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practical 2 Flashcards

1
Q

semimembranosus TP location

A

distal third of muscle on posterior/medial thigh

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2
Q

S/CS set up for biceps femoris

A

prone, flex knee, externally rotate tibia, bring lower leg lateral

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3
Q

S/CS set up for popliteus

A

prone, flex knee 60-65, internally rotate tibia, plantar flex & invert foot

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4
Q

soleus TP location

A

posterior midline of tibia on lower third of muscle

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5
Q

gastrocnemius TP location

A

inferior to popliteal space on medial head of muscle

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6
Q

ATFL TP location

A

in a depression 3 cm anterior and caudad to the lateral malleolus

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7
Q

what is a positive test for the straight leg raise?

A

reproduction of radicular sx i sciatic nerve distribution (b/w 30-70 degrees)

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8
Q

what does a positive straight leg raise test indicate?

A

nerve root irritation of sciatic nerve

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9
Q

hip flexion normal end feel, ROM

A

soft, 140 degrees

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10
Q

what does a positive thomas sign indicate?

A

a flexion contracture

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11
Q

normal end feel for internal rotation and external rotation of hip

A

elastic

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12
Q

positive faber’s test indicates what

A 
sacroiliac dysfxn (if pain to posterior pelvis) OR
hip dysfxn (if pain in anterior or lateral pelvis)
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13
Q

capsular pattern of the hip results in gross limitation of

A

internal rotation, abduction, flexion

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14
Q

resisted ROM muscles: hip flexion

A

rectus femoris, iliacus, psoas

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15
Q

resisted ROM muscles: hip extension

A

hamstrings, gluteus maximus

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16
Q

resisted ROM muscles: abduction

A

gluteus medius, gluteus minimus, TFL

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17
Q

resisted ROM muscles: adduction

A

gracilis, adductors, pectineus

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18
Q

normal end feel for hip extension, ROM

A

elastic, 30 degrees

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19
Q

how to do passive ROM for hip extension

A

prone, 1 hand over butt, grasp leg just above patella, bring into extension

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20
Q

what does passive knee flexion assess?

A

rectus femoris tightness, irritation of femoral nerve

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21
Q

positive ely test

A

whe patient cannot touch heel to butt during passive knee flexion–>indicates tightness in rectus femoris or femoral nerve irritation due to lumbosacral or hip dysfxn

22
Q

resisted ROM muscles: external rotation

A

gluteus maximum, piriformis, gemelli sup/inf, oburator internus/externus, quadratus femoris

23
Q

resisted ROM muscles: internal rotation

A

gluteus minimus, gluteus maximus, TFL

24
Q

resisted ROM muscles: knee flexion

A

hamstrings

25
Q

resisted ROM muscles: knee extension

A

rectus femoris, quads

26
Q

how to do resisted ROM for knee extension

A

prone, knee held at 70 degrees flexion when doctors knee supporting under ankle, patient asked to push into table

27
Q

resisted ROM muscles: hip extension

A

hamstrings, gluteus maximus

28
Q

knee flexion normal end feel

A

soft or spongy

29
Q

knee extension normal end feel

A

hard; limited by PCL or posterior capsule

30
Q

are you evaluating ligaments or tendons when doing passive ROM for knee flexion & extension?

A

ligaments/contractile tissue

31
Q

are you evaluating ligaments or tendons when doing resisted ROM for knee flexion & extension?

A

muscles/tendons

32
Q

what to assess for with lachmans test

A

hard endpoint (for acl) and laxity

33
Q

when doing varus and valgus stress test, assess for what?

A

elastic endpoint, laxity, pain

34
Q

should knee be flexed or straight during varus and valgus stress test?

A

30 degrees flexion

35
Q

what pathology is associated with patellofemoral compression?

A

patellofemoral pain sydreom chondromalacia patella

36
Q

what pathology is associated with patellar tap/ballottement?

A

intraarticular joint effusion

37
Q

apleys distraction tests ligaments or cartilage?

A

medial and lateral collateral ligaments

38
Q

apleys compression tests ligaments or cartilage?

A

cartilage–>medial and lateral meniscus

39
Q

is the apleys distraction test or compression test the pool cue one?

A

apleys compression

40
Q

HVLA of posterior fibular head tx process

A

doctors 2nd metacarpophalangeal joint behind fibular head, flex knee to motion barrier, EXTERNALLY ROTATE LEG @ KNEE, HVLA thrust

41
Q

when is an ATFL test considered to be positive?

A
  1. incr anterior translation 2. reproduction of pain 3. apprehension
42
Q

when is PTFL test considered to be positive

A
  1. incr posterior translation 2. reproduction of pain 3. apprehension
43
Q

what are you looking to document with ATFL or PTFL?

A

ligamentous laxity

44
Q

inversion stress of the foot tests what ligament?

A

calcaneofibular ligament

45
Q

squeeze test is for what?

A

syndesmotic injury (either high ankle sprain or fracture)

46
Q

external rotation test is for what?

A

syndesmotic injury

47
Q

how is patient positioned for external rotation test?

A

seated with leg off table

48
Q

if a patient needs to have their talus reset, what might indicate this?

A
  1. hx of inversion ankle sprain OR

2. decr dorsiflexion

49
Q

how to reset the talus/mortise

A

supine, grasp calcaneus, apply traction, dorsiflex & evert–>apply HVLA tug inferiorly

50
Q

why milk the peroneus longus & brevis?

A
  1. tender or tight peroneal msucles

2. h/o inversion sprained ankle

51
Q

tx navicular SD

A

supine, interdigitate fingers over foot, doctor’s forearm is parallel with tibia, dorsiflex, thrust applied inferiorly

OMM (8 decks)

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