</p> Signup and view all the answers

    The ______ ligament attaches from the sustentaculum tali to the navicular. The function of this ligament is to keep the medial aspect of the forefoot and hindfoot in apposition and, in so doing, help to maintain the arched configuration of the foot.

    <p>spring</p> Signup and view all the answers

    A Jones Fracture is most common following what kind of injury?

    <p>Inversion ankle sprain</p> Signup and view all the answers

    Pronation is made up of all these movements besides which?

    <p>Adduction</p> Signup and view all the answers

    If a patient cannot bear weight on their ankle following an inversion injury, what is the next step?

    <p>Imaging is necessary before we move further</p> Signup and view all the answers

    When creating an M-L glide of the proximal tibia, and with our non-contact hand having the patient's leg between our arm and our ribs, what type of force are we creating in the knee when we bring the joint to pretension?

    <p>Varus</p> Signup and view all the answers

    When performing a long-axis distraction of the knee, what is our force generator?

    <p>Both arms/back and knee extension</p> Signup and view all the answers

    Patient presents with a history of patellar dislocations, which adjustment is contraindicated and should not be performed without a more in-depth evaluation and why.

    <p>Bimanual web/patella inferior medial to superior lateral glide. Dislocates more laterally than medially.</p> Signup and view all the answers

    When adjusting for a superior malpositioned proximal fibula, which adjustment makes the most sense? What type of ankle sprain would you image correlates with this finding the most?

    <p>Superior to inferior glide. Eversion</p> Signup and view all the answers

    Knowing what motions aggravate FAI (Femoroacetabular Impingement), what motions would most cause increased discomfort for a patient who is experiencing this?

    <p>Squatting</p> Signup and view all the answers

    An angle of 5 degrees of anteversion would produce what?

    <p>Retroversion</p> Signup and view all the answers

    When creating a lateral-medial (L-M) glide of the proximal tibia, our non-contact hand has the patient's leg between our arm and our ribs. What type of force are we creating in the knee when we bring the joint to pretension?

    <p>Valgus</p> Signup and view all the answers

    When thrusting to create anterior to posterior glide on the proximal tibia, what structure are we testing? Alternatively, what is the structure resisting this movement? Choose the best answer.

    <p>PCL</p> Signup and view all the answers

    Which mechanism is connected to patellar tendinitis more than others?

    <p>Repetitive jumping</p> Signup and view all the answers

    The so-called screw-home mechanism, which is a combination of ______ rotation of the tibia occurring with knee _________, further approximates the osseous structures and tightens the ligamentous structures to stabilize the joint.

    <p>External, Extension</p> Signup and view all the answers

    Following an ankle sprain, which movement needs to be the FIRST thing to be restored before moving on to more advanced rehab?

    <p>Passive Range of Motion (RoM)</p> Signup and view all the answers

    When trying to verify if we are on the Biceps Femoris, what can we ask our patient to do to activate the muscle while they are prone?

    <p>Bring their knee to their glutes</p> Signup and view all the answers

    What is NOT a cause of plantar fasciitis?

    <p>Heel spur</p> Signup and view all the answers

    ________ is a lateral deviation of the big toe, usually with a concomitant metatarsal varum. Improperly fitting footwear, as well as an unstable and pronated foot, has been blamed for this condition.

    <p>Hallux valgus</p> Signup and view all the answers

    Generally, what is the benefit of performing 'Hypothenar/trochanter push; long-axis distraction' over other variants, for example, 'Bimanual grasp/distal tibia pull; long-axis distraction'?

    <p>The knee is not affected</p> Signup and view all the answers

    Which finding should you be aware of in children with hip pain? When moving the hip into flexion, it may rotate into external rotation.

    <p>Slipped capital epiphysis</p> Signup and view all the answers

    No matter which variant of adjustment we use, when we place the patient's foot/ankle into either Inversion or Eversion, what is our line of drive?

    <p>Long-axis distraction</p> Signup and view all the answers

    If you are creating M-L tilt of the 5th DIP joint and you have your proper positioning, CP, and SCP; with your distal hand, are you bending the toe toward you or away from you?

    <p>Away</p> Signup and view all the answers

    If you are adjusting the navicular in a plantar to dorsal vector and you're using your hypothenar to do so, what is your doctor's position?

    <p>Ipsilateral side of affected side</p> Signup and view all the answers

    Why do we ask our patients to grasp their unaffected knee when we are taking Hip Flexion Range of Motion (RoM)?

    <p>Flatten the lumbar lordosis and try to reduce the amount of pelvis rotation</p> Signup and view all the answers

    Which head of the gastrocnemius muscle is more predisposed to being strained?

    <p>Medial head</p> Signup and view all the answers

    When you passively evert the foot, which ligament are you NOT checking?

    <p>Calcaneofibular</p> Signup and view all the answers

    Are stress fractures in the lower extremity more due to single event experiences or microtraumas occurring over time adding up until the breaking point?

    <p>Microtraumas</p> Signup and view all the answers

    Why do we create hip extension when we perform "Hypothenar/proximal femur, palmar distal femur grasp; posterior-to-anterior glide"?

    <p>To help lock out the joint</p> Signup and view all the answers

    When performing internal rotation of the hip using the adjustment we learned in class, does the foot move more toward midline or away from midline after you've created the tissue pull and locked the joint out?

    <p>Away from midline</p> Signup and view all the answers

    With pronation syndrome, what would the patient report feeling in their feet?

    <p>Falling in (medially)</p> Signup and view all the answers

    Right before our heel hits the ground in our gait cycle, what position do we want our foot in and why do we want it that way?

    <p>Supination, stability</p> Signup and view all the answers

    When adjusting for an inferior malpositioned proximal fibula, which adjustment makes the most sense and what type of ankle sprain correlates with this finding?

    <p>Inferior to superior glide. Inversion</p> Signup and view all the answers

    Following an eversion ankle sprain, the talus biomechanics have been altered. What listing makes the most sense in this scenario?

    <p>M-L</p> Signup and view all the answers

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