Lower extremity Flashcards

(121 cards)

1
Q

Glute max attachment

A

Posterior sacrum, ilium, IT band

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2
Q

Glute max action

A

Hip extension

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3
Q

Glute max test

A

Knee bent 90, leg off table, place hadn’t under foot, resist downward movement

Opposite for prone- resist thigh

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4
Q

Glute max innervation

A

Inferior gluteal L4-5

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5
Q

Glute medius attachments

A

Iliac crest to ilium and greater trochanter of femur

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6
Q

Gluteus medius action

A

Abduction and medial rotation of femur at hip

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7
Q

Gluteus medius test

A

Medial rotation
Knee bent 90
Place hand superior to ankle
Resist outward movement while hand stabilises knee on opposite side

Side lying- 0 flexion, abducted 30, place hand superior to clients ankle, resist upward movement

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8
Q

Glute medius innervation

A

Superior gluteal nerve L4-S1

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9
Q

Glute minimus attachments

A

Posterior ilium and anterior surface of greater trochanter of femur

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10
Q

Glute medius action

A

Abduction and medial rotation of femur at hip

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11
Q

Glute medius test

A

Side line
Leg straight 15 flex
Place hand superior to ankle
Resist upward movement
Same as medius

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12
Q

Glute medius innervation

A

Superior gluteal L4-S1

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13
Q

Tensor fascia latae attachments

A

Iliac crest, IT band to lateral condyle of tibia

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14
Q

TFL action

A

Abduction, medial rotation, hip flexion, knee extension, reinforces lateral knee movement

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15
Q

TFL test

A

Clients leg straight, slightly abducted and flexed 30
Turn foot in
Place hand superior to ankle
Resist upward movement and outward movement

Side line
Straight leg 30 flexion, abducted 30
Place hand superior to clients ankle
Resist upward movement

Prone- leg straight, place hand superior to ankle, resist abduction

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16
Q

TFL innervation

A

Superior gluteal L4-S1

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17
Q

Piriformis attachment

A

Ant sacrum and greater trochanter pf femur

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18
Q

Piriformis action

A

External rotation of hip

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19
Q

Piriformis test

A

Knee bent 90
Place one hand superior to inside of ankle and other on outside of knee
Resist inward movement of ankle

Prone- knee bent 90, hand superior to inside of ankle, resit inwards movement

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20
Q

Piriformis innervation

A

Superior gluteal L4-S1

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21
Q

Obturator interns attachments

A

Ischium and greater trochanter of femur below piriformis

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22
Q

Obturator interns action

A

Lateral rotation of hip

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23
Q

Obturator interns test

A

Knee bent 90
Hip lightly abducted
Place one hand on outside of knee for support and other hand superior to ankle
Resit upward and inward movement

Prone- knee bent and laterally rotated, foot angled down to opposite mid calf, place hand on opposite side of ankle, resist downward and inward movement

