Flashcards in 04 Knee Measurement Deck (27):
normative values: males
normative values: females
flexion and extension: axis, SA, MA
axis: lateral femoral condyle
SA: to greater trochanter
MA: lateral malleolus
position for measuring extension
- foam roller under ankles
- have the patient actively extend by pressing down into the table
Why do you need to have a foam roller under the ankles when measuring extension?
so you can see the recurvatum
measuring flexion: active or passive?
position for measuring flexion: chronic/subacute patient
- flex hip to 90˚
- slowly bring heel to back of leg/butt as far as possible
- keep heel off table
position for measuring flexion: acute patient
slowly slide heel up on table as far as possible
What is the prone heel hike measurement used for?
assessing knee flexion contracture
prone heel hike: 1 cm =
position for prone heel hike
- knees off table edge
- measure distance between heel heights
What are the anthropometric measurements of the knee?
- 20 cm proximal
- 10 cm proximal
- joint pine
- 15 cm distal
anthropometric measurements: 20 cm proximal
measures quad/hamstring bulk
10 cm proximal
- suprapatellar capsule swelling
- VMO atrophy
inferior pole of patella
15 cm distal
gastrocs/soleus muscle bulk
- tripod leaning back
- raise knee, then back down halfway
- Why tripod position?
get the hamstrings out of the way
iliac crest or under the knee
resist distal lower leg
How would you do a 2/5?
sidelying or partial ROM
- pt position
- flex knee as far as they can, then back halfway
- about 65-70˚
- PT actions
- stabilize iliac crest
- apply resistance to distal lower leg, pressing straight down
What muscles is the MMT for flexion testing?
- How do you isolate semitendinosus/semimembranosus?
- same test, internally rotated tibia
- push down and out/laterally
- How do you isolate the biceps femoris?
- same test, externally rotated tibia
- push down and in/medially