Wvsom Msk - Lower Extremity Somatic Dysfunction

Front 1

Define end-feel palpation

Back 1

sensation imparted to the examiner's hands at the end-point of the available range of motion

Front 2

Define the pathology of absent end-feel

Back 2

orthopedic problem | ligamentous injury

Front 3

Define pathology of restriction of a joint glide in all or most planes of motion

Back 3

rheumatologic problem or capsular pattern (joint destruction)

Front 4

Define the pathology of an increase in fascial tension with regards to joint glides

Back 4

biomechanical problem | somatic dysfunction

Front 5

Describe joint glide in the lower leg

Back 5

abduction of the lower leg results in medial glide of the tibial plateau

adduction of the lower leg results in lateral glide of the tibial plateau

Front 6

List the knee counterstrain tender points

Back 6

Patella tendon

Medial | Lateral meniscus

Anterior & Posterior cruciate

Front 7

List the Ankle counterstrain tender points

Back 7

Extension Ankle

Lateral & Medial ankle

Front 8

Describe somatic dysfunctions of the tibia

Back 8

Tibia anterior - restricted posterior glide in that knee.

Tibia posterior - restricted anterior glide in that knee.

Tibia external/internal rotation - checked via index finger on the tibial tuberosities & seeing if it bisects the patella evenly.

Front 9

Describe somatic dysfunctions of the fibula

Back 9

fibular head dysfunction is checked by gliding the head anterolateral and posteromedial

fibular head anterior somatic dysfunction = posteriomedial glide restriction, posterior somatic dysfunction = anterolateral glide restriction

when the fibular head glides anteriorly, reciprocal motion occurs at the distal fibular (lateral malleolus) which glides posteriorly

Front 10

Describe Talotibial biomechanis

Back 10

talus glides anteriorly w/ plantar flexion

talus glides posteriorly w/ dorsiflexion

Front 11

Define the structures in the upper & lower ankle joints

Back 11

Upper joint - tibiotalar

Lower joint - subtalar

Front 12

Detail the common somatic dysfunctions in the foot

Back 12

inversion somatic dysfunction of the navicular & cuboid bones (inversion|eversion)

Front 13

Describe & Interpret an ankle swing test

Back 13

Tests for talus anterior glide somatic dysfunction

Hold feet horizontally and push them posteriorly

Tests posterior talus glide and ankle dorsiflexion

Positive swing test = restricted posterior talus glide = anterior talus = plantar flexed ankle = restricted ankle dorsiflexion

Front 14

Discuss Fibular neuritis

Back 14

Entrapment neuropathy of common fibular nerve.

weak plantar flexion & eversion of the foot

Dysesthesia of lateral leg & foot

Front 15

Define Dysesthesia

Back 15

burning | tingling sensation

Front 16

Discuss Pes Planus

Back 16

Talus anteromedial glide

Navicular-cuboid inversion

flattening of medial longitudinal arch (inside)

vaLgus pattern of achilles tendon

Front 17

Discuss an inversion ankle sprain

Back 17

Reciprocal motion of fibular causes frequent fibular head somatic dysfunction with ankle sprains.

Inversion most common vs. eversion

failure to assess for fibular head dysfunction can cause lower leg pain to persist past resolution of sprain.