Ankle Grading Rubric
History - These include, but are not limited to: Total ___/8 (1 pt each) 1 1 1 1 1 1 1 1 (quick mark offs)
| _____ MOI/How did it happen? | _____ When did it happen? | _____ What happened? |
| _____ Direction of forces | _____ Sport/position | _____ Any sounds |
| _____ Location of pain | _____ Type of pain | _____ Rate pain level |
| _____ Radiating pain | _____ Medications | _____ Overuse/acute |
| _____ Movement ↑ or ↓ pain | _____ Tingling/numbing | _____ Previous injury |
| _____ Previous treatment | _____ Length of symptoms | _____ Changes in training |
| _____ Sounds and sensations | _____ Age of shoes | _____ Type of track |
| _____ Other intrinsic/extrinsic factors |
Inspection/Observation - These include, but are not limited to: Total ___/ 8 (1 pt each) 1 1 1 1 1 1 1 1 (quick)
| _____ Deformities | _____ Symmetry of gait | _____ Symmetry/alignment |
| _____ Scars/lacerations | _____ Skin color | _____ Swelling |
| _____ Shoe/sock removal | _____ Shoe wear | _____ Pain/guarding |
| _____ Blisters | _____ Callus patterns | _____ Pes cavus |
| _____ Pes planus | _____ Atrophy/hypertrophy | _____ Plantar warts |
| _____ Flexibility of foot | _____ WB vs. NWB | _____ Hammer/claw toe |
| _____ Hallux valgus | _____ Hallux varus | _____ Hallux rigidus |
| _____ Bunions | _____ Corns | _____ Morton toe |
| _____ Ingrown toenail | _____ Hematoma | _____ Shoe creases |
| _____ Shoe pattern (e.g., pronation vs. supination) | _____ Valgus/Varus orientation of forefoot/rearfoot |
Palpations ***Total___/12 (Palpations)***
Bony Palpation - Reasons for bony palpation: AT palpates for: Total 2 points (.5 each) ______
| _____ Point tenderness | _____ Deformity | _____ Crepitus | _____ Symmetry |
Bony Palpations:
| _____ Medial malleolus | _____ Lateral malleolus |
| ____ Calcaneus | _____ Base of the 5th Metatarsal |
Soft Tissue Palpation - Reasons for soft tissue palpation: AT palpates for: 2 points (.5 each)_______
| _____ Point tenderness | _____Symmetry | _____ Spasm/tone | _____ Swelling/warmth |
Soft Tissue Palpations:
| _____ Tibialis Anterior Tendon | _____ Dorsal pedal artery/pulse | _____ Plantar fascia |
| _____ Anterior TibioFibular | _____ Anterior TaloFibular | _____ CalcaneoFibular |
| _____ Posterior TaloFibular | _____ Achilles/Calcaneal Tendon |
Range of Motion ***Total____/3 (ROM)***
| ___ Active ROM (DF, PF, IV, EV) | |
| ___ Passive ROM (DF, PF, IV, EV) | Bi-Lateral_________1 pt |
| ___ Manual muscle (DF, PF, IV, EV) |
Special tests ***Total_____/12 (Special tests) (1 each)
| Name: | ___ Bump Test | ___ Anterior Drawer Test | ___ Talar Tilt Test |
| Mechanics: | ___ | ___ | ___ |
| Testing For: | ___ Fractures | ___ ATFL Sprain | ___ CFL Sprain |
| Positive Test: | ___ Pain | ___ Anterior Translation | ___ Hypermobility/Pain |
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