practical 2

Question 1

semimembranosus TP location

Answer 1

distal third of muscle on posterior/medial thigh

Question 2

S/CS set up for biceps femoris

Answer 2

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

Question 3

S/CS set up for popliteus

Answer 3

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

Question 4

soleus TP location

Answer 4

posterior midline of tibia on lower third of muscle

Question 5

gastrocnemius TP location

Answer 5

inferior to popliteal space on medial head of muscle

Question 6

ATFL TP location

Answer 6

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

Question 7

what is a positive test for the straight leg raise?

Answer 7

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

Question 8

what does a positive straight leg raise test indicate?

Answer 8

nerve root irritation of sciatic nerve

Question 9

hip flexion normal end feel, ROM

Answer 9

soft, 140 degrees

Question 10

what does a positive thomas sign indicate?

Answer 10

a flexion contracture

Question 11

normal end feel for internal rotation and external rotation of hip

Answer 11

elastic

Question 12

positive faber’s test indicates what

Answer 12

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

Question 13

capsular pattern of the hip results in gross limitation of

Answer 13

internal rotation, abduction, flexion

Question 14

resisted ROM muscles: hip flexion

Answer 14

rectus femoris, iliacus, psoas

Question 15

resisted ROM muscles: hip extension

Answer 15

hamstrings, gluteus maximus

Question 16

resisted ROM muscles: abduction

Answer 16

gluteus medius, gluteus minimus, TFL

Question 17

resisted ROM muscles: adduction

Answer 17

gracilis, adductors, pectineus

Question 18

normal end feel for hip extension, ROM

Answer 18

elastic, 30 degrees

Question 19

how to do passive ROM for hip extension

Answer 19

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

Question 20

what does passive knee flexion assess?

Answer 20

rectus femoris tightness, irritation of femoral nerve

Question 21

positive ely test

Answer 21

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

Question 22

resisted ROM muscles: external rotation

Answer 22

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

Question 23

resisted ROM muscles: internal rotation

Answer 23

gluteus minimus, gluteus maximus, TFL

Question 24

resisted ROM muscles: knee flexion

Answer 24

hamstrings

Question 25

resisted ROM muscles: knee extension

Answer 25

rectus femoris, quads

Question 26

how to do resisted ROM for knee extension

Answer 26

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

Question 27

resisted ROM muscles: hip extension

Answer 27

hamstrings, gluteus maximus

Question 28

knee flexion normal end feel

Answer 28

soft or spongy

Question 29

knee extension normal end feel

Answer 29

hard; limited by PCL or posterior capsule

Question 30

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

Answer 30

ligaments/contractile tissue

Question 31

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

Answer 31

muscles/tendons

Question 32

what to assess for with lachmans test

Answer 32

hard endpoint (for acl) and laxity

Question 33

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

Answer 33

elastic endpoint, laxity, pain

Question 34

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

Answer 34

30 degrees flexion

Question 35

what pathology is associated with patellofemoral compression?

Answer 35

patellofemoral pain sydreom chondromalacia patella

Question 36

what pathology is associated with patellar tap/ballottement?

Answer 36

intraarticular joint effusion

Question 37

apleys distraction tests ligaments or cartilage?

Answer 37

medial and lateral collateral ligaments

Question 38

apleys compression tests ligaments or cartilage?

Answer 38

cartilage-->medial and lateral meniscus

Question 39

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

Answer 39

apleys compression

Question 40

HVLA of posterior fibular head tx process

Answer 40

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

Question 41

when is an ATFL test considered to be positive?

Answer 41

1. incr anterior translation 2. reproduction of pain 3. apprehension

Question 42

when is PTFL test considered to be positive

Answer 42

1. incr posterior translation 2. reproduction of pain 3. apprehension

Question 43

what are you looking to document with ATFL or PTFL?

Answer 43

ligamentous laxity

Question 44

inversion stress of the foot tests what ligament?

Answer 44

calcaneofibular ligament

Question 45

squeeze test is for what?

Answer 45

syndesmotic injury (either high ankle sprain or fracture)

Question 46

external rotation test is for what?

Answer 46

syndesmotic injury

Question 47

how is patient positioned for external rotation test?

Answer 47

seated with leg off table

Question 48

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

Answer 48

1. hx of inversion ankle sprain OR | 2. decr dorsiflexion

Question 49

how to reset the talus/mortise

Answer 49

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

Question 50

why milk the peroneus longus & brevis?

Answer 50

1. tender or tight peroneal msucles | 2. h/o inversion sprained ankle

Question 51

tx navicular SD

Answer 51

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