How do you isolate the tibialis posterior?

Stand sideways on to a wall, on one foot, with your arch held in a good neutral position. Push up onto the ball of your foot, hold for1 second at the top of the movement, and return slowly to the starting position. Make sure that when your foot returns to the ground you do not allow your arch to collapse inwards.

What movement does the tibialis posterior muscle perform?

The tibialis posterior acts to plantarflex the foot and invert the foot and support the medial arch. The muscles of the anterior compartment primarily antagonize the posterior compartment muscles. Collectively, the anterior muscles dorsiflex the foot at the ankle joint.

Can you palpate posterior tibial tendon?

Ask the patient to invert the foot. This action allows the tensing of the tibialis posterior muscle and tendon. This tendon is the most prominent tendon just posterior to the medial malleolus and is both visible and palpable.

Where is the posterior tibial pulse?

popliteal fossa
The posterior tibial pulse can be felt behind and below the medial malleolus. Gently flex the knee and feel for the popliteal pulse by deep palpation in midline in popliteal fossa.

How do you do an ankle MMT?

The patient is short sitting with ankle in slight plantar flexion. Therapist sits in front or on side of test limb and uses one hand to stabilize the ankle just above the malleoli. The other hand provides resistance by contouring over the dorsum and medial side of the foot at the level of the metatarsal heads.

How do I check my dorsiflexion MMT?

Ankle Dorsiflexion (2 thru 0) Support the patient’s leg proximal to the ankle and under the foot. Ask patient to bend the foot towards his face. Ankle Plantar Flexion (2 thru 0) Support the patient’s leg proximal to the ankle and under the foot. Ask patient to move the foot down and back towards you.

How can I improve my PTT?

Active ankle ROM exercise includes four directions of motion:

1. Pulling your toes and ankle up (dorsiflexion )
2. Pointing your toes and ankle down (plantarflexion )
3. Moving your foot and ankle inwards (inversion)
4. Moving your foot and ankle to the side and away from the midline of your body (eversion)

Where do you palpate tibial pulse?

The posterior tibial pulse can be felt behind and below the medial malleolus. Gently flex the knee and feel for the popliteal pulse by deep palpation in midline in popliteal fossa.

How do you know if your posterior tibial tendon is torn?

Tenderness over the midfoot, especially when under stress during activity. Gradually developing pain on the outer side of the ankle or foot as the arch flattens even more. A popping sound associated with pain on the inside of the ankle when the tendon is suddenly torn during an activity.

What does 2+ pedal pulses mean?

Zero refers to a nonpalpable pulse, 1+ is a barely detectable pulse, 2+ is slightly diminished but greater than 1+, 3+ is a normal pulse and should be easily palpable, and 4+ is “bounding” (e.g., stronger than normal).

Why is posterior tibial pulse important?

The posterior tibial artery plays an important role in supplying blood and oxygen to the muscles and bones in the lower leg. It is a continuation of the popliteal artery, which directly connects to the femoral artery.

How do I check my MMT?

Testing position – arm out from the side at shoulder level. The examiner demonstrates the motion, then states “Lift your arm out to the side to shoulder level.” The hand giving resistance is contoured over the patient’s arm just above the elbow. The other hand stabilizes the shoulder above the shoulder joint.