Knee Flashcards

1
Q

What objective is fulfilled by the critical event of neutral knee in initial contact?

A

Ensures heel contact

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2
Q

What is the arc of motion at the knee during loading response?

A

0-20 Flexion

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3
Q

What objective does the 20 degrees of Flexion in loading response fulfill?

A

Shock absorption

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4
Q

What is the arc of motion at the knee in midstance?

A

20 Flexion to 0

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5
Q

What objectives does the 20 degrees of extension in midstance fulfill?

A

Progression of COM over BOS

Single limb stance stability

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6
Q

What is the arc of motion at the knee in terminal stance?

A

Remains at 0

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7
Q

What objectives are fulfilled by the knee remaining at 0 in terminal stance?

A

Progression of COM over BOS

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8
Q

What is the arc of motion at the knee during pre-swing?

A

0-40 Flexion

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9
Q

What objectives are fulfilled by the 40 degrees of Flexion in pre-swing?

A

None

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10
Q

What is the arc of motion at the knee during initial swing?

A

40-60 Flexion

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11
Q

What objectives does the 20 extra degrees of flexion In initial swing accomplish?

A

Foot clearance

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12
Q

What is the arc of motion at the knee during mid-swing?

A

60-30 Flexion

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13
Q

What objective are fulfilled by the 30 degrees of extension in mid-swing?

A

Limb advancement

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14
Q

What is the arc of motion at the knee during terminal swing?

A

30 Flexion - 0

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15
Q

What does the 30 degrees of knee extension In Terminal swing accomplish?

A

Limb advancement

Ensures normal stride length and heel contact

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16
Q

What is the knee motion in the frontal plane throughout the gate cycle?

A

Neutral varus/valgus

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17
Q

What is the motion of the tibia and femur in the frontal plane from loading response to midstance?

18
Q

What is the arc of motion of the tibia and femur in the transverse plane from midstance to terminal stance?

A

External rotation to neutral

19
Q

What does the screw home mechanism do during loading response?

A

Rear foot pronation -> tibial internal rotation -> unlocks the knee to facilitate knee Flexion and shock absorption

20
Q

What does the screw home mechanism do at midstance?

A

Foot supination -> tibial eternal rotation -> locks knee to facilitate knee extension and ensure stance stability during single limb support

21
Q

What is the arc of motion at the knee in initial contact ?

22
Q

What is the moment at the knee during loading response?

A

Knee Flexion moment

23
Q

What is the muscle action at the knee during loading response?

A

Vasti (eccentric)

24
Q

What is the moment at the knee during midstance?

A

Knee Flexion moment to neutral moment

25
What is the muscle action at the knee during midstance?
Vasti (concentric)
26
What is the moment at the knee during terminal stance?
Neutral moment
27
What is the muscle action at the knee during terminal stance?
No quadriceps action
28
What is the moment during pre-swing at the knee?
Knee Flexion moment (small)
29
What is the muscle action at the knee during pre-swing?
Knee Flexion is passive!
30
What is the moment during initial swing at the knee?
Extension moment (gravity driven)
31
What is the muscle action at the knee during initial swing?
Biceps femoris short head (concentric)
32
What is the moment during mid-swing at the knee?
Extension moment (gravity driven)
33
What is he muscle action at Thea knee during mid-swing?
No muscle action
34
What is the moment during terminal al swing At the knee?
Flexion moment
35
What is the muscle action at the knee during terminal swing?
Vasti (concentric)
36
What is the frontal plane moment at the knee during loading response - terminal stance?
Varus moment
37
What structures resist the varus moment at the knee during loading response to terminal stance?
IT band and LCL
38
What controls the ER of the tibia?
Medial hamstrings Pets anserine complex LCL and MCL Popliteus
39
What controls tibia IR?
Lateral hamstrings | ACL
40
What 3 muscles control femur rotation?
Glut max Piriformis Deep hip rotators