MSK basics and intervention Flashcards
(26 cards)
active insufficiency
inability of a 2 joint muscle to shorten simultaneously at both joints
same as action/function of the muscle
passive insufficiency
inability of a 2 jt muscle to lengthen simultaneously at both joints
stretch of the muscle
opposite of function of muscle
screw home mechanism
TOLL - Tibia in Open chain goes Laterally for Locking
tibia in open chain goes medially for unlocking
lateral femoral condyle is flatter, does not extend as far distally, projects further posteriorly, compared to medial condyle
upward rotations of scapula
= ABD
Upset Thor Smacks Loki
Upper rotation
Traps
Serratus Anterior
Lower Trap
downward rotation of scapula
=ADD
Little Minor Pirates Love Rum then fall DOWN
Lats
Minor - pec
Pec minor
levator scap
rhomboids
achilles tendon repair WB
Conventional approach: 6 weeks immobilization and non-weight-bearing
Early remobilization approach: immediately after surgery or aftere 1-2 weeks
achilles tendon repair phase 1
up to 4-6wks
Active ROM of non immobilized joints
Muscle setting exercise of DF, inverters, evertors, and PF (at week 2)
Weight-shifting activities in bilateral stance while wearing orthosis (when partial WB is permitted)
No DF permitted to prevent stretching of tendon
mechanical work of muscle
Eccentric: muscle torques < load torque
Concentric: muscle torque > load torque
Isometrics: muscle torque = load torque
upper cross syndrome
Inhibited deep cervical flexors = inhibited lower trap/Serratus Ant
(tight)Facilitated SCM/pec = facilitated upper trap/levator scap
Inhibited = lengthened and weak
Facilitated = tight
lower cross syndrome
Inhibited abdominals = inhibited glutes
Facilitated rec fem/iliopsoas = facilitated thoracic/lumbar extensors
Inhibited = lengthened and weak
Facilitated = tight
to identify roll
look at movement of the BONE
to identify slide
Identify what surface is moving, if convex on concave roll and slide will be opposite. If concave on convex the roll and slide is in the same direction
Example - shoulder ABD: superior roll of humerus, humeral head slides inferior into glenoid fossa. Convex moving on concave
pronation OKC
EDAB
eversion + DF + ABD
supination OKC
IPAD
inversion + PF + ADD
pronation CKC
EPAD
eversion + PF + ADDs
supination CKC
IDAB
inversion + DF + ABD
convex surface
movement in opposite direction
concave surface
movement in same direction
grade 1 joint mob
small amplitude at beginning of range
grade 2 mob
large amplitude within the range but not reaching limit
grade 3 mob
large amplitude up to limit of available motion and are stressed into the tissue resistance
grade 4 mob
small amplitude at the limit of available motion and stressed into tissue resistance
grade 5 mob
small amplitude, high velocity thrust
purpose of long sitting (supine to sit) test
identifies SI joint dysfunction which may be cause of leg length discrepency
