1206. Optimizing Foot and Ankle Function: Advanced Biomechanics, Manual Therapy, and Exercise Strategies - Registration and Pretest
Presented by David J. Kempfert, PT, DPT, PhD, LATC, OTR, FAAOMPT
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1206. Optimizing Foot and Ankle Function: Advanced Biomechanics, Manual Therapy, and Exercise Strategies - Pretest
1. Which of the following best describes the anatomical location and function of the interosseous talocalcaneal ligament?
a. It connects the talus to the navicular and supports medial arch stability.
b. It lies within the sinus tarsi and stabilizes the subtalar joint by limiting excessive inversion and eversion.
c. It spans the calcaneocuboid joint and assists in lateral foot propulsion.
d. It connects the tibia to the fibula and prevents talar shift.
2. Which of the following best describes the functional difference between the medial and lateral columns of the foot during weight-bearing activities?
a. The medial column is more mobile and adapts to terrain, while the lateral column is rigid and supports propulsion.
b. The medial column is rigid and supports the longitudinal arch, while the lateral column is more mobile and adapts to ground reaction forces.
c. Both columns are equally rigid and primarily function to stabilize the subtalar joint.
d. The lateral column is responsible for arch support, while the medial column facilitates lateral foot mobility.
3. Which of the following joints primarily contributes to dorsiflexion and plantarflexion in the sagittal plane?
a. Subtalar joint
b. Talocrural joint
c. Midtarsal joints
d. Transverse tarsal joint
4. A patient presents with chronic subtalar instability following an inversion ankle sprain. Which of the following manual therapy techniques would most directly assess the integrity of the interosseous talocalcaneal ligament?
a. Anterior drawer test of the ankle
b. Talar tilt test in plantarflexion
c. Medial-lateral glide of the calcaneus on the
d. Dorsiflexion with eversion stress test
5. During gait analysis, a patient demonstrates excessive pronation and delayed resupination during midstance to terminal stance. Which of the following interventions would most directly target this dysfunction in the medial column of the foot?
a. Strengthening the peroneus longus to stabilize the lateral column
b. Mobilizing the cuboid to improve lateral column mobility
c. Enhancing posterior tibialis activation to support medial arch function
d. Stretching the plantar fascia to reduce medial column stiffness
6. A patient demonstrates limited dorsiflexion during gait, resulting in early heel rise and compensatory foot pronation. In hierarchical order for greatest available motion to least, which joints should be prioritized for manual therapy to improve sagittal plane dorsiflexion?
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a. Talocalcaneal, calcaneocuboid, talonavicular, talocrural
b. Transverse tarsal, tarsometatarsal, metatarsophalangeal
c. Talocrural, talonavicular, calcaneocuboid, talocalcaneal
d. Metatarsophalangeal, tarsometatarsal, transverse tarsal
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