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- tibialis anterior NWB
- -ankle dorsiflexion -indirect stj inversion via mid-tarsal jt
- tibialis anterior kinetic chain
- -decelerates ankle pf after ic (ecc) -indirectly decelerates stj eversion at lr -accelerates toe clearance during swing phase -sagittal, frontal plane action
- tibialis posterior NWB
- -stj inversion -ankle pf
- tibialis posterior kinetic chain
- -decelerates stj eversion after ic -declerates ankle df after midstance -accelerates stj inversion at terminal stance -slows down tibia -triplanar actions
- gastrocnemius NWB
- -ankle pf -knee flexion
- gastrocnemius kinetic chain
- -decelerates ankle df (and knee flexion = extends knee) -decelerates stj eversion after lr through midstance in combo with tib. post. -decelerates femoral ir -accelerates stj inversion at ts in combo with tib. post. -prevents knee hyperext. at midstance -triplanar action
- soleus NWB
- -ankle pf -stj inversion
- soleus kinetic chain
- -decel. ankle df and extend knee after midstance -decel. stj eversion and tibial ir after ic in combo with tib. post. -accel. ankle pf and stj inversion at ts in combo with tib. post. -triplanar action
- peroneus longus NWB
- -stj eversion
- peronues longus kinetic chain
- -decel. lat. to med. wt transfer after lr by decel. df of 1st ray -decel and prevent excessive med to lat wt transfer at ts -weak plantarflexor -front and sagittal plans
- peroneus brevis NWB
- -stj eversion
- peroneus brevis kinetic chain
- -decel and prevent excessive med to lat wt transfer at ts -assist with wt transfer to opposite foot (keep balance) -frontal plane action
- quadriceps NWB
- -knee extension
- quadriceps kinetic chain
- -decel knee flexion and valgus after ic -prevent post. sublux of tibia by active hamstrings -accel knee ext just before ic -sagittal, frontal planes of action
- popliteus NWB
- -tibial ir -knee flexion -femoral er and knee flexion in WB
- popliteus kinetic chain
- -decel femoral ir -transverse plane
- hamstrings NWB
- -knee flexion -hip extension
- hamstrings kinetic chain
- -decel hip flex and tibial ir afteric (at lr) -stabilize post, lat, and med knee -lift foot after initial swing -decel hip flex at end of swing phase -sagittal, frontal, transverse planes of action
- gluteus maximus NWB
- -hip extension
- gluteus maximus kinetic chain
- -decel hip flex and ir after ic -prevent excessive pelvic ant tilt -stabilize lat knee via itb during supin phase of WB -sagittal, transverse, and frontal planes of action
- hip abductors kinetic chain
- -glut med, min, and tfl -decel hip add, ir, and lat pelvic shift during lr -stabilize lat knee via itb -frontal, transverse planes of action
- hip adductors kinetic chain
- -add longus, brevis, magnus, gracilis pectineus -decel hip flex during lr -stabilize med hip by opposing the abd -accel hip flex at swing -sagittal, frontal planes of action
- hip external rotation kinetic chain
- -decel hip ir at lr -accel hipo er just before ic -transverse plane of action
- abdominals NWB
- -recuts obliques -trunk flexion, rotation
- abdominals kinetic chain
- -stabilize pelvis at lr (prevent excess ant tilt) -rotate pelvis during swing -sagittal, transverse plane of action
- iliopsoas kinetic chain
- -decel hip ir and ext at ts -stabilize pelvis (prevent excess post tilt) by opposing abdominals -sagittal, transverse planes of action
- inflammation stage of healing
- -3-5 days -PRICES -ex: relative rest,passive soft tissue and jt mob, prom
- proliferation stage of healing
- -collagen and vascular infrastructure being rebuilt -several days to several weeks -controlled mild resistance -wean off PRICES -ex: relative rest, passive soft tissue and j mob, PROM, AROM in painfree range, maybe submax isometrics
- remodeling stage of healing
- -up to 2 yrs -collagen infrastructure beginning to provide support -inc tissue strenght due to stress placed on it -ex: aggressive soft tissue and jt mob (end range), AROM progress to resistance ex, functional training
- functional ankle rom
- -+/- 10 deg talocrural jt (df)
- knee functional rom
- -o-105 deg sag plane -10 deg tibial rotation, abd and add
- hip functional rom
- -120 deg flexion -20 deg abd -20 deg er
- shoulder functional rom
- -100 deg flexion -90 deg abd -30 deg er -70 deg ir
- elbow functional rom
- -0-130 deg flexion
- wrist functional rom
- -50 deg pron -50 deg supin