Lower Extremity Treatment Flashcards

Which orthotic modification best addresses a patient with a rigid forefoot valgus deformity causing lateral column overload?

Answer: Lateral forefoot post

A lateral forefoot post fills the gap under the lateral forefoot in rigid forefoot valgus, distributing load more evenly.

A positive Tinel's sign at the medial ankle posterior to the medial malleolus indicates compression of the:

Answer: Tibial nerve within the tarsal tunnel

Tinel's sign at the tarsal tunnel reproduces tingling along the tibial nerve distribution indicating tarsal tunnel syndrome.

Which of the following best describes the close-packed position of the hip joint?

Answer: Full extension, internal rotation, and abduction

The hip's close-packed position is full extension with internal rotation and slight abduction, creating maximum ligamentous tension.

During a chiropractic lateral recumbent adjustment of the hip, the primary movement imparted to the femoral head is:

Answer: Inferior glide

The lateral recumbent hip adjustment uses body weight and leverage to impart an inferior glide, decompressing the acetabular cartilage.

A patient reports lateral knee pain worsening at the 30-degree flexion point during stair descent. This is characteristic of:

Answer: Iliotibial band friction syndrome

ITB friction syndrome peaks at approximately 30 degrees of knee flexion where the band crosses the lateral femoral epicondyle.

Which manual therapy intervention is most evidence-supported for reducing pain in greater trochanteric pain syndrome?

Answer: Lateral hip soft tissue therapy and gluteus medius strengthening

Current evidence supports addressing gluteal tendinopathy with load management, soft tissue work, and progressive gluteus medius strengthening.

The valgus stress test of the knee evaluates the integrity of the:

Answer: Medial collateral ligament

Applying valgus force to the knee stresses the medial collateral ligament; gapping or pain at the medial joint line indicates MCL injury.