Peroneus Longus and Brevis Tests: Difference between revisions

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== Purpose<br>  ==


The purpose of these tests is to evaluate the muscle strength of the peronei.<br>
== Purpose  ==


== Technique<br> ==
The purpose of these tests is to locate the peronei musceles.<br>


<u>Grade 3 (Fair Strength):</u>
== Technique  ==


*Patient starting position:<br>Sidelying , affected leg is the upper leg and is resting on a pillow, with the ankle in the anatomical position.
'''Fibularis brevis: '''<br>  
*Therapist Position and Grasps:<br>The proximal hand of the therapist is resting on the lateral side of the hip, right above the knee, and the therapist is standing behind the patient.
*Command:<br>The therapist asks the patient to pull his feet up and to perform an eversion.


<br>
<u>Patient position: </u><br>Semi-lateral position on the contralateral side with the ankle in neutral position. <br>  


<u>Grade 4 (Good Strength):</u>  
<u>Instructions therapist and patient: </u><br>Immobilize the distal calf with one hand proximal to the ankle while pressing to the lateral margin of the foot into eversion with the other hand. Instruct the patient to evert the foot and the talocalcaneoavicular joint in a neutral position. Make sure that the long extensors are relaxed and the toes are held in slight flexion. <ref name="p1" /><ref name="p2">Tixa S, Anatomie in vivo 2: onderste extremiteit. Het onderbeen. Bohn Stafleu van Loghum, Houten, 2001, 103-107</ref><br>  


*Patient starting position:<br>Same as for "grade 3".
<br>'''Fibularis longus:'''<br>  
*Therapist Position and Grasps:<br>Same as for "grade 3” and the therapist gives resistance, on the lateral border of the forefoot with is distal hand.
*Resistance:<br>1/2 of the maximal resistance.
*Command:<br>Same as for “grade 3”.<br>


<u>Grade 5 (Normal strength):</u>  
<u>Patient position: </u><br>Semi-lateral position on the contralateral side with the ankle in plantar flexion. <u><br></u>  


*Patient starting position:<br>Same as for "grade 3".  
<u>Instructions therapist and patient: </u><br>Immobilize the distal calf proximal to the ankle with one hand. At the same time, press with the other hand against the head of the first metatarsal to elevate it, invert the foot, and move the ankle into dorsiflexion. Instruct the patient to evert the foot and bring the head of the first metatarsal into plantar flexion. Make sure that the toe extensors are relaxed for this maneuver. <ref name="p1">Castro WHM,Jerosch J, Grossman TW. Examination and diagnosis of musculoskeletal disorders- clinical examination. Imaging Modalities, Stuttgart ,Georg Thieme Verlag, 2001, 252-253</ref><ref name="p2" /><br>  
*Therapist Position and Grasps:<br>Same as for "grade 4”.  
*Resistance:<br>Maximal resistance.
*Command:<br>Same as for “grade 3”.<br>


<u>Grade 2 (Poor strength):</u>  
{{#ev: youtube |https://youtu.be/HswxN5RxV2Y?list=PLG0HhqRlTUg5cycGUc8YcLlrmhgqbOfNG}}<ref>PolkStatePTA. Peroneus longus brevis. Available from: https://youtu.be/HswxN5RxV2Y (Accesed: 12 dec, 2018)
</ref>


*Patient starting position:<br>Sidelying , affected leg is the upper leg, with the foot resting on it’s medial border, also should the ankle be positioned in it’s anatomical position.
*Therapist Position and Grasps:<br>The proximal hand of the therapist is resting on the lateral side of the hip, right above the knee, and the therapist is standing behind the patient. While the distal hand stabilizes the lower leg.
*Command:<br>Same as for “grade 3”
<u><br>Grade 1 and 0 (Trace and Zero strength):</u>
*Patient starting position:<br>Same as for "grade 3".
*Therapist Position and Grasps:<br>The proximal hand of the therapist is palpating the peroneus longus and brevis, while his distal hand is supporting the foot. The supporting hand helps the foot to perform the movement.
*Command:<br>Same as for “grade 3”. <br>
== Evidence  ==
Provide the evidence for this technique here
== Resources  ==
add any relevant resources here
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
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== References  ==
== References  ==
<references />


References will automatically be added here, see [[Adding References|adding references tutorial]].
[[Category:Special_Tests]]
 
[[Category:Primary Contact]]
<references />
[[Category:Sports Medicine]]
[[Category:Athlete Assessment]]
[[Category:Ankle]]
[[Category:Assessment]]
[[Category:Ankle - Special Tests]]

Latest revision as of 16:23, 23 October 2023

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Purpose[edit | edit source]

The purpose of these tests is to locate the peronei musceles.

Technique[edit | edit source]

Fibularis brevis:

Patient position:
Semi-lateral position on the contralateral side with the ankle in neutral position.

Instructions therapist and patient:
Immobilize the distal calf with one hand proximal to the ankle while pressing to the lateral margin of the foot into eversion with the other hand. Instruct the patient to evert the foot and the talocalcaneoavicular joint in a neutral position. Make sure that the long extensors are relaxed and the toes are held in slight flexion. [1][2]


Fibularis longus:

Patient position:
Semi-lateral position on the contralateral side with the ankle in plantar flexion.

Instructions therapist and patient:
Immobilize the distal calf proximal to the ankle with one hand. At the same time, press with the other hand against the head of the first metatarsal to elevate it, invert the foot, and move the ankle into dorsiflexion. Instruct the patient to evert the foot and bring the head of the first metatarsal into plantar flexion. Make sure that the toe extensors are relaxed for this maneuver. [1][2]

[3]

References[edit | edit source]

  1. ↑ 1.0 1.1 Castro WHM,Jerosch J, Grossman TW. Examination and diagnosis of musculoskeletal disorders- clinical examination. Imaging Modalities, Stuttgart ,Georg Thieme Verlag, 2001, 252-253
  2. ↑ 2.0 2.1 Tixa S, Anatomie in vivo 2: onderste extremiteit. Het onderbeen. Bohn Stafleu van Loghum, Houten, 2001, 103-107
  3. ↑ PolkStatePTA. Peroneus longus brevis. Available from: https://youtu.be/HswxN5RxV2Y (Accesed: 12 dec, 2018)
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