Capsular patterns, ROM, MMT Flashcards

(46 cards)

1
Q

Osteokinematics: Within the hip joint, what are the motions permitted, the plane the motion occurs and the axis of rotation?

A
Flexion/extension = saggital plane, ML axis
AB/ADduction = frontal plane, AP axis
IR/ER = transverse plane, vert. or longitudinal axis
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2
Q

Arthrokinematics: What happens the motion of the hip in open chain?

A

Femoral head rolls in the same direction of the movement and slides in the opposite direction

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3
Q

What is the capsular pattern of the hip joint?

A

IR > Flexion = abduction > no limitation of ER or adduction

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4
Q

What is the range of motion for hip flexion?

A

0-120 degrees

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5
Q

What is the primary muscles being tested in hip flexion MMT?

A

Posts major and Iliacus

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6
Q

What is the end feel of hip flexion?

A

Soft; may be firm due to tension in post. joint capsule and the glut max muscle

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7
Q

What substitutions do you need to look for with hip flexion?

A

Use of the sartorius and TFL

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8
Q

What is the range of motion for hip extension?

A

0-20 degrees

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9
Q

What are the primary muscles being tested in hip extension?

A

Glut max and hamstrings

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10
Q

How do you isolate glut max?

A

Bend the knee in hip extension

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11
Q

What is the end feel for hip extension?

A

Firm; ligamentous, unless there is tight musculature

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12
Q

What is the range of motion for hip abduction?

A

0-45 degrees

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13
Q

What primary muscles are being testing in hip abduction?

A

Glut med and glut min

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14
Q

What is the end feel of hip abduction?

A

Firm; ligamentous unless there is tight musculature

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15
Q

What substitutions do you have to look for with hip abduction?

A
  • “hip hike” by using trunk muscles to move leg
  • ER and flexion substitution
  • TFL substitution
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16
Q

How do you isolate the TFL in hip abduction?

A

place the leg at 45 degrees of hip flesion

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17
Q

What is the range of motion for hip adduction?

A

0-15/20 degrees

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18
Q

What muscles are being tested in hip adduction?

A

Adductor magnus, brevis, and longus; pectine and gracilis

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19
Q

What is the normal end feel for hip adduction?

A

Firm; ligamentous unless there is tight musculature

20
Q

What substitutions do you need to look for in hip adduction?

A

IR at the hip

21
Q

What is the range of motion for hip external rotation?

22
Q

What muscles are you testing in hip ER?

A

Deep ERs; Obturator externus and internus, quadrates femurs, gemellus superior and inferior, and glut max

23
Q

What is the normal end feel of hip ER?

A

Firm; tendinous, unless there are tight muscles

24
Q

What substitutions do you need to look for?

A
  • Lifting contralateral buttock
  • increased flexion
  • abducting test hip
25
What muscles are you testing in hip IR?
Glut min and med, TFL
26
What is the normal ROM for hip IR?
0-45 degrees
27
What is the normal end feel of hip IR?
Firm; tendinous, unless there are tight muscles
28
Osteokinematics: Within the knee joint, what are the motions permitted, the plane the motion occurs and the axis of rotation?
``` Flexion/extension = sagittal plane, ML axis Rotation = transverse plane, vertical axis ```
29
Arthrokinematics: What happens the motion of the hip in open chain?
Concave tibia rolls on the convex femur, and tibia sides in the same direction
30
What is the capsular pattern of the knee joint?
Flexion limitation > Extension limitation > no rotation restriction
31
What is the normal ROM of knee flexion?
0-135 degrees
32
What muscles are you testing in knee flexion?
all hamstrings
33
What are your medial hamstrings?
Semimembranosus and tendionosus
34
What are your lateral hamstrings?
Long and short head of biceps femoris
35
What is the end feel for knee flexion?
Soft; unless firm due to muscle tension
36
What substitutions do you need to watch for with knee flexion?
- hip flexion substitution - sartorius substitution (hip flexion, ER of hip) - gracilis substitution (hip add) - garou substitution (strong dorsiflexion)
37
What is the ROM for knee extension?
135 - 0 degrees (may allow to 10 degrees of hyper extension)
38
What muscles are you testing in knee extension?
Quadriceps femoris
39
What substitutions do you need to look for in knee extension?
- lifting pelvis | - side lying, hip IR
40
What is the end feel for knee extension?
Firm; tendinous
41
What is the capsular patterns for the talocrural joint?
Greater limitation in plantar flexion than dorsiflexion
42
What is the capsular pattern for the subtalar joint?
Greater limitation of inversion
43
What is the capsular pattern for the transverse tarsal joint?
Limitation of inversion (adduction and supination); other motions are full
44
What is the capsular pattern for the MTP joints?
Gross limitation of extension and slight limitation of flexion at first MTP, other MTP joints limitation is more restriction of flexion than extension
45
What is the ROM in ankle plantar flexion?
0-45 degrees
46
What muscles are tested in ankle plantar flexion?
Gastroc and soleus