CMT4 Final

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  1. Associated causes of plantar fascitis
    • Poor biomechanics, especially impmroper tracking of the ankle, hip and knee
    • Short and hypertonic gastroc and soleus (forces foot into plantar flexion)
    • Poorly fitted and/or worn out shoes
    • Weight gain- added stress on the arches of the foot
    • Hyperextended knees- forces foot into more plantar flexion so individual does not fall forward, and in turn adds stress to bottom of foot
    • Often seen with pes cavus, pes planus, achilles tendinitis
  2. Causes of plantar fascitis
    • Repetitive overuse
    • Overtraining, especially without proper shoes
    • Training on hard surfaces
    • Activities that require ankle plantar flexion and extension of the metatarsaophalangeal joints (pushing off with toes)
  3. When do people tend to get plantar fascitis?
    Active people in their 40's, but very active athletes can develop it in their early 20's.
  4. O/I of plantar fascia
    • Medial process of the calcaneal tuberosity
    • Plantar surface of metatarsaophalangeal joints and the flexor tendon sheaths
  5. What is an overuse condition resulting in inflammation and possibly tearing of the plantar fascia at the calcaneal attachement site?
    Plantar fascitis
  6. When frictioning tib anterior during atss treatment, what do you do with the ankle?
    Passively dorsiflex
  7. What technique is always contraindicated when the client is on NSAIDs?
  8. With plantar fasciitis, what are the rules regarding steroid injections?
    • Avoid deep transverse friction to the calcaneal attachment site 14 days following injection.
    • If three injections of steroids have been administered, never apply deep transverse friction.
  9. With plantar fasciitis, what direction do you push if the client has a bone spur?
    Heel to toe. Work away from the calcaneous.
  10. Inflammation of the tibial periosteum
  11. Which compartment contains:
    tibialis anterior, extensor hallucis longus, digitorum extensor digitorum
    Anterior compartment
  12. Which compartment contains: tibialis posterior, flexor digitorum longus, flexor hallucis longus
    Deep posterior compartment
  13. Which compartment contains:
    gastrocnemius & soleus
    Superficial posterior compartment
  14. Which compartment contains:
    peroneus longus and brevis
    Lateral compartment
  15. With plantar fasciitis, during what part of during the gait cycle will the client feel the most pain?
    The pre-swing phase of the gait cycle (passive propulsion) and stair climbing.
  16. With which stress syndrome do you treat these muscles: tibialis anterior, extensor hallucis longus, extensor digitorum longus, and peroneals?
  17. With which stress syndrome do you treat these muscles:
    tibialis posterior, flexor hallucis longus, flexor digitorum
  18. What are the causes of periostitis? (7)
    • Overtraining
    • Repetitive actions
    • Faulty biomechanics
    • Pes Planus
    • Faulty posture
    • Plantar fasciitis
    • Poor footwear - too rigid/soft
    • Trauma
  19. An increase in pressure within the compartments of the lower leg, pain in the lower leg
    Compartment syndrome
  20. What are the symptoms of acute compartment syndrome?
    Bleeding and swelling within the compartment, possible pressure on the nerve and tibial artery. Severe pain, skin is taut & shiny from swelling, may feel hot to touch. Possible loss of sensation between the 1st and 2nd toes, parasthesia or motor loss may be present.
  21. Contraindications for plantar fasciitis
    • Stress fractures
    • deep transverse frictions up to 14 days following steroid injections (after 3 steroid injections to calcaneus never apply friction to the area),
    • if bone spur is suspected don't push tissue in the area (especially from ball of foot to heel)
    • inspect foot for other pathologies
    • treat as acute for first 2-3 when pain is present
  22. With Plantar Fasciitis what part of the foot is most likely to develop a bone spur?
    Medial anterior calcaneus
  23. If someone has Plantar Fasciitis when will they feel the most pain throughout the day?
    First steps taken after non weight bearing activities
  24. What is also referred to as "shin splints"?
    Tendinitis of tibialis posterior, periostitis and compartment syndrome
  25. Which compartment is most likely to get compartment syndrome?
    Anterior compartment (45% of cases)
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CMT4 Final
2012-01-26 02:38:10
Soma CMT4 CMT final

Study for CMT4 final
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