LE, knee, ankle, and foot Flashcards Preview

OMM II > LE, knee, ankle, and foot > Flashcards

Flashcards in LE, knee, ankle, and foot Deck (30):
1

What is the importance of the pelvis in posture?

Final common platform for postural alignment

2

True or false: the LE are linked to systemic clinical issues

True

3

Where does pain refer from when it presents in the legs?

-Lumbar
-Pelvic
-Abdominopelvic region

4

What are the six clinical goals for DOs? (SEMEN-P)

1. Stability
2. Energy efficient movement
3. reduce Mechanical stress
4.Eliminate nociception
5. Neural balance
6. Promote venous and lymphatic drainage

5

What is osgood-schlatter syndrome? What makes it worse?

An inflammation of the patellar ligament at the tibial tuberosity. It is characterized by a painful lump just below the knee and is most often seen in young adolescents.

Worse with extension of the knee.

6

Most of the joints of the LE are of what kind? What is the one exception to this?

Synovial capsule

Distal tibiofibular joint is a fibrous syndesmosis

7

Should AROM include weight bearing when there is a suspected joint injury?

Yes

8

What are the two reasons behind *painless* weakness?

-Neurological deficits
-Complete tear of a tendon

9

What is a first degree sprain? What is the clinical course of this?

Integrity of the ligament is undisturbed, but is TTP and painful to stretch

Self limiting

10

What is third degree ligament sprain? What is the clinical course of this?

Complete disruption of the ligament with no remaining tensile strength

Needs surgery

11

What is a grade I second degree ligament sprain?

Partial tear with slight laxity

12

What is grade II second degree ligament sprain?

More complete tearing and moderate laxity

13

How do you determine SDs of the lower limb (generally)?

If pattern of paired motions are free in one direction, but restricted in the other

14

Main motions of the joint of the LE are assessed how?

With PROM along with the minor motion glides

15

What is the order of the exam for a suspected ligament injury?

AROM
PROM
Resisted tests

16

Painful stretching of a muscle/tendon and painful ROM n is suspicious for what?

Muscle/tendon injury

17

If a joint is restricted secondary to pain in all planes of motion, what is this?

Capsular pattern

18

Treatment of SD improves bodily function how?

Reducing hyper-sympathetic activity

19

What is the ANS supply to the LE?

T11-L2

20

What are the 5 steps of improving LE vascular input and drainage?

1. Opening fascial pathways
2. Maximizing pressure gradients between thorax and abdomen produced by improving respiratory efficacy
3. Improve muscular contraction
4. Eliminate the tourniquet effect found in the hip, knee, and ankles
5. Lymphatic pumping

21

What are the ottawa ankle rules? (4 areas of TTP, exam finding)

TTP over the medial malleolus or navicular bone

TTP over the lateral malleolus or styloid process of 5th metatarsal

Patient cannot weight bear

22

What are the four steps of the DMU sprained ankle protocol?

1. Reset the talus in the mortise of the ankle
2. Milk the peroneal muscles
3. Correct the ipsilateral fibular head
4. Correct the ipsilateral posterior 3rd rib

23

What is the cause of a high ankle sprain?

Tearing of the syndesmosis

24

True or false: when evaluating any issue with the lower extremity, you should alway assess the hip, knee, and ankle

True

25

What is the mechanism of the injury with a high ankle sprain?

Inversion injury

26

What information should be gathered with a history for a joint injury?

-Learn mechanism of injury
-Narrow the exam down to the smallest amount of tissue area

27

What is the order of the examination for a joint?

1. Inspect
2. ROM
3. Resistance/strength
4. Ligaments
5. Joint surfaces
6. Palpation

28

What are the components of the unhappy triad?

-Torn lateral meniscus
-ACL tear
-Medial meniscal tear

29

What is the treatment for a second degree ligament spain?

Rehabilitation or regenerative injection therapies

30

What are the two ways of improving muscular contraction?

-Remove SDs innervating the muscle
-Treating muscle strains and imbalances