711 Flashcards

1
Q

Def: Kinematics

A

the study of movement related to displacement, v, and a

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2
Q

Def: kinetics

A

the study of movement related to forces

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3
Q

Types of Forces:

A

Gravity - vertically down
Shear - coplanar, opposite
Tensile - colinear, opposite
Compressive - colinear, same

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4
Q

Newton’s Laws

A

1) Inertia
2) Acceleration
3) Action/Reaction

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5
Q

Def: Moment/Torque

A

the application of force at a distance from the point of pivot that cause rotation around a stationary point
force x distance

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6
Q

Levers

A

First Class - fulcrum in center
Second Class - load in center
Third class - Effort in center

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7
Q

Connective tissue function

A

connect, protect, support

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8
Q

Viscoelastic material properties of conn tiss

A

time dependent - longer load, greater deform
rate dependent - better quickly resisted
hysteresis/elastic

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9
Q

function of corticoal/compact bone

A

resists torsion and bending

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10
Q

function of cancellous/spongy bone

A

metabolic activity, highly vascular

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11
Q

Wolff’s Law

A

bone is laid down in areas of high stress and resorbed in areas of low stress

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12
Q

stim for bone

A

loading along axis of bone

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13
Q

stim for cartilage

A

compression/decompression

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14
Q

stim for lig/ten

A

tensile stress in line of fiber orientation

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15
Q

Type I mus fibers

A
slow, oxidative
one joint
arthrokin
first to atrophy
prone to weakness
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16
Q

type IIa mus fibers

A

fast oxidative glycolitic

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17
Q

type IIb fibers

A
fast glycolitic
2 joint
osteokin
prone to tightness
dominate
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18
Q

size principle in muscle fibers

A

I > IIa > IIb in regards to what is used first

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19
Q

when is a greater force produced in concentric contraction

A

slow

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20
Q

when is greater force achieved in eccentric contraction

A

fast

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21
Q

what length is optimal for muscles force production to be max? why?

A

120%

max cross-bridge interactions

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22
Q

active insufficiency

A

concentric

the inability of a 2 joint mus to perform a concentric contraction over one joint when it is shortened over another

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23
Q

passive insufficiency

A

eccentric

the inability of a 2 joint mus to lengthen over one joint when it is already lengthened over another

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24
Q

quad body weight ratio

A

males 100% @ 60deg / sec

females 80% @ 60deg / sec

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25
Q

ham body weight ratio

A

70% at 60deg / sec

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26
Q

Synarthrosis Joint

A

Non-synovial
allows for slight to no movement
fibrous and cartilaginous

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27
Q

Diathrodial Joints

A

Synovial
allows for mod to extensive movement
uniaxial, bi, and tri/multi

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28
Q

Types of uniaxial joints

A

hinge, pivot

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29
Q

types of biaxial joints

A

saddle, condyloid

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30
Q

types of tri/multiaxial joints

A

plane, spheroidal

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31
Q

hip arthro

A

opposite

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32
Q

Lower extremity pronation hip

A

shortens limb:

hip IR and flex

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33
Q

Lower extremity supination hip

A

lengthens limb: hip ER and ext

34
Q

normal angle of inclination

A

125deg

35
Q

coxa valgum angle

A

> 125

36
Q

coxa valgum effects

A

less mechanical advantage
decreased hip stability
increase risk of dislocation and OA

37
Q

coxa varum angle

A
38
Q

coxa varum effects

A

longer moment arm for the hip (decreased joint reaction forces)
greater risk for fx

39
Q

normal angle of torsion

A

8-15

40
Q

excessive anteversion

A

> 15

41
Q

retroversion

A

tibia is ER’ing

42
Q

CAM impingement

A

caused by femoral neck

43
Q

Pincer impingment

A

caused by shape of acetabulum

44
Q

Anterior tilt effect on hip and back

A

Hip: flexion

Lumbar spine: extension

45
Q

Posterior tilt effect on hip and back

A

Hip: extension

Lumbar spine: flexion

46
Q

why use cane on contralateral side?

