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Ankle-brachial pressure index (ABPI) assesses peripheral vascular disease. It may however be unreliable in patients with calcified arteries in the calf (often diabetic patients) or those with extensive oedema , in which case toe pressure or Toe-brachial pressure index (TBPI) should be measured to aid in the diagnosis.
The ABPI test is a popular tool for the non-invasive assessment of Peripheral vascular disease (PVD). Studies have shown the sensitivity of ABPI is 90% with a corresponding 98% specificity for detecting hemodynamically significant (stenosis of more than 50%) in major leg arteries, defined by angiogram. [3] However, ABPI has known issues:
The Thompson test (also called Simmonds' test or Simmonds-Thompson test) is used in lower limb examination to test for the rupture of the Achilles tendon. [ 1 ] [ 2 ] The patient lies face down with feet hanging off the edge of the bed.
The ankle jerk reflex, also known as the Achilles reflex, occurs when the Achilles tendon is tapped while the foot is dorsiflexed.It is a type of stretch reflex that tests the function of the gastrocnemius muscle and the nerve that supplies it.
Evidence supports the rules as an accurate instrument for excluding fractures of the ankle and mid-foot, reducing the number of unnecessary investigations and length of stay in emergency departments. [3] The original study reported that the test was 100% sensitive and reduced the number of ankle X-rays by 36%. [4]
Involuntary extension of the "normal" leg occurs when flexing the contralateral leg against resistance. To perform the test, the examiner should hold one hand under the heel of the "normal" limb and ask the patient to flex the contralateral hip against resistance (while the patient is supine), asking the patient to keep the weak leg straight while raising it.
Mahomes has a mild high-ankle sprain and plans to play Saturday when the Chiefs (13-1) host the Texans (9-5). Lions have been hit hardest by rash of injuries, though NFL says overall amount has ...
The Hubscher maneuver (or Jack's test) is a method of evaluating the flexibility of a pes planus or flat foot type. The test is performed with the patient weight bearing , with the foot flat on the ground, while the clinician dorsiflexes the hallux and watches for an increasing concavity of the Arches of the foot.
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