KINE 3320 Lower Extremity Evaluation


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KINE 3320 Lower Extremity Evaluation

  1. 1. KINE 3320 Lower Extremity Evaluation Fall 2008 Study Guide – Test #1 Test questions will include multiple choice, matching, short answer, and critical thinking items. Questions will be based on material from class notes and discussions, power points, and chapter readings. Chapter 1 The Injury Evaluation Process Systematic evaluation models Starkey’s evaluation model – (you should be familiar with the specific info collected or examined within each step of the model) History Inspection Palpation ROM tests Ligamentous tests Special tests Neurological tests Classification of acute injuries 1st degree – grade I – (mild) 2nd degree – grade II – (moderate) 3rd degree – grade III – (severe) Classification of chronic or overuse injuries Stage I Stage II Stage III Terminology Sign vs. symptom Macrotrauma vs. microtrauma Insidious Subluxation vs. dislocation Diffuse Instability vs. laxity Sprain vs. strain Triage Methods for quantifying swelling Volumeter assessment Girth measurement Methods for evaluating ROM Visual assessment (comparison bilaterally)
  2. 2. AROM vs. PROM vs. RROM Goniometer End feels Methods for evaluation strength RROM vs. Manual muscle tests Grading systems for manual muscle tests Methods for evaluating neurological function Dermatomes Myotomes Reflexes Differences in procedures used during on-the-field vs. sideline vs. clinical evaluations Factors that warrant termination of the evaluation, so that injury management can be immediately implemented Chapter 2: Injury Nomenclature Strains vs. sprains Eccentric vs. concentric contractions Tendonitis vs. tenosynovitis Myositis ossificans Bursitis Subluxations vs. dislocations Synovitis vs. arthritis Hyaline cartilage Osteochondral defects Osteochondritis dessicans Exostosis vs. apophysitis Fractures Diaphyseal vs. epiphyseal vs. articular fractures Type of fractures Avulsion Open (compound) Transverse Comminuted Spiral Greenstick Stress
  3. 3. Imaging techniques and their role in diagnosing injury Radiograph CT MRI Bone scan Ultrasound Chapter 4 The Foot and Toes Functional anatomy bony structures hindfoot or rearfoot calcaneus, talus, midfoot navicular, cuboid, cuneiforms forefoot metatarsals, phalanges. sesamoids bony articulations subtalar joint talocalcaneonavicular joint calcaneocuboid joint tarsometatarsal joints (Lisfranc) metatarsophalangeal joints interphalangeal joints ligamentous structures plantar fascia plantar ligament collateral ligaments calcaneonavicular (spring) ligament intrinsic muscles extrinsic muscles extensor hallucis longus extensor digitorum longus flexor hallucis longus flexor digitorum longus arches medial longitudinal lateral longitudinal transverse metatarsal Foot pathology (signs, symptoms, MOI, evaluation tests) retrocalcaneal bursitis corns hallux rigidus
  4. 4. Foot pathology (signs, symptoms, MOI, evaluation tests) - continued MTP sprain plantar fasciitis plantar warts Morton’s neuroma tarsal tunnel syndrome midfoot sprain medial arch sprain transverse arch sprain sesamoiditis heel spur Jone’s fracture Lisfranc fracture/dislocation hammer toe claw toe bunion pes cavus pes planus (supple vs. rigid) Morton’s toe Subcutaneous and retrocalcaneal bursitis Hagland’s deformity Assessment ROM MTP extension (0-80°) MTP flexion (0-40°) Rearfoot inversion and eversion stress tests MTP valgus and varus Midtarsal joint glides Tarsometatarsal joint glides Intermetatarsal glide test special tests Morton’s test Feiss’ line Navicular drop test