A

substantially less total joint force compared to ips side

47
Q

LE Closed Chain Pronation

A
Femoral: IR
Knee: flexion
Tibia: IR
Talus: PF and add
Calc: eversion
*shortens limb
48
Q

LE Closed Chain Supination

A
Femur: ER
Knee: ext
tibia: ER
Talus: DF and abd
calc: inversion
49
Q

Screw-Home Mechanism

A

Open Chain: 10 deg of ER of tibia in last 30deg ext

Closed: 10deg of IR of femur in last 30deg ext

50
Q

what is the screw home mechanism driven by?

A

shape of medial femoral condyle
passive tension of ACL
lateral pull of quads

51
Q

MCL fxn

A

resists valgus and extension forces

clip injury

52
Q

LCL fxn

A

resists varus and extension forces

53
Q

ACL fxn

A

stability–extension mainly
proprioception
arthrokinematics
OC: prevents ant translation of tibia on femur
CC: prevents post translation of femur on tibia

54
Q

PCL fxn

A

arthro
resists flexion
OC: prevents post translation of tibia on femur
CC: prevents ant translation of femur on tibia

55
Q

Meniscus fxn

A

stability, shock absorption, lubricate, guide arthro

56
Q

Medial men

A

c-shaped

more attached

57
Q

Lateral men

A

o-shaped

58
Q

ankle fxns

A

stability - base of support, rigid lever for push off

flexibility - adapt to terrain, shock absorption

59
Q

Ankle Supination

A

stability: rigid lever for pushoff

60
Q

Ankle Pronation

A

flexibility: shock absorption

61
Q

Windlass mechanism

A

extension of great toe causes tightening of plantar aponeuroiss (makes stable)

62
Q

4 Points of Normalcy

A
  1. Tibia is verticle
  2. Calcaneus is in line with tibia
  3. metatarsals are in a plane perpendicular with calcaneus
  4. metatarsals are in the same plane
63
Q

Forefoot Varus Open Chain

A
forefoot inverted (plane of metatarsals is more dorsal on medial side)
STJ neutral and Calv vertical
64
Q

Forefoot varus closed chain

A

forefoot flat
STJ pronated
Calc everted
*pronated too long

65
Q

rearfoot varus open chain

A

forefoot inverted
STJ neutral
calc inverted

66
Q

rearfoot varus closed chain

A

forefoot flat
STJ pronated
Calc verticle
*pronates too much

67
Q

forefoot valgus open chain

A

forefoot everted (metatarsals more dorsal on lateral side)
stj neut
calc verticle

68
Q

forefoot valgus closed chain

A

forefoot flat

stj: supinated
calc: inverted
* supinates too soon

69
Q

most common ankle sprain

A

inversion, pf, rotation
Grade I: ant talofib, tibiofib
Grade II: + calcaneofib
Grade III: + post talofib

70
Q

Acute Phase of Healing

A

Inflammatory: red, swollen, warm, painful
3-7/10 days
pain at rest and with motion
wbc coagulation

71
Q

acute phase goals

A

rest, relieve, protect

72
Q

subacute phase

A
migratory and proliferative phase
10days - 6weeks
pain with motion
limited ROM
capillary growth, granulation tissue formation, fibroblast proliferation increased macrophage activity
73
Q

subacute goals

A

optimal stim, protect, gain motion

74
Q

chronic phase

A

remodeling/maturation
6weeks-1year+
scar tissue formation/tensile strength
pain maybe after activity

75
Q

chronic goals

A

increase tissue stress
full motion
strengthen
return to pain-free function

76
Q

muscles of hip flexion

A

iliopsoas, rect fem, sart, TFL, pect, adductors, ant glut med

77
Q

motions for sartorius

A

hip flexion, abduction, ER

78
Q

muscles of hip extension

A

glut max and hams

79
Q

how do you isolate glut max in MMT of hip ext?

A

bend knee to active insufficiency rect fem

80
Q

hip er’s

A

gogo’s, glut max