Level II Lower quadrant

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Hip Arthrokinematics: Abd- inf glide

Add- sup glide
IR- post glide
ER- ant glide
F/E- distraction
Hip Closed Packed, Resting position, capsular pattern: CP: Ext/IR/ABD
RP: 30 F / 30 abd / lat rot
Capsular pattern: early: Ext / med rot /Flex add
late: Flex / adb / med rot
Hip Osteokinematics: F/E -spin
Adb/Add- cardinal swing
Key muscles L1-2: hip flex
hip Add
Key muscles L3: knee ext
hip add
Key muscles L4: ankle DF and INV
Key muscles L5: great toe ext
hip abd
Key Muscles S1: ankle PF, ankle ev, knee flex
Key muscles S2: hip ext
Lat hamstrings
Knee Osteokinematics: F/E impure swing
IR/ER impure spin
abd/add not physiological
Knee Closed packed, resting position, capsular pattern,: CP ext + ext rot
RP 25-30 flex
Cap pat F>E
Knee joint type: synovial, compound, complex modified ovoid
Knee Range of motion: Flex 130-140 degrees active 160 degrees squat
ext 5-10
Rotation 0-0 degrees, max rot at 90 degrees
IR 0-40 degrees ER 0-30 degrees
Abd and Add 10-13 degrees at 30 degrees
locking -extension -flexion -contralateral SF -ipsilateral SF: ext-vertically towards ceiling
flex-horizontally forward, parallel to floor
contra-pull caudally
ipsilateral-pull cranially
locking -rotation: constant, side to be treated on top
Pelvic Girdle SI jt classification Pubic symphysis jt classification: synovial jt, complex and variable
symphysis
structures that limit spinal flex ant translation: articular facets
structures that limit spinal flex sagittal rotation: post long lig
supraspinous
interspinous
lig flavum
thoracolumbar facia, erector spinae
subtalar arthrokinematics: Pronation-
ant- lat glide
Post-medial glide
Supination-
ant-medial
Post- lat glide
Ankle Dorsiflexors (4): Tibialis ant. Ext Dig long Peroneus tertius Ext hallucis longus
Ankle Plantarflexors (8): Peroneus longus Peroneus brevis Tib post Plantaris Flex dig long Flex hallucus long Soleus Gastroc
Arthokinematics innominate: ant rot- inf (short arm) and post (long arm)
post rot-sup (short arm) and ant (long arm)
Arthrokinematics sacrum: Counternutation- sup and ant
Nutation- inf and post
arthrokinemetics Lumbar spine: Flex: cranial glide
Ext: caudal glide
SF: ipsi-inf, post
contra-sup and ant
Combination of movements in SF: Upper levels SF/rot opposite
L4-L5 variable
L5-S1 SF/rot same direction
Foot Eversion (4): Peroneus longus,brevis,tertius Ext dig long.
Foot inversion (4): Tib ant. post. Ext hallucis longus Flex dig longus Flex hallucis longs
Hip Abduction (11): Psoas maj iliacus Sartorius TFL Glute med, min, max Gem inf, sup Piriformis obt int.
Hip Adductors (6): pectineus Add long, brevis, mag gracilis obt ext
Hip Extension (7): Adductor mag Glute med, max semimembranosis Semitendonosis piriformis biceps fem.
Hip Flexors (10): psoas maj iliacus sartorius pectinius add long, brevis, mag rectus fem TFL Glute min med
Hip joint type: simple, synovial, unmodified ovoid, 3DF
Hip Lateral Rotators (12): Psoas maj. Iliacus Sartorius obt ext. int. Glute med, max Gem inf. sup. Quadratus fem Piriformis
Hip Medial Rotators (7): Add long, brevis TFL Glute med min Semimembranosis Semitendonosis
Hip Range of motion: flex-90-100 knee ext, 110-120 with knee flexed
Abd-30-57
Add 30-45
IR-30-40
ER-40-60
how much extension?: 20-35 degrees total
how much flexion per segment: 8-13 degrees
1-3 mm
how much lumbar rot?: 3 degrees per segment
L5-5 degrees
How much SF?: total 15-30 degrees
10 degrees upper three levels
6 degrees at L4/L5
3 degrees L5/S1
