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    Foot Assessment

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    Muskan Ahuja
    The document describes the steps involved in conducting a foot assessment, including sanitization, consent, examination of footwear, gait analysis, observation, palpation, range of motion testing, manual muscle testing, and special tests. Key examination techniques are gait analysis to assess stability, foot progression angle, and stride; observation of the footwear, arches, and deformities; palpation of joints, bones, and tenderness; range of motion testing of the ankle and toes; manual muscle testing of muscles in the foot; and special tests like the windlass test, Coleman block test, and Tinel's test. Differential diagnoses discussed include inflammatory disorders, malignancy, ulcers, infections, and neurological or

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    © All Rights Reserved
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    Foot Assessment

    Uploaded by

    Muskan Ahuja
    52 views28 pages
    The document describes the steps involved in conducting a foot assessment, including sanitization, consent, examination of footwear, gait analysis, observation, palpation, range of motion testing, manual muscle testing, and special tests. Key examination techniques are gait analysis to assess stability, foot progression angle, and stride; observation of the footwear, arches, and deformities; palpation of joints, bones, and tenderness; range of motion testing of the ankle and toes; manual muscle testing of muscles in the foot; and special tests like the windlass test, Coleman block test, and Tinel's test. Differential diagnoses discussed include inflammatory disorders, malignancy, ulcers, infections, and neurological or

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    foot assessment

    Original Title

    Foot Assessment (1)

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    The document describes the steps involved in conducting a foot assessment, including sanitization, consent, examination of footwear, gait analysis, observation, palpation, range of motion testing, manual muscle testing, and special tests. Key examination techniques are gait analysis to assess stability, foot progression angle, and stride; observation of the footwear, arches, and deformities; palpation of joints, bones, and tenderness; range of motion testing of the ankle and toes; manual muscle testing of muscles in the foot; and special tests like the windlass test, Coleman block test, and Tinel's test. Differential diagnoses discussed include inflammatory disorders, malignancy, ulcers, infections, and neurological or

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    52 views28 pages

    Foot Assessment

    Uploaded by

    Muskan Ahuja
    The document describes the steps involved in conducting a foot assessment, including sanitization, consent, examination of footwear, gait analysis, observation, palpation, range of motion testing, manual muscle testing, and special tests. Key examination techniques are gait analysis to assess stability, foot progression angle, and stride; observation of the footwear, arches, and deformities; palpation of joints, bones, and tenderness; range of motion testing of the ankle and toes; manual muscle testing of muscles in the foot; and special tests like the windlass test, Coleman block test, and Tinel's test. Differential diagnoses discussed include inflammatory disorders, malignancy, ulcers, infections, and neurological or

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    Download as pptx, pdf, or txt
    of 28

    Foot Assessment Semester 6A

    PRESENTED TO
    Dr Neha Gupta

    Presenters- Arpita Gupta


    Vipeksha Gaur
    Shrishti Agarwal
    Yashavi Bhardwaj
    Muskan Ahuja
    Examination of the foot
    STEPS In Physical Examination
    • Sanitization of hands
    • Consent of patient
    • Privacy
    • Examination of footwear
    • Exposure of the assessing area
    • Gait analysis
    • Observation/ Palpation
    • Range of Motion
    • MMT
    • Special Test
    • Differential diagnosis
    Gait Analysis

    Important Gait Factors


    • Stance Stability
    • Foot Progression Angle
    • Examination of the Stride and step length
    Observation/ Inspection

    • Observation of the footwear


    • Check any signs of waste wasting
    • Check of any Muscle wasting
    • Examination of arches of foot
    • Presence of any rotational deformity
    • Observation of foot varus and valgus
    • Examination of sole of foot
    • Check of hammer toe and claw toe
    Palpation
    • Assessing the joint temperature
    • Check of any tenderness
    • Palpation Tarsal bones
    • Palpation of the calcenum
    • Palpation of medial and lateral malleolous
    Range of Motion
    1. Active movement 2. Passive movements
    • Dorsiflexion (≈20 degree) • Passive dorsiflexion and plantar flexion
    •
    (stabilisation of calcenum, slight inversion and the foot
    Plantar flexion (≈ 40 degree) resting on the therapist forearm)
    • Inversion (≈20 degree) • Assessing the movements of the forefoot
    • Eversion (≈ 10 degree)
    GONIOMETER ASSESSMENT

