Lower Extremity HVLA and BLT

Question 1

hip flexion spinal levels

Answer 1

L1-L3

Question 2

hip extension spinal levels

Answer 2

L5-S1

Question 3

hip abduction spinal levels

Answer 3

L5,S1

Question 4

hip adduction spinal levels

Answer 4

L1-L3

Question 5

hip IR spinal levels

Answer 5

L1-L3

Question 6

hip Er spinal levels

Answer 6

L5,S1

Question 7

knee flexion spinal levels

Answer 7

L5,S1

Question 8

knee extension spinal levels

Answer 8

L3, 4

Question 9

ankle dorsiflexion spinal levels

Answer 9

L4,5

Question 10

ankle plantar flexion spinal levels

Answer 10

S1,S2

Question 11

ankle inversion spinal levels

Answer 11

L4,L5

Question 12

ankle eversion spinal levels

Answer 12

L5,S1

Question 13

dorsiflexion n

Answer 13

deep fibular n

Question 14

inversion n

Answer 14

deep fibular n

Question 15

patellar reflex spinal levels

Answer 15

L4

Question 16

achilles reflex spinal levels

Answer 16

S1

Question 17

anterior fibular head HVLA setup

Answer 17

pt supine
doc ipsilateral dysfunction
lateral hand on anterolateral fibular head
medial hand grasp foot
invert, IR, plantarflex
closepack the knee and slightly flex
thrust- rapid extension with downward/medial thrust through fibular head

Question 18

posterior fibular head HVLA setup

Answer 18

Pt supine 
doc contralateral dysfunction 
MCP of cephalad index finger on posterior aspect of fibular head with hypothenar on hamstrings 
ER tib-fib complex 
thrust futher flexion

Question 19

ankle inversion/eversion SD HVLA setup

Answer 19

pt supine with doc at foot of table
one hand on calcaneus, other on dorsum of foot
inversion thrust - caudad traction with hypereversion of ankle
eversion SD - caudad traction with hyperinversion of the ankle

Question 20

plantarflexed talus SD HVLA setup

Answer 20

pt supine with doc at foot of table
fingers interlaced on dorsum fo the foot, thubms on ball of the foot
traction and dorsiflexion

Question 21

metatarsal HVLA setup

Answer 21

pt supine
physician ipsilateral to dysfunction
thumbs over distan end of metatarsal and proximal end of first phalanx
thrust downward through thumbs

Question 22

Hiss whip setup

Answer 22

pt prone with hip and knee of affected leg at edge of table
thumbs over plantar surface of affecte structure with fingers on dorsum of foot
slightly abduct pt LE off table and flex knee
thrust downward through thumbs

Question 23

posterior fibular head BLT setup

Answer 23

pt supine
thumb of cephalad hand on superolateral aspect of fibular head
caudad hand inferior to distal tibia
thumb of fibular head applies pressure straight towards foot while caudad ands inverts foot to point of BLT

Question 24

femorotibial SD BLT setup

Answer 24

pt supine doc ipsilateral 
cephalad palm overanterior femur 
caudad palm over tibial tuberosity 
lean into pt leg with posterior force 
approximate femur and tibia with compressive force
induce IR/ER to BLT

Question 25

boot-jack technique BLT setup

Answer 25

pt supine with knee under physicians axilla (ipsilateral)
medial hand holds calcaneus with thumb and index finer
fingers of lateral hand wrap around medial foot

fulcrum w/ elbow
distract calcaneus from talus by leaning back
plantar flexion

Question 26

cuneiform and metatarsal BLT setup

Answer 26

pt supine
thumbs on dorsum of distal metatarsal and fingers on plantara spect of foot
press thumbs downward toward metatarsals until BLT