Knee Mobilizations Flashcards

1
Q

What is the resting position for tibiofemoral joint?

A

25 degrees flexion

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2
Q

What is the closed packed position of the tibiofemoral joint

A

full extension and lateral rotation

“Screw home mechanism”

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3
Q

What is the capsular pattern of the tibiofemoral joint?

A

Flexion > extension

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4
Q

What is the highest distraction grade you should do to the tibiofemoral joint?

A

Grade II

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5
Q

How to do a distraction of the tibiofemoral joint

A
  1. With belt- pt sitting with leg off table. Towel placed under thigh. therapist places belt and crosses it in front of the ankle of pt and applies a downward force
  2. Same pt position. Instead this time use therapist thighs at ankle joint instead of gait belt. This way you can palpate the joint
  3. Pt is prone with two pillows placed behind knee. Therapist rests on pillows to stabilize the thigh and grabs around ankle and distracts
    Can do at various positions of knee flexion
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6
Q

What does a posterior glide of the tibia increase?

A

Flexion

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7
Q

What does a ventral glide of the femur increase?

A

flexion

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8
Q

How to do a posterior glide of the tibia

A
  1. Supine with pillow under thigh. Then glide tibia posterior
  2. Pt sitting with leg off table. Then can add a little distraction and posterior glide at the same time
  3. Unicondylar glide to gain internal rotation= flexion
    Pt with knee in flexion and do a posterior glide with more pressure though medial knee
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9
Q

How to do an anterior glide of the Femur

A

“flexion”

Pt is prone with pillow under stomach and thigh
let into 25 degrees of flexion and stabilize shin and do an anterior glide through femur

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10
Q

What does an anterior glide of the tibia increase?

A

Extension

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11
Q

What does a dorsal glide of the femur increase?

A

Extension

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12
Q

How to do a anterior glide of the tibia

A
  1. Supine- you can sit on the pt foot to stabilize. and apply an anterior glide
  2. Pt is prone and knee slightly flexed with pillow under tibia. Then apply an anterior glide through tibia with a diffuse grip
  3. Pt is sitting with leg off of table. Can apply a slight distraction with an anterior glide
  4. Supine Unicondylar. apply an anterior glide to medial tib and posterior glide to lateral tib= getting ER
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13
Q

How to do a posterior glide of the femur

A

“extension”

Pt is supine and towel is placed under tibia and a posterior glide is applied through femur

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14
Q

What is the resting position of the patellofemoral joint

A

0-5 degrees of flexion

avoid hyperextension

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15
Q

What is the closed packed position of the patellofemoral joint

A

Full flexion

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16
Q

What is the capsular pattern of the patellofemoral join

A

Not reported

17
Q

A superior glide of the patella increases what?

A

extension

18
Q

A inferior glide of the patella increases what?

A

flexion

19
Q

A medial glide of the patella increases what?

A

flexion

20
Q

A lateral glide of the patella increases what?

A

Flexion

the femoral condyle is higher on the lateral side

21
Q

A medial tilt of the patella is used for what?

A

stretching lateral structs and general patellar mobilizations

lateral tilting can also be done

22
Q

What nerve can be found vulnerable around the Proximal Tibiofibular joint

A

Superficial Peroneal nerve

23
Q

What is the resting position of the Proximal Tibiofibular joint

A

0 degrees of PF

25 degrees of knee flexion

24
Q

What is the closed packed position of the Proximal Tibiofibular joint

A

full DF

25
Q

what is the capsular pattern of the Proximal Tibiofibular joint

A

Not reported

26
Q

What does a posterior glide of the fibular head increase?

A

Knee flexion

27
Q

How to do a posterior glide of the fibular head

A

Supine and a posterior/medial force is applied using thumb at fibular head

28
Q

What does a anterior glide of the fibular head increase

A

Knee Extension

29
Q

How to do a anterior glide of the fibular head

A
  1. Prone with pillow under lower leg and anterior/lat force is placed through fibular head
  2. quadraped and a anterior/later force is applied through fibular head
  3. S/L with knee bent to 90 degrees and supported with a pillow between knees. Then with both thumbs apply anterior/lat force through fibular head