inferior tibiofibular jt. classification: syndesmosis-fibrous
pain with splaying
CP-wt bearing in DF
Knee extensors: quads TFL
Knee Flexors (5): Sartorius gracilis popliteus plantaris semimembranosis semitendonosis biceps fem gastroc
Knee Lat rotators: biceps fem
knee med rotators: sartorius gracilis popliteus semimembranosis semitendonosis
Ligaments limiting pronation: medial talocalcaneal
medial interosseous
Ligaments limiting supination: lat talocalcaneal
cervical ligament
lat interosseous
Ligaments that limit counternutation: Long dorsal ligament
Ligaments that limit nutation: sacrotuberous and interosseous
Lumbar capsular pattern: SF=rot > E
Lumbar Closed Packed: ext
Lumbar jt. stability tests: compression
traction
torsion (rotational)
translations -ant -post -lateral
Lumbar specific questions: effect of sitting
standing vs. sitting vs. walking
cough, sneeze, valsava
bed (hard or soft)
sleeping position
Mandatory questions: Bladder, Bowel, genital dysfunction
saddle paresthesia
rectal, scotal, testicular, penile, vaginal pain
groin and medial thigh pain
medication usage, steroids, NSAIDs, anti-coagulants
Weight loss
Special tests <
muscles of the ant. oblique: oblique abs
contralateral adductors
muscles of the lateral system: Glute med
contralateral adductors
muscles of the longitudinal systems: erector spinae, sacrotuberous ligament and biceps femoris
muscles of the post oblique: Glute max
Lat dorsi -resist adduction of extended med roted arm
Muscular Forces in SF: QL
Psoas
obliques
ipsilateral intertransversarii
iliocostalis lumborum and gravity
name the four systems: Post oblique
anterior oblique
lateral
Deep longitudinal
Pelvic Girdle Osteokinematics: Sacrum moves congruently with the side of the POST. rotating innominate
L5 appears to rotate and SF congruently with the sacrum
PG osteo Hip Flex: innominate-R post rotates relative to sacrum
Right PSIS down
Sacrum-rotates right
Nutated relative to right innominate, Left sacral base nutates
L5-rotates to right
PG osteo Right Rot: Intra pelvic torsion
innominate- R inno post rot / L inno ant rot
Sacrum- rot R
L5-R rot,
PG osteo Right SF trunk: Intra pelvic torsion
innominate-Left translation
R inno ant rot / L inno post rot
Sacrum-rot L
L5-R sf, rotates L
PG osteo trunk ext: innominate-post rotates relative to sacrum
Sacrum-Nutates
L5-ext and post translates on the sacrum
PG osteo trunk flex: innominate-post rotates relative to sacrum
Sacrum-Nutates
L5-flexes and ant translates on the sacrum
repeated loading of the spine in flex can produce: end plate fractures
internal disruptures of the annulus
radial #
# of pars interarticularis
specific SI questions: location
radiation into the limbs
aggravating activities
effect of walking, stair climbing, rolling over in bed, getting in/out of a chair, stepping up onto a curb, cough, sneeze, valsalva,
effect of rest
Stabilization training progression: segmental control, functional, CKC, OKC,
sub talar CP, cap pat, RP: end range pro/sup, sup>pro, mid position
Sub talar joint types: anterior-compound, synovial together work as modified sellar
Subtalar Osteokinematics: Pronation-DF, Abd, eversion
Supination- PF, Add, inversion
talocrural arthrokinematics: DF-post glide
PF-ant glide
talocrural DF, CP, RP, Cap Patern: 1 DF - PF, DF
cap pat- PF>DF
CP- DF
RP 10degrees PF
Talocrural jt. classification: compound, synovial, modified sellar
talocrural Osteokinematics: impure swing
ext rot with DF
int rot with PF

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Number of cards 75

Created By khoard