OMT - lower extremity.
Terms
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- Primary hip extensor.
- Gluteus maximus.
- Primary hip flexor.
- Iliopsoas.
- Primary knee extensor.
- Quadriceps.
- Primary knee flexors.
- Semimembransis and semitendinosis.
- ACL
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Originates: anterior part of intercondylar area of tibia (just posterior to medial meniscus attachment).
Inserts: (extends superiorly, posteriorly, laterally) posterior part of medial side of lateral condyle of femur.
Prevents posterior displacement of femur on tibia and hyperextension of knee. - PCL
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Origin: posterior part of intercondylar area of tibia.
Insersion: Anterior part of lateral surface of medial condyle of femur.
Prevents anterior displacement of femur and hyperflexion of knee. - Medial collateral ligament.
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-medial epicondyle of femur to medial condyle and superior medial surface of tibia.
-deep fibers attach firmly to medial meniscus. - Lateral collateral ligament
- -extends from lateral epicondyle of femur to lateral surface of head of fibula.
- Fibular head moves ____ w/ pronation (dorsiflexion, eversion, and external rotation) of foot.
- anteriorly.
- Fibular head moves _____ w/ supination (plantarflexion, inversion, internal rotation) of foot.
- posteriorly
- Femoral nerve.
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L2-L4
Motor: Innervate quadriceps, iliacus, satorius, pectineus.
Sensory: anterior thigh and medial leg. - Sciatic nerve: tibial division.
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L4-S3
Motor: hamstrings (except short head of biceps femoris), most plantar flexion, and toe flexors.
Sensory: lower leg and plantar aspect of foot. - Sciatic nerve: peroneal division.
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L4-S3
Motor: short head of biceps femoris, evertor and dorsiflexors of foot, and most toe extensors.
Sensory: lower leg and dorsum of foot. - L1
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Motor: Iliopsoas.
Reflex: none
Sensation: anterior thigh just below inguinal ligament. - L2
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Motor: iliopsoas, adductors, quadriceps
Reflex: none
Sensation: middle anterior thigh. - L3
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Motor: Adductors, quadriceps
Reflex: none.
Sensation: anterior thigh just above knee. - L4
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Motor: anterior tibialis
Reflex: patella reflex.
Sensation: medial malleolus. - L5
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Motor: external hallicus longus, quadriceps
Reflex: None
Sensation: dorsal aspect of foot and big toe. - S1
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Motor: peroneus longus and brevis gastrocnemius.
Reflex: Achilles reflex.
Sensation: Lateral malleolus. - Posterior fibular head dysfunction.
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Restriction in anterior glide.
Foot be more supinated.
Fibular head resist any anterior springing.
Often disturb common fibular nerve, as it directly lies posterior to the proximal fibular head. - Anterior fibular head dysfunction.
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Restriction in posterior glide. Foot be more pronated.
Fibular head resist any posteror springing. - Ankle is more stable in dorsiflexion or plantarflexion?
- Dorsiflexion.
- Joint for dorsiflexion / plantarflexion.
- Tabiotalar joint.
- Transverse arch of foot.
- Cuboid, cuneiforms, navicular.
- Most commonly injured ligament in foot.
- Anterior talofibular ligament.
- Lateral stabilizers of ankle (prevent excessive supiantion)
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Anterior talofibular ligament.
Posterior talofibular ligament.
Calcaneofibular ligament. - Medial stabilizer of ankle.
- Deltoid ligament.
- Plantar ligaments.
- Spring ligament (calcaneonavicular ligament)
- OMT of lower extremities
- OPP