04 Knee Manual Therapy Flashcards Preview

7232 Ortho > 04 Knee Manual Therapy > Flashcards

Flashcards in 04 Knee Manual Therapy Deck (41):
1

knee arthrokinematics

- concave on convex
- mobilize in the same direction as osteokinematic movement

2

traction: uses

- decreased joint play
- OA in the knees

3

traction: position

- seated, knee over side of table
- pull down on the tibia
- can use ER/IR to selectively tighten

4

capsular pattern of the knee

flexion
extension

5

traction: grades

mostly 2-4, won't see grade 1

6

two ways to do anterior glides

- similar to Lachman's test
- similar to anterior drawer test

7

When would you use the anterior glide mob that's similar to Lachman's test?

when there's not much motion

8

When would you use the anterior glide mob that's similar to anterior drawer test?

if they're able to bend the knee

9

anterior glides: clinical indications

decreased extension

10

anterior glides: targeted tissues

posterior capsule

11

traction: tissues

capsule

12

Who often receives anterior glides?

- used a lot for total knee or post-op patients
- everything is healed, but lacking flexibility

13

posterior glide: clinical indication

decreased flexion

14

clinical indications: tissues

anterior capsule

15

What does the posterior glide look like?

posterior drawer test

16

physiologic flexion: clinical indications

decreased flexion

17

physiologic flexion: what do you do?

- pt prone, need something under their knee, your knee is on their femur
- distraction force
- mobilize knee into greater amounts of flexion (can also do this with extension)

18

Which mobs would you want to do to increase extension?

- anterior glide
- cephalic glide
- ER

19

Which mobs would you want to do to increase flexion?

- posterior glide
- caudal glide
- IR

20

IR glides: Why would you do these?

- need IR of the tibia to move into flexion

21

IR: how to do

- pt in IR
- pull on outside
- push on inside

22

ER glides: how to do

- pt in ER
- pull on inside
- push on outside

23

IR glides: clinical indications

- decreased IR
- decreased flexion
- decreased joint play

24

IR glides: tissues

- posterior lateral capsule
- arcuate ligament complex

25

ER glides: clinical indications

- decreased ER
- decreased extension
- decreased joint play

26

ER glides: tissues

posterior medial capsule

27

valgus and varus glide: clinical indications

- decreased joint play
- mobility in that direction

28

position of knee for valgus and varus glides

30˚ flexion

29

valgus glide: tissues

- medial capsule
- MCL

30

varus glide: tissues

- lateral capsule
- LCL

31

Mobs for the PF joint are all to address this

decreased joint play

32

What are the PF mobs

- caudal glides
- cephalic glides
- medial glides
- lateral glides
- medial tilt
- lateral tilt

33

caudal glides: What else might they be used for other than decreased joint play?

- decreased flexion
- could be caused by patellar hypomobility
- often used for TKR

34

cephalic glides: What else are they used for other than joint play?

- decreased extension

35

caudal glides: tissues

- superior capsule
- anterior capsule
- quad tendon

36

cephalic glides: tissues

- inferior capsule
- anterior capsule
- patellar tendon

37

What type of joint is the proximal tib-fib?

plane joint

38

What is the mob for the prox tib-fib

AP glides

39

If they benefit from AP glides, what might you do?

- can also tape to get pulling in a posterior direction
- can be helpful

40

What may happen with frequent ankle sprains (in the tib-fib joint)

- may have lateral displacement
- not frequently seen

41

If someone can't get flexion, what would you do?

- posterior glides
- caudal glides of the patella
- IR glide