Peroneus Longus and Brevis Tests: Difference between revisions

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== Purpose<br>  ==
== Purpose<br>  ==


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


== Technique<br> ==
== Technique<br> ==


<u>Grade 3 (Fair Strength):</u>  
'''Peroneus brevis: '''<br>


*Patient starting position:<br>Sidelying , affected leg is the upper leg and is resting on a pillow, with the ankle in the anatomical position.
<br><u>Patient position: </u><br>Semi-lateral position on the contralateral side with the ankle in neutral position. <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>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="1">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="2">Tixa S, Anatomie in vivo 2: onderste extremiteit. Het onderbeen. Bohn Stafleu van Loghum, Houten, 2001, 103-107</ref><br>


<br>
<br>


<u>Grade 4 (Good Strength):</u>  
'''Peroneus longus:'''<br>


*Patient starting position:<br>Same as for "grade 3".
<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>  


*Patient starting position:<br>Same as for "grade 3".
<u>Patient position: </u><br>Semi-lateral position on the contralateral side with the ankle in plantar flexion. <u><br></u>
*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>  
<u><br>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 manoeuvre. <ref name="1">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="2">Tixa S, Anatomie in vivo 2: onderste extremiteit. Het onderbeen. Bohn Stafleu van Loghum, Houten, 2001, 103-107</ref><br>
 
*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  ==
== Evidence  ==
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== References  ==
== References  ==


Palmer L., Epler M.&nbsp;. Fundamentals of Musculoskeletal Assessment Techniques&nbsp;.&nbsp;2nd&nbsp;ed . Philadelphia.&nbsp;Lippincott Williams &amp; Wilkins. 1998. p 353-354.&nbsp;<br><references />
Castro WHM,Jerosch J, Grossman TW. Examination and diagnosis of musculoskeletal disorders- clinical examination. Imaging Modalities, Stuttgart ,Georg Thieme Verlag, 2001, 252-253
 
Tixa S, Anatomie in vivo 2: onderste extremiteit. Het onderbeen. Bohn Stafleu van Loghum, Houten, 2001, 103-107<br>

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Purpose
[edit | edit source]

The purpose of these tests is tolocate the peronei musceles.

Technique
[edit | edit source]

Peroneus 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. Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title


Peroneus 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 manoeuvre. Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title

Evidence[edit | edit source]

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References[edit | edit source]

Castro WHM,Jerosch J, Grossman TW. Examination and diagnosis of musculoskeletal disorders- clinical examination. Imaging Modalities, Stuttgart ,Georg Thieme Verlag, 2001, 252-253

Tixa S, Anatomie in vivo 2: onderste extremiteit. Het onderbeen. Bohn Stafleu van Loghum, Houten, 2001, 103-107

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