placement folder Flashcards
Medial rotators of hip
Gluteus medius and minimus (anterior fibres)
Tensor fascia latae
Adductor magnus
Pectineus
Lateral rotators of hip
Gluteus maximus Quadratus femoris Sartorius Obturator internus Iliopsoas Piriformis Obturator externus Gluteus medius and minimus
Hip flexors
Iliopsoas Tensor fascia latae Pectineus Adductor longus Adductor brevis Gracilis Rectus femoris Sartorius
Hip abductors
Gluteus medius Tensor fascia latae Gluteus maximus Gluteus minimus Piriformis Obturator internus
Hip adductors
Adductor magnus Adductor longus Adductor brevis Gluteus maximus Gracilis Pectineus Quadratus femoris Obturator externus Semitendinosus
Hip extensors
Gluteus maximus Gluteus medius Gluteus minimus Adductor magnus Piriformis Semimembranosus Semitendinosus Biceps femoris
Knee flexors
Biceps femoris Semimembranosus Semitendinosus Gracilis Sartorius Popliteus Gastrocnemius
Knee extensors
Tensor fascia latae Quadriceps femoris -rectus femoris -vastus intermedius -vastus medialis -vastus lateralis
Medial rotators at knee
Semimembranosus Semitendinosus Gracilis Sartorius Popliteus
Lateral rotators at knee
Biceps femoris
Tensor fascia latae
Plantarflexors
Peroneus longus Peroneus brevis Tibialis posterior Flexor digitorum longus Triceps surae
Dorsiflexors
Tibialis anterior
Extensor digitorum longus
Evertors at fot
Peroneus longus
Peroneus brevis
Extensor digitorum longus
Invertors at foot
Triceps surae Tibialis posterior Flexor hallucis longus Flexor digitorum longus Tibialis anterior
What is the normal age for independent standing?
9.5 months (6-12 months)
What is the normal age for independent walking?
13 months (10-22 months)
What normal developmental milestones are important?
Independent standing
Cruising-walking holding on to things like sofas
Independent walking
Describe toddler walking
Wide base of support Excessive hip and knee flexion Anterior tilt of pelvis Ankle joint pronation - foot flat Toe curling Upper limb abduction and elbow flexion
What are the three components to gait development?
Neurophysiological -myelination of CNS, increased vascularity to brain, primitive reflexes
Motor learning
Biomechanical-centre of gravity lowers, limb length increases, limb stability increases
Describe how tibial torsion changes with age
Gradually increased external rotation with age Age 1 - 4degrees Age 1.5 - 6degrees Age 7 - 10degrees Mean adult transmalleolar axis 10degrees
Femoral/tibial alignment over time
Medial 1 year - neutral Varus to valgus - 22 months Valgus max - 3 years Valgus then decreases at 6 years Varus birth to adult valgum 7degrees
When has most foot growth occured?
91-97% by 12 years
Describe osteogenesis imperfecta
Brittle bone disease
Bones break easily
Composition of collagen not correct
Type I, II and III
Describe Ehlers Danlos Hypermobility Syndrome
EDHS
Inherited, connective tissue disorder
Flexible joints, elastic skin and excessive bruising
Describe HMSN
Hereditary Motor Sensory Neuropathy
Charcot Marie Tooth
Progressive hereditary (PNS) teenage/early adult onset (slow progressive)
High arches (pes cavus), drop foot, high stepping gait, fatigue, poor UL dexterity/fine motor coordination, inverted champagne appearance of LL, proprioception and balance affected, numbness or pain, scoliosis less common, sight and hearing affected and weakness in UL, nerve degeneration and muscle weakness