Biomechanics 2 - TF Flashcards

1
Q

whatre we concerned about –> M/L alignment

A

stabilizing RL in the socket

stabilizing hip joint/pelvis in frontal plane

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2
Q

M/L stability

A

single leg stance

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3
Q

gait

A

midstance

stabalization

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4
Q

stabilization –> gait

A

socket/RL interface

muscle stabilization

pelvis falls to unsupported side

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5
Q

socket/RL interface –> stabilization

A

prevent movement b/w them

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6
Q

pelvis falls to unsupported side –> stabilization

A

eccentric ABDs

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7
Q

M/L normal BoS

A

2-4”

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8
Q

support point –> ML

A

weight bearing point

ischial containment

G max/ischial tub

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9
Q

support line –> ML

A

weight line

from support point to ground

inset/neutral/outset

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10
Q

inset foot –> ML

A

normal ML alignment

normal BoS

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11
Q

what should we look at –> ML alignment

A

pressures in socket

stabilization of ABD (pelvis)

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12
Q

socket pressures –> inset

A

proximal medial

distal lateral (cut end of femur)

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13
Q

socket pressures –> outlet

A

distal medial (ADDs)

proximal lateral (greater trochanter, pressure sensitive)

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14
Q

ABD stabilization –> MS

A

lateral socket stabilizes ABDs

prevents pelvis from dropping on unsupported side

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15
Q

ischial containment socket –> socket design

A

pressure system/pelvic lock

3 point pressure system

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16
Q

what does the ischial containment socket prevent

A

shifting of tibial tuberosity

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17
Q

what does the ischial containment socket stabilize

A

the pelvis

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18
Q

ischial containment socket has

A

narrow M/L

curve of lateral femur

pelvic lock

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19
Q

pelvic lock –> ischial containment socket

A

ischial tuberosity locked

minimizes movement

minimize socket pressure

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20
Q

minimize socket pressure –> ischial containment

A

minimize distal lateral pressure

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21
Q

foot alignment –> ML

A

b/c femur is well stabilized

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22
Q

what is the femur well stabilized w/ –> foot alignment

A

start at inset

move out laterally if there is lateral pain

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23
Q

ABD stabilization has

A

narrow ML

curve of lateral socket along the shape of femur

pelvic lock

stabilizes ABDs

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24
Q

socket position –> ABD stabilization

A

neutral

not adducted

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25
subischial socket has no
lock of ischial tuberosity ischial tuberosity slides w/ muscle contraction
26
subischial socket provides
poor stabilization of the ABDs
27
w/ a subischial socket
get gait deviation lateral trunk bend
28
ABD stabilization result --> socket position
in ADD puts ABDs on stretch
29
ischial containment --> foot position
start at inset
30
ischial containment --> socket position
neutral b/w ABD and ADD
31
subischial --> socket position
socket position
32
AP stabilization
socket position knee/TKA line
33
what muscle is most important at HS --> AP stabilization --> ischial containment socket
G max
34
what does the socket wall do--> AP stabilization --> ischial containment socket
stabilizes distal attachment lock on the pelvis good G max stabilization
35
socket position --> AP stabilization --> ischial containment socket
neutral
36
subischial socket --> AP
poor stabilization of the G max put G max on stretch AP socket position is flexed
37
knee alignment/TKA line is
independent of socket type
38
TKA line
trochanter/knee/ankle
39
for AP alignment we look at
knee in relation to TKA line
40
alignment terms
involuntary alignment voluntary alignment neutral alignment
41
involuntary alignment
pt doesnt work to knee stable aligned for stability
42
voluntary alignment
pt has to work to keep knee stable aligned for mobility
43
neutral alignment
balanced b/w involuntary and voluntary balanced b/w stability and mobility
44
knee position
in relation to TKA line
45
anterior to TKA --> knee position
flexion moment
46
posterior to TKA --> knee position
extension moment
47
in line w/ TKA --> knee position
balance b/w
48
involuntary alignment --> knee and TKA
knee posterior to TKA
49
flexing the knee --> involuntary
harder to do
50
involuntary alignment is
more stable less mobile
51
how is involuntary alignment controlled
by alignment
52
voluntary alignment --> knee/TKA
knee is anterior to TKA
53
flexing the knee --> voluntary
easier
54
voluntary alignment is
less stable more mobile
55
voluntary alignment --> control
pt controlled
56
neutral --> TKA/knee
knee in line w/ TKA
57
neutral alignment is
balanced
58
there is a balance b/w --> neutral
mobility and stability
59
neutral control
some alignment control some pt control
60
what should we always consider
alignment fxnal level of pt
61
characteristics of the components
any control from component friction, computerized, hydraulic
62
more aggressive alignment
voluntary
63
less aggressive alignment
involuntary
64
AP alignment --> ischial containment --> socket position
neutral
65
AP alignment --> ischial containment --> knee/TKA position
pt and component dependent
66
AP alignment --> subischial containment --> socket position
flexed
67
AP alignment --> subischial containment --> knee/TKA position
pt and component dependent