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Chapter 17: The Foot, Ankle, and Lower Leg. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 2 Common Injuries  Ankle sprains  Arch.

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Presentation on theme: "Chapter 17: The Foot, Ankle, and Lower Leg. Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 2 Common Injuries  Ankle sprains  Arch."— Presentation transcript:

1 Chapter 17: The Foot, Ankle, and Lower Leg

2 Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 2 Common Injuries  Ankle sprains  Arch sprains  Blisters  Turf toe  Plantar fasciitis  Heel bruise  Heel spur  Fractures

3 Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 3 Foot/Ankle Rehabilitation  Exercises can be used both for rehabilitation and for prevention of injury.

4 Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 4 Foot Muscle Strengthening  Curl toes on top of a towel spread on the floor, causing the towel to bunch up.

5 Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 5 Tibialis Anterior Muscle  With one foot, step on an elastic band. Lift up the other foot with the elastic band wrapped around it.

6 Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 6 Peroneus Brevis Muscle  With one foot, step on an elastic band; evert the other foot. The closer the two feet are, the greater the resistance.

7 Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 7 Tibialis Posterior  Use a foot loop. Cross the leg muscle to be worked over the front of the other foot, which is placed above the band. Move the two feet in opposite directions.

8 Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 8 Achilles Tendon Stretch  Place the foot not to be stretched forward. Both feet point straight ahead. Slowly squat.  Repeat with the back foot turned out about 35 to 45 degrees.  Repeat with the back foot turned in about 30 to 45 degrees.

9 Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 9 Special Tests  Certain tests can be performed that aid in the evaluation of injury.

10 Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 10 Thompson Test  With the subject prone and legs bent at 90 degrees, the certified athletic trainer places hand and fingers around the lower leg.

11 Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 11 Thompson Test (cont.)  Lower leg muscles are squeezed. If the Achilles tendon is intact, the foot will plantar flex. If the foot does not move, the Achilles tendon is ruptured.

12 Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 12 Anterior Drawer Test  The top of the ankle is stabilized with one hand, and the heel pulled up with the other. Forward movement indicates a torn anterior talofibular ligament.

13 Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 13 Plantar Fascia Test  Pressing in the area of the injury near the medial calcaneus helps determine how much of the plantar fascia is affected.

14 Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 14 Talar Tilt Test  With the subject sitting and the ankle in a neutral position, grasp the calcaneus while holding the lower leg and apply direct inversion stress. The test is positive if the talus tilts out (injured calcaneofibular ligament).

15 Copyright ©2004 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 15 Tinel’s Sign  Tap the tibial nerve just below the lateral malleolus. Radiating pain indicates an inflamed tibial nerve.


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