    • Dorsiflexion • Plantarflexion
    GONIOMETRY ASSESSMENT

    • Inversion • Eversion
    GONIOMETRY ASSESSMENT

    • Metacarpophalangeal joint
    Manual Muscle Testing of foot

    1. Foot Dorsiflexion and Inversion (tibialis Anterior)


    GRADE 5 – 4: GRADE 3 GRADE 2 - 0 :
    Manual Muscle Testing of foot

    2. Foot Inversion (tibialis Posterior)


    GRADE 5 – 4 GRADE - 3 GRADE 2- 0
    Manual Muscle Testing of foot

    3. Foot Eversion with Plantar Flexion (peroneus longus and peroneus brevis)

    GRADE 5 - 4 GRADE - 3 GRADE 2 - 0


    Manual Muscle Testing

    4. Hallux and Toe MP Flexion(Lumbricals and Flexor hallucis brevis)

    HALLUS MP FLEXION (FHB) TOE MP FLEXION (Lumbricals)


    Manual Muscle Testing

    5. Hallux and toe DIP and PIP Flexion ( flexor digitorum longus, flexor digitorum
    brevis, halluces longus)

    GRADE 5 - 4 GRADE 3 GRADE 2 - 0


    Manual Muscle Testing
    6. Hallux and tie MP and IP extension( extensor digitorum longus and brevis, extensor
    halluces longus)
    GRADE 5 - 4 GRADE 3 GRADE 2 - 0
    Special Test

    1. Tarsal tunnel syndrome


    • Tinel's test, which involves gently
    tapping the tibial nerve. If you
    experience a tingling sensation or
    pain as a result of that pressure,
    this indicates Tarsal Tunnel
    Syndrome.
    Special Test

    2. Morton's neuroma
    • start by squeezing your foot from
    the sides with one hand while
    pressing the thumb of the other
    hand on the bottom of the foot,
    between the third and fourth
    metatarsal bones. The test is
    positive if it produces a clicking
    sound or sensation, called
    Mulder's sign
    Special Test

    3. Windlass test
    • Heel pain reproduced with passive
    dorsiflexion of the toes
    Special Test

    4. Coleman block test


    • It determines if the Subtalar joint is flexible.
    Special Test

    5. Talar tilt Test


    • It is performed with the patient
    supine or on his side, with the
    foot relaxed.
    • The findings should be
    compared with those for the
    contralateral side.
    • If a firm endpoint cannot be felt
    when compared with the opposite
    ankle, suspect damage to the
    CFL.
    Special Test

    6. Patla posterior tibial test:


    • Posterior tibial length test/ Patla posterior
    tibial test: Used to evaluate heel pain/ankle
    pain that may be due to posterior tibial
    dysfunction.
    Special Test

    7. Buerger’s test
    • It is used in an assessment of arterial
    sufficiency. The vascular angle, which
    is also called Buerger's angle, is the
    angle to which the leg has to be raised
    before it becomes pale, whilst lying
    down.
    • Where there is peripheral artery disease
    the leg will revert to the pink colour
    more slowly than normal and also pass
    through the normal pinkness to a red-
    range colouring. This is due to the
    dilatation of the arterioles.
    Differential Diagnosis

    • Inflammatory disorders
    • Malignancy
    • Ulcers
    • Infectious disorders
    • Trauma (burns, postsurgical trauma)
    • Autoimmune disorders —, lupus, rheumatoid arthritis, scleroderma)
    • Atherosclerotic arterial ischemic ulcers
    Differential diagnosis

    • Neuropathic disorders —
    Diabetic foot — Leprosy
    • Club foot
    • Perineal nerve injury
    • Tarsal tunnel syndrome
    • Plantar fasciitis
    • Achilles rupture
    • Fracture in foot
    THANK YOU

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