CMT4 Final

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Author:
ellen28
ID:
130505
Filename:
CMT4 Final
Updated:
2012-01-25 12:32:18
Tags:
Soma CMT4 Final
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Description:
Lower leg issues and treatments
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  1. Which Ms are treated in ATSS?
    • TibAnt
    • Ext Hallicus Longus
    • Ext Dig Longus
    • Peroneals
  2. Which Ms are treated in MTSS?
    • TibPost
    • Flex Hallicus Longus
    • Flex Dig Longus
  3. When fxn TibAnt during ATSS tx, what do you do with the ankle?
    Dorsiflex
  4. Plantar Fasciitis treatment contraindications when clients on NSAIDS?
    Avoid fxn
  5. What are the contraindications of Plantar Fasciitis in regards to steroids?
    • Avoid deep fxn tx if steroid injection within 14 days
    • Never apply deep fxn tx if 3 steroid injections applied
  6. Which direction should you fxn if bone spur suspected in Plantar Fasciitis?
    Heel to toe
  7. What is Periostitis?
    Inflammation of the periosteum.
  8. What are the causes of Periostitis?
    • Overuse
    • Poor biomechanics
  9. What is Compartment syndrome?
    Internal pressure within one or more of the lower leg compartments has increased to dangerous levels, resulting in pain, decreased circulation, and the risk of necrosis.
  10. What are the S/S of acute compartment syndrome?
    • Pain severe and persistent
    • Skin taut/shiny
    • Affected compartmet hotter/harder than unaffected side
  11. Which Ms are in which compartments?
    • Ant: TibAnt, ExtHalliLong, ExtDig
    • SupPost: Gastroc, Soleus
    • DeepPost: TibPost, FlexHalliLong, FlexDigLong
    • Lat: PerLong, PerBrev
  12. Which compartment is most likely to have compartment syndrome?
    Anterior (45%, DeepPost=40%)
  13. When is the most pain experienced during the day with Plantar Fasciitis?
    After non-weight-bearing for a while (ex. First waking up)
  14. When is the most pain experienced during gait cycle with Plantar Fasciitis?
    Pre-swing (toe off)
  15. Where is a bone spur most likely to occur with Plantar Fasciitis?
    Calcaneal attachment site
  16. What are the S/S of Plantar Fasciitis?
    • Can be unilateral or bilateral
    • Pain slow in developing
    • Pain develops from activities, usually from overuse
    • As foot loosens up for walking, pain diminishes, but returns after 2-3hrs
  17. Are there contraindications involving inflammation or scar tissue with Plantar Fasciitis?
    If acute inflamm present=avoid fxn
  18. What is Plantar Fasciitis?
    Overuse condition resulting in inflammation and possibly tearing of the plantar fascia at the calcaneal attachment site.
  19. What are the O:I for Plantar Fascia?
    Calcaneal tuberosity to plantar surfaces metatarsophalangeal jts & flex tendon sheaths
  20. At what age is someone most likely to develop Plantar Fasciitis?
    • Ave: 40s
    • Athl: 20s
  21. What are the contributing factors of Plantar Fasciitis?
    • Excessive pronation/supination
    • Short/tight Gastroc/Soleus
    • Improper footwear (too Flex, too stiff, no arch support)
    • Weight gain

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