OOPS - PHYSICAL ASSESSMENT
ANKLE FOOT

Mobirise
Mobirise

See instructions for drawing your pain on devices.

You can draw a pain chart / graph to show how the pain changes over the course of 24 hours.

Then follow the range of movement guide below. It might be useful to have another person to estimate how much of your range you have before you feel pain or stiffness.

Write the percentage of movements in the calculator below and it will give you the average of all ranges as your functional range. This will give you the starting point and link for your rehabilitation as below.
Write this down so you can refer to it every few days to measure your improvement by following the rehabilitation guides as below. Then click the clear button to clear the form for the next time you use.    

Also review a Gait / Walking Assessment

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Full squat is the best sign of the full function of legs and low back.

With feet apart and flat on floor, and gently balancing with hands on bench or table, squat until you feel pain.

Full squat (100%) = with feet flat on the floor, sitting freely on the back of your legs.
90% is near full squat with stiffness or pain.
50% = thighs parallel to the floor

Write as Squat = e.g 75%

Posture

Stand evenly on both feet in front of a mirror. Ideal ankle posture is a straight line from knee to second toe.
 If the ankle rolls inward of the straight line it is called pronated and often comes with flat feet. If the ankle rolls outward from the straightline it is called supinated. Poorly aligned posture, especially pronation, will cause pain if doing a lot of running, or working on feet, or by middle age. In that case arch supports are of benefit.


Dorsi Flexion (DF)

Sit with your foot flat on the floor. Keeping the heels on the floor, pull your toes up as far as can. Measure with a ruler from floor to ball of the big toe. Check against the other foot for normal and write the difference as a percentage.
e.g best foot is 7cm = 100% 5cm = 70%. 
1cm = 14%
Unable to lift ball foot off floor = 0%
Plantar
Flexion (PF)

Sitting to the front of chair with feet on the floor and ankle square, knee over ankle (90 degrees). Slide your feet away as far as can with heel and toes on floor. Measure with a ruler from original heel position to new heel position. Compare the distance of each foot and write as a percentage.
e.g. best foot is 34cm = 100%
20cm = 60%
10cm = 30%
Unable to hold foot on floor at right angles = 0%

Inversion (Inv)  


Sit with feet flat and ankle square under knees. Keeping the outer foot in contact with the floor, pull up the inside of the feet from the floor. Measure with a rule from floor to ball of big toe. Compare the distance of each foot and write as a percentage of the best foot. e.g.
Best foot is 4cm = 100%
3 cm is 75%.
1cm = 25%
Unable to lift inner foot up = 0%
Eversion (Ev)

Sit with feet flat and ankle square under knees. Keeping the inner foot in contact with the floor, pull up the outer foot from the floor. Measure with a ruler from floor to outside of base of little toe. Compare the distance of each foot and write as a percentage of the best foot. e.g
Best foot is 4 cm = 100%
2 cm = 50%
1cm = 25%
0% = unable to lift outer edge foot up.

Squat:---------------

DorsiFlexion:-----------

PlantarFlexion: ---

Inversion: ---

Eversion: ---

Functional Range --

Guide to commencing your self therapy from the Functional Range

If there is pain in the calf muscle or achilles tendon (above heel), tape the muscle daily until the ankle DF range is better than 70% (without tape) and you can walk without a limp.
Total average range less than 40% start your therapy here.
Total average range between 40 and 70% start your therapy here.
Total average range more than 70% start your therapy here.

OOPS First Aid

Acute Foot Recovery

Physical Assessment