Great Toe extension ROM: R L Other Tests: Distal Fibular mobility: Hypo/Hyper Proximal Fibular head mobility: Hypo/Hyper Talocrural joint mobility: Hypo/Hyper Talocalcaneal joint mobility: Hypo/Hyper Talonavicular joint mobility: Forefoot mobility: Leg Length Discrepancy: HS MLT: Tibial IR/ER (prox/distal): Glute med strength R L Glute max strength R L Supination strength R L Pronation strength R L (figure 8) R L Balance Testing: SL Balance R L EO/EC Tandem Balance EO/EC Y Balance test R L Berg Balance or Test: Hop Tests: Gait: Supination Twist Pronation Twist Other: Diagnosis and Plan: Plantar fasciitis: manual therapy, stretching, taping, night splint, orthotics, weight loss, ionto with ketoprofen Fat Pad atrophy: taping, heel lift (if leg length disc), heel cup, progressive loading, weight loss Ankle Sprain: acute motion protection, taping, edema management, manual therapy, early WB, ice, progressive loading, balance, prophylactic bracing, return to sport/work
Great Toe extension ROM: R L Other Tests: Distal Fibular mobility: Hypo/Hyper Proximal Fibular head mobility: Hypo/Hyper Talocrural joint mobility: Hypo/Hyper Talocalcaneal joint mobility: Hypo/Hyper Talonavicular joint mobility: Forefoot mobility: Leg Length Discrepancy: HS MLT: Tibial IR/ER (prox/distal): Glute med strength R L Glute max strength R L Supination strength R L Pronation strength R L (figure 8) R L Balance Testing: SL Balance R L EO/EC Tandem Balance EO/EC Y Balance test R L Berg Balance or Test: Hop Tests: Gait: Supination Twist Pronation Twist Other: Diagnosis and Plan: Plantar fasciitis: manual therapy, stretching, taping, night splint, orthotics, weight loss, ionto with ketoprofen Fat Pad atrophy: taping, heel lift (if leg length disc), heel cup, progressive loading, weight loss Ankle Sprain: acute motion protection, taping, edema management, manual therapy, early WB, ice, progressive loading, balance, prophylactic bracing, return to sport/work
ankle-foot-eval-form-based-on-icf-guideline.docx