LE OMM

Question 1

Many of the issues we see involving the lower extremities involve_______ problems.

Answer 1

tracking

Question 2

Treating TP of LE tends to _____ contracted muscles/______ inhibited muscles

Answer 2

Treating TP of LE tends to lengthen contracted muscles/tone inhibited muscles

Question 3

flexion of knee is accomplished by ______, extension by _____

Answer 3

flexion - hammies,

extension - quads

Question 4

what produces internal tibial rotation of the knee?

Answer 4

Semimembranosus and semitendinosus

Question 5

what produces external tibial rotation of the knee?

Answer 5

biceps femoris

Question 6

what unlocks the screw home motion of the knee (full extension)?

Answer 6

popliteus muscle

Question 7

if tx of a TP fails, what next?

Answer 7

look for a shortened muscle & TP on the opposite side of the body

Question 8

action of psoas major/minor & iliacus?

Answer 8

flex, externally rotate hip–>unilateral contractions bends the trunk laterally to the same side

Question 9

action of glut max?

Answer 9

extend, externally rotate hip

Question 10

action of TFL?

Answer 10

hip joint abduction

Question 11

action of quadriceps femoris

Answer 11

hip joint flexion, knee joint extension

Question 12

action of tibialis anterior?

Answer 12

talocrural (ankle) joint dosriflexion

Question 13

action of extensor hallucis longus

Answer 13

talocrural joint dorsifelxion

Question 14

action of fibularis longus?

Answer 14

talocrural joint plantar flexion

Question 15

action of triceps surae

Answer 15

talocrural joint plantar flxion

Question 16

pain referred to the hip/buttock comes from where?

Answer 16

L1, L2, L3, S1-S2

Question 17

pain referred from the hip/buttock goes to where?

Answer 17

L3 (mostly), L4

Question 18

what is a positive buttock sign?

Answer 18

Passive hip flexion is as (or more) limited and as (or more) painful than straight leg raise (SLR).

Question 19

positive straight leg test

Answer 19

reproduction of radicular sx in sciatic nerve distribution, looks for nerve root irritation

Question 20

positive thomas sign

Answer 20

flexion contracture when opposite thigh comes off table

Question 21

end feel of internal and external hip rotation

Answer 21

elastic

Question 22

what is being tested in patrick/fabers test?

Answer 22

ipsilateral hip joint and SI joint

Question 23

capsular pattern of the hip results in gross limitation of (3)

Answer 23

1. internal rotation
2. abduction
3. flexion

Question 24

capsular pattern of the hip results in some limitation of (1)

Answer 24

aBduction

Question 25

capsular pattern of the hip results in NO limitation of (2)

Answer 25

1. aDduction

2. external rotation

Question 26

hip aBduction or internal rotators restricted ROM muscles?

Answer 26

glut med/min, TFL

Question 27

hip external rotation restricted ROM muscles

Answer 27

glut max, piriformis, gemelli sup/inf, obturator internus/externus, quadratus femoris

Question 28

knee flexion restricted ROM muscles

Answer 28

hammies

Question 29

knee extension restricted ROM muscles

Answer 29

rectus femoris, quads

Question 30

the front of the knee represents which dermatomes?

Answer 30

L3, L4, L5

Question 31

the back of the knee represents which dermatomes?

Answer 31

S1, S2

Question 32

positive patellar tap test?

Answer 32

intraarticular joint effusion

Question 33

appleys compression or distraction used for collateral ligaments?

Answer 33

appley’s distraction

Question 34

appley’s compression is used for ?

Answer 34

lateral and medial menisci

Question 35

Laxity with loss of normal end-feel

Answer 35

ligament tear

Question 36

If generally restricted in most directions

Answer 36

capsular pattern

Question 37

Pattern of paired motions assessed to be physiologically free

Answer 37

somatic dysfxn

Question 38

Painful stretch (ROM) with painful resistance tests

Answer 38

muscle/tendon injury

Question 39

restriction on 1 side causes the iliosacral joint to move prematurely on ____side, causs PSIS to elevate more on ____side

Answer 39

same, other

Question 40

when discrepancy in SF test, do with the side that ____

Answer 40

moves first

Question 41

what are the most common innominate SDs?

Answer 41

anterior & posterior innominate rotations

Question 42

what are the 2nd most common innominate SDs?

Answer 42

upslips

Question 43

what is the dx criteria in seated flexion test?

Answer 43

unilateral movement, not the direction of PSIS