goni & MMT - hip Flashcards

(56 cards)

1
Q

flexion goni

A

moving arm: lateral femoral condyle / midline of the femur

fulcrum: greater trochanter

stationary arm: midline of the trunk

stabilize: pelvis

move the: distal femur

subs: IR/ER of hip, ADD/ABD of hip

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2
Q

flexion ROM

A

0-120/135

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3
Q

pt position w/ flexion goni

A

supine

feet on the table

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4
Q

extension goin

A

moving arm: lateral femoral condyle / midline of the femur

fulcrum: greater trochanter

stationary arm: midline of the trunk

stabilize: pelvis, @ end ROM the pelvis rotates anteriorly

move: distal femur

subs: ABD, anterior pelvic tilt, coming out of the plane

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5
Q

extension ROM

A

0-10-30

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6
Q

pt position extension goni

A

prone

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7
Q

ABD goni

A

moving arm: patella, straight down the femur

fulcrum: ASIS

stationary: opposite ASIS

stabilization: iliac crest, end ROM is when iliac crest starts to rise

move: ankle and heel

subs: ER, hip hiking, trunk side bending

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8
Q

ABD ROM

A

0-30-50

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9
Q

ABD pt position goni

A

supine w/ legs extended

move pt all the way to one side of the table

pt can hold the goni

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10
Q

ADD goni

A

moving arm: patella, straight down the femur

fulcrum: ASIS

stationary: opposite ASIS

stabilization: iliac crest, end ROM is when iliac crest starts to drop

move: ankle and heel

subs: IR, pelvic drop, trunk rotation

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11
Q

ADD ROM

A

0-10-30

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12
Q

ADD pt position goni

A

supine w/ legs extended

move pt all the way to one side of the table

pt can hold the goni

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13
Q

ER goni

A

moving arm: midline of the tib b/x malleoli

fulcrum: patella

stationary: perpendicular to the floor

stabilize: distal femur

move: leg medially holding distal tib

subs: thigh ABD, hip flexion, trunk movement, lateral pelvic tilt

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14
Q

ER ROM

A

0-45/60

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15
Q

pt position ER goni

A

seated in neutral

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16
Q

IR goni

A

moving arm: midline of the tib b/x malleoli

fulcrum: patella

stationary: perpendicular to the floor

stabilize: distal femur

move: leg laterally, holding distal tib

subs: thigh ABD, hip flexion, trunk movement, pelvic tilt

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17
Q

IR ROM

A

0-30/50

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18
Q

pt position IR goni

A

seated

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19
Q

MMT flexion muscles

A

iliopsoas

RF

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20
Q

MMT flexion –> pt position

A

seated on the edge of the table

hands will be placed on the table next to their pelvis

good posture

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21
Q

MMT flexion test

A

take through PROM

“can you lift your thigh off the table towards the ceiling?”

ask them to bring it up again

apply resistance at distal femur

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22
Q

MMT flexion gravity min

A

side lying

cradle their leg (w/ knee flexed) in one hand and stabilize the pelvis with the other

support leg through PROM

support leg through AROM

apply resistance to anterior distal thigh

can get a 2 or 2+

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23
Q

MMT flexion subs

A

leaning trunk

ABD the thigh

excessive knee flexion

IR/ER

24
Q

flexion, ABD, ER, w/ knee flexion muscles

25
flexion, ABD, ER, w/ knee flexion pt position
sitting at the edge of the table hands placed next to pelvis good posture
26
flexion, ABD, ER, w/ knee flexion MMT test
go through PROM AROM: " can you bring your leg up towards the ceiling and out" AROM again apply resistance at the thigh and try to push back into ADD & ext other hand applies resistance at the posterior tib/fib to push pt into IR & knee ext
27
flexion, ABD, ER, w/ knee flexion gravity min
supine place foot of the leg you're testing onto the opposite shin PROM AROM: " can you slide your foot up your shin right to your knee?" *guard/ support the lateral side of the leg* (stand on testing side) any motion is a 2
28
flexion, ABD, ER, w/ knee flexion subs
hip flexion
29
extension MMT muscles
glutes hamstrings
30
extension MMT pt position
prone w/ legs straight can put pillow under stomach
31
extension MMT Test
stabilize the pelvis for PROM and lift at distal thigh above patella AROM: can you repeat that motion apply resistance right above the ankle
32
extension MMT --> isolate the glutes
prone w/ knee flexed stabilize the pelvis and lift the distal thigh apply resistance @ distal thigh
33
extension MMT gravity min
side lying cradle their leg w/ knee extended and stabilize their pelvis support their leg as they move through hip extension use supporting forearm to place resistance can get a 2 or 2+
34
extension MMT subs
pelvis and trunk rotation Glute isolated: ABD or hip ER
35
ABD MMT muscles
glute med glute min
36
ABD MMT pt position
side lying with bottom leg bent
37
ABD MMT test
start w/ hip in a bit of extension PROM: bring leg towards ceiling AROM: "can you lift your leg towards the ceiling?" Apply resistance right above the ankle
38
ABD gravity min
supine w/ legs straight ABD the leg support the weight of the leg *make sure toes dont turn out* slight resistance @ the ankle can get a 2 or 2+
39
ABD MMT subs
pelvic rotation hip flexion
40
ABD from flexed position muscles
TFL
41
ABD from flexed position muscles pt position
side lying with the bottom leg bent hip flexed @ about 45 degrees
42
ABD from flexed position test
start w/ hip flexed to 45 PROM: bring leg up towards the ceiling, dorsiflexed foot apply resistance at the distal femur
43
ABD from flexed position gravity min
long sitting while theyre leaning back (support themselves w/ hands) PROM AROM support the weight of the leg make sure toes don't turn out resistance @ distal femur can get a 2 or 2+
44
ADD MMT muscles
adductor magnus adductor brevis adductor longus pectineus gracilis
45
ADD MMT pt positon
side lying testing the bottom leg
46
ADD MMT test
support the op leg PROM: lifting the bottom leg off the table AROM resistance at end ROM @ the distal femur
47
ADD MMT gravity min
supine w/ legs extended move other leg out of the way start in hip ABD support the weight of the leg as it moves into ADD apply slight resistance at distal medial thigh can get 2 or 2+
48
ADD MMT subs
pelvic rotation IR ADD of top leg
49
ER MMT muscles
obturator internus/externus gemelli piriformis quadratus femoris glute max
50
ER MMT pt position
sitting at the edge of the table in short sittin hands placed on the table next to pelvis good posture
51
ER MMT test
PROM: stabilize at distal thigh and take through motion by lateral ankle ER is moving the lower leg towards your other leg apply resistance at end ROM on the medial side of the ankle counterforce @ distal lateral thigh
52
ER MMT gravity min
supine w/ legs extended have pt flex opposite knee to get it out of the way start in IR have them turn leg from inwards to outwards any range is a 2
53
IR MMT muscles
glute med glute min TFL
54
IR MMT pt position
sitting at the edge of the table in short sittin hands placed on the table next to pelvis good posture
55
IR MMT test
PROM: stabilize at distal thigh and take through motion by medial ankle IR is moving the lower leg away from your other leg apply resistance at end ROM on the lateral side of the ankle counterforce @ distal medial thigh
56
IR MMT gravity min
supine w/ legs extended have pt flex opposite knee to get it out of the way start in ER have them turn leg from outwards to inwards any range is a 2