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24
Q

Obturator internus innervation

A

Obturator interns L5-S1

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25
Obtruator externs attachments
Ischium, obturator foreman and greater trochanter of femur below obturator interns
26
Obturator externus action
Lateral rotation of hip
27
Obturator externus test
Knee bent 90, hip abducted to 45 Place hand on outside of knee for support and other hand superior to inside of ankle Resist upward and inward movement Prone- knee bent and laterally rotated, foot angled down to opposite Achilles tendon, place hand on opposite side of ankle, resist inward and downward movement
28
Obturator externus innervation
Obturator L3-4
29
Pectineus attachments
Anterior pubis and below lesser trochanter of femur
30
Pectineus action
Flexion, adduction and medial rotation of hip
31
Pectineus test
Leg straight, foot turned completely out Resist adduction superior to ankle
32
Pectineus innervation
Femoral L2-3
33
Adductor brevis attachments
Anterior pubis and below petienus on femur
34
Adductor brevis action
Flexion, addiction and medial rotation of hip
35
Adductor brevis test
Leg straight, foot turned out 45 Resist adduction superior to ankle
36
Adductor brevis innervation
Obturator L2-4
37
Adductor longus attachments
Anterior pubis and below adductor brevis on femur
38
Adductor longus action
Flexion, adduction and medial rotation of hip
39
Adductor longus test
Leg straight, foot straight up Resist adduction superior to ankle
40
Adductor longus innervation
Obturator L2-4
41
Adductor Magnus attachments
Ant- inferior ramus of pubis, below adductor longus on femur and adductor tubercle Post- ischial tubersoty, ramus of ischium and adductor tubercle
42
Adductor magnus action
Ant- adduction, flexion and medial rotation of hip Post- extension and lateral rotation of femur at hip
43
Adductor magnus test
Leg straight, foot turned 45, resist adduction superior to ankle
44
Adductor magnus innervation
Obturator L2-4
45
Gracilis attachments
Inferior ramu of anterior pubis and pes anserinus
46
Gracilis action
Hip adductor, flexion, medial rotation of flexed knee
47
Gracilis test
Leg straight, foot turned completely in Resist adduction superior to ankle
48
Gracilis innervation
Obturator L2-4
49
Sartorial attachments
ASIS and pes anserinus
50
Sartorius action
Assists flexion, abduction and lateral rotation of femur at hip, assists flexion and medial rotation of knee
51
Sartorius tet
Knee bent slightly above table Put one hand under outside knee to stabilise and other hand on heel Resist movement of heel toward groin Fabers type position
52
Sartorius innervation
Femoral L2-4
53
Rectus femurs attachments
ASIS and patella via patella lig to tibial tuberosity
54
Rec fem action
Hip flexion and extension of knee
55
Rec fem test
Leg straight 30 flexion Have client lock knee with toes pointing towards ceiling Place hand superior to ankle Resist flexion
56
Rec fem innervation
Femoral L2-4
57
Vastus intermedius attachments
Anterior and lateral femoral shaft and patella via patella ligament to tibial tuberosity
58
Vastus intermedius action
Extension of knee
59
Vastus intermedius test
Prone- Knee bent 90, foot straight with toes up, support back of foot Resist extension superior to ankle
60
Vastus intermedius innervation
Femoral L2-4
61
Vastus medals attachments
Linea aspera on posterior femur and patella and patellar ligament via tibial tuberosity
62
Vastus medialis action
Extension of knee
63
Vastus medialis test
Prone- knee bent, lower leg laterally rotated (FABER), support back of knee with one hand and place the hand superior to medial ankle Resist extension
64
Vastus medialis innervaiton
Femoral L2-4
65
Vastus laterals attachments
Linea aspera on posterior femur and patella via patella ligament to tibial tuberosity
66
Vastus lateralis action
Extension of knee
67
Vastus lateralis test
Knee bent, lower leg medially rotated, support back of knee with one hand, place other superior to lateral ankle Resist extension
68
Vastus laterali innervation
Femoral L2-4
69
Bicep femurs attachment
Ischial tubersoty and head of fibula
70
Bicep fem action
Extension of hip, flexion of knee, and lateral rotation of flexed knee
71
Bicep fem test
Supine- knee bent, foot turned out, place hand superior to heel, resist knee flexion Prone- knee bent, foot rotated out, place hand behind heel, resist knee flexion (may have hand on hamstring to prevent cramping)
72
Bicep fem innervation
Sciatic L4-S3
73
Semitendinosus attachments
Ischial tuberosa and pes ansarinas
