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Evidence-Based Examination of the Foot and Ankle

presented by Alexis Wright

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Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Accreditation Check:
In this course covering examination of the foot and ankle by Dr. Alexis Wright, users will evaluate the impact and prevalence of foot and ankle disorders. The imperative patient history elements of a foot and ankle examination will be discussed. The most common forms of self-report outcomes measures are presented along with their minimal clinically important difference scores. Users will be introduced to observational criteria associated with specific disease processes. Identify the best tests used to diagnose red flag conditions of the foot and ankle and compare and contrast different tests used for differential diagnosis. Upon completion of this course, perform functional testing, active and passive physiological and passive accessory movement examination as well as appropriate palpatory and strength tests. Identify the most diagnostic foot and ankle oriented special tests and apply the tests to the appropriate diagnoses. Identify current and best physical performance measures of function by condition. Current research is presented throughout the course to provide learners with the proper tools for evidence-based management of these patients. This course is part of a 19 course comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

Meet Your Instructor

Alexis Wright, PT, PhD, DPT, OCS, FAAOMPT

Dr. Alexis Wright is an Assistant Professor and the Assistant Chair in the Department of Physical Therapy, High Point University. Dr. Wright is a clinical researcher, educator, and practicing physical therapist whose passions include refining and improving the patient examination and treatment process used in everyday physical therapist practice. Dr. Wright received her BS in…

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Chapters & Learning Objectives

1. Introduction of the Foot and Ankle/Prevalence and Incidence

Define Foot and/or Ankle pain. Gain an understanding of foot and ankle related pain patterns.

2. Patient History and Outcomes Measures

Discuss key components of patient history during a foot and ankle examination. Discuss the “best” forms of self reported patient reported outcome measures for foot and ankle pain and function. Discuss reported Minimally Clinical Important Difference scores for self reported outcome measures related to the foot and ankle.

3. Observation

Recognize selected observations that may be associated with disease processes.

4. Triage and Screening

Identify the best tests used to diagnose red flag conditions of the foot and ankle. Compare and contract different tests used for differential diagnosis. Identify structural screening tests to rule out competing diagnoses.

5. Movement Assessment/Motion Testing

Understand the nature of the patient’s condition. Identify the concordant sign reproductive of the patient’s signs/symptoms. Perform functional testing, active and passive physiological and passive accessory movement examination.

6. Palpation and Manual Muscle Testing

Perform an appropriate palpatory examination. Perform an appropriate strength and endurance examination.

7. Special Testing

Understand the language of diagnostic accuracy. Identify the most diagnostic foot and ankle oriented special tests. Apply the tests to the appropriate diagnoses.

8. Physical Performance Measures

Understand the different constructs of function. Understand the strengths and weaknesses of self report measures and the need for physical performance measures of function. Identify the best physical performance measures by condition

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