Dorsiflexion and Plantarflexion

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xrevision

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Is there a specific name thats used for the test that checks your dorsiflexion and plantarflexion against resistance?
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xrevision said:
Is there a specific name thats used for the test that checks your dorsiflexion and plantarflexion against resistance?
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Not that I know of. Here are the named tests that involve the calf muscles.
  • Silverskoild test it to test dorsiflexion with knee extend and knee flexed to determine if the location of the deformity.
  • Pratt's sign is squeezing of the calf to check for DVT.
  • Homan's test is active dorsiflexion of the foot to test for DVT.

That's all I could come up with off the top of my head.
 
Dorsiflexion and plantarflexion stiffness.
 
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No specific to my knowledge... I'd just call it active ROM... or muscle strength if it's against examiner resistance ( +5/5, etc)

IMO the eponyms suck anyways. I try to chart without them unless it's something everyone (pods and non-pods) knows. It's just a bunch of BS that will confuse other specialists and even other pods or students who might read the charts. I also see a lot of people chart wrong (ie didn't know if a "positive Jack's test was inversion or failure to invert).

I guess you have to play the game and memorize them for interviews/boards/etc, but some of it is pretty over the top and purely academic...
 
Dr_Feelgood said:
Not that I know of. Here are the named tests that involve the calf muscles.
  • Silverskoild test it to test dorsiflexion with knee extend and knee flexed to determine if the location of the deformity.
  • Pratt's sign is squeezing of the calf to check for DVT.
  • Homan's test is active dorsiflexion of the foot to test for DVT.

That's all I could come up with off the top of my head.
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Isn't the one where you squeeze the calf to see if the foot plantarflexes to determine if the achilles is ruptured called Homan's sign?
(if the foot plantarflexes - not ruptured (completely)) ( if the foot does not plantarflex - complete rupture.)
 
krabmas said:
Isn't the one where you squeeze the calf to see if the foot plantarflexes to determine if the achilles is ruptured called Homan's sign?
(if the foot plantarflexes - not ruptured (completely)) ( if the foot does not plantarflex - complete rupture.)
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Thompson's Test is the calf squeeze to evaluate for total achilles rupture.

Pratt's sign is pain on calf squeeze and Homan's test is pain upon dorsiflexion of ankle when checking for DVT, but many people don't do them any more because it could dislodge that clot and send it towards the lungs, giving the patient the PE that you were trying to avoid in the first place. D'oh! Besides the purported risks, the predictive value of either physical exam technique is low.

I just order the diagnostic ultrasound instead and skip the calf squeeze or movement. It's a cheap, non-invasive test and the Tech can give you an answer within a short time. Whenever I've encountered signs and symptoms of DVT, the Vascular Lab has always been able to fit in the patient STAT.

OP: I don't know of any names for the resisted motion tests. I just use the 0/5 to 5/5 grading scale and chart the number.

Nat
 
NatCh said:
Thompson's Test is the calf squeeze to evaluate for total achilles rupture.

Pratt's sign is pain on calf squeeze and Homan's test is pain upon dorsiflexion of ankle when checking for DVT, but many people don't do them any more because it could dislodge that clot and send it towards the lungs, giving the patient the PE that you were trying to avoid in the first place. D'oh! Besides the purported risks, the predictive value of either physical exam technique is low.

I just order the diagnostic ultrasound instead and skip the calf squeeze or movement. It's a cheap, non-invasive test and the Tech can give you an answer within a short time. Whenever I've encountered signs and symptoms of DVT, the Vascular Lab has always been able to fit in the patient STAT.

OP: I don't know of any names for the resisted motion tests. I just use the 0/5 to 5/5 grading scale and chart the number.

Nat
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Whoops. I was thinking of the Thompson test for ruptured achilles.
 
Dr_Feelgood said:
You've also got the needle test and sphygmomanometer test for Achilles ruptures (just for completeness sack :D)
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Well done!

Copeland Test = sphygmomanometer test

O'Brien Test = needle test

My personal favorite is the magnet test. You apply magnets around the body part you are investigating in such a way to cause the protons to jump into alignment. Then you apply a radio frequency to them and measure the frequency when they protons fall back into normal alignment.
 
NatCh said:
Well done!

Copeland Test = sphygmomanometer test

O'Brien Test = needle test

My personal favorite is the magnet test. You apply magnets around the body part you are investigating in such a way to cause the protons to jump into alignment. Then you apply a radio frequency to them and measure the frequency when they protons fall back into normal alignment.
Click to expand...

nice....

are you an attending at Legacy? If you are, say hi to first year resident Dr. "M" for me.
 
Stafocker said:
nice....

are you an attending at Legacy? If you are, say hi to first year resident Dr. "M" for me.
Click to expand...

Homey is old, but can drop some knowledge once in awhile!

Sorry, I am not on Legacy staff or in Portland even. I am in Bend, which is in Central OR.

Nat
 
SportPOD said:
Very impressive, I see that the VA force is still strong within you!

All those snowsports hasn't dislodged your knack for podiatry pimp knowledge! :thumbup:
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I do hit my head more than I care to admit, but I seem to recall you knowing your stuff pretty well.
 
....or you could just compare the affected limb to the contralateral limb...
 
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