74
Semimembranosus attachments
Ischial tuberosa, medial tibial condyle
75
Semintendinosus and membranous action
Extension of hip, flexion of knee, medial rotation of flexed knee
76
Semimem and ten test
Prone- knee bent, foot turned in, place hand behind heel, resist knee flexion Supine- knee bent, foot turned in, place hand superior to heel, resist knee flexion
77
Semimem and ten innervation
Sciatic L4-S3
78
Popliteus attachments
Lateral condyle of femur and poster proximal tibial shaft
79
Popliteus action
Initiate knee flexion and medial rotation of tibia
80
Popliteus test
Supine- leg straight, hand under knee to slightly flex it, place other superior to medial heel with foot slightly turned in, resist knee flexion Prone- leg straight, heel turned in, place hand on heel, resist knee flexion (tests first 10-15 of knee flexion)
81
Popliteus innervation
Tibial L4-S1
82
Gastrocnemius attachments
Medial and lateral epicondyle of femur and calcaneus via Achille tendon
83
Gastrocnemius action
Plantarflexion of ankle, flexion or knee
84
Gastrocnemius test
Straight leg, hand on ball of foot, resist plantar flexion Opposite for prone
85
Gastrocnemius innervation
Tibial S1-2
86
Soleus attachments
Poster tibial and fibula and calcaneus via achilles tendon
87
Soleus action
Plantar flexion of ankle
88
Soleus test
With clients knee bent, put hand in fist in ball of foot, resist plantar flexion Prone- knee bent slightly off table, place hand in ball of foot while supporting underside of ankle with other, resist plantar flexion
89
Soleus innervation
Tibial S1-2
90
Tibialis posterior attachments
Poster tibia, fibula and navicular, adjacent tarsals, and metatarsals on plantar surface
91
Tibialis post action
PF of ankle, inversion of foot
92
Tibialis post test
Leg straight foot turned in, place fingers on ball of big toes, resist PF and inversion Prone- leg straight foot tuned in, place hand on medial ball of foot and support underside of ankle with other hand, resist PF
93
Tibialis post innervation
Tibial L4-5
94
Tibialis ant attachments
Lateral condyle and lateral shaft of tibia, interosseous membrane and base of first metatarsal, first medial cuneiform
95
Tibialis ant action
DF and inversion
96
Tibialis ant test
Leg straight, ankle slightly PF, resist DF superior to base of big toe
97
Tibialis ant innervation
Deep fibular L4-5
98
Peronues tertius attachments
Ant distal fibula and base of fifth metatarsal
99
Peroneus Tertius action
Eversion of foot with DF
100
Peroneus tertius test
Resist eversion of foot in DF
101
Peroneus tertius innervation
Deep fibular L5-S1
102
Peroneus longus attachments
Head and upper 2/3 of lateral shaft of fibula and base of first metatarsal, first cuneiform
103
Peroneus brevis attachments
Lower 2/3 of shaft of fibula and base of fifth metatarsal
104
Peroneus longus and brevis action
Eversion of foot with PF Supports foot arches
105
Peroneus longus and brevis test
Resist eversion of foot in PF
106
Peroneus longus and brevis innervation
Superficial fibula L5-S1
107
Flexor hallucis longus attachments
Post fibula and distal phalanx of big toe
108
Flexor hallucis longus action
Flexion of big toes, PF ankle
109
Flexor hallucis longus test
Place index finger on plantar side of slightly extended big toe Resist flexion Prone- leg straight, place index on big toe, resist flexion
110
Flexor hallucis longus innervation
Tibial L4-S3
111
Extensor hallucis longus attachments
Ant shaft of fibula and interosseous membrane
112
Extensor hallucis longs action
Extension of big toe, DF ankle
113
Extensor hallucis longus test
Client curls lateral four toes in, place index on poster big toe, resist extension Prone- same
114
Extensor hallucis longus innervation
Anterior tibial nerves L4-S3
115
Extensor digitorum attachments
Lateral condyle of tibia, proximal two thirds of anterior shaft of fibula and middle and distal phalanges of four lateral toes
116
Extensor digitorum action
Extension of four lateral toes at MP Jts, assists DF
117
Extensor digitorum test
Place fingers on dorsal surface of four lateral toes, slightly flexed Resist extension For prone- reverse
118
Extensor digitorum innervation
Lateral terminal branch of deep fibular (peroneal) L5-S1
119
Flexor digitruu longus attachments
Post tibia and distal phalanges of four lateral toes
120
flexor digitrorum longus action
Flexion of four lateral toes, PF ankle
121
Flexor digitorum longus test
Place index finger perpendicularly across four lateral toes, resist flexion Prone- place fingers on plantar surface of four lateral toes, resist flexion