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Kinesiology I > Capsular patterns, ROM, MMT > Flashcards

Capsular patterns, ROM, MMT Flashcards

1
Q

Osteokinematics: Within the hip joint, what are the motions permitted, the plane the motion occurs and the axis of rotation?

A 
Flexion/extension = saggital plane, ML axis
AB/ADduction = frontal plane, AP axis
IR/ER = transverse plane, vert. or longitudinal axis
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2
Q

Arthrokinematics: What happens the motion of the hip in open chain?

A

Femoral head rolls in the same direction of the movement and slides in the opposite direction

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3
Q

What is the capsular pattern of the hip joint?

A

IR > Flexion = abduction > no limitation of ER or adduction

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4
Q

What is the range of motion for hip flexion?

A

0-120 degrees

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5
Q

What is the primary muscles being tested in hip flexion MMT?

A

Posts major and Iliacus

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6
Q

What is the end feel of hip flexion?

A

Soft; may be firm due to tension in post. joint capsule and the glut max muscle

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7
Q

What substitutions do you need to look for with hip flexion?

A

Use of the sartorius and TFL

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8
Q

What is the range of motion for hip extension?

A

0-20 degrees

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9
Q

What are the primary muscles being tested in hip extension?

A

Glut max and hamstrings

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10
Q

How do you isolate glut max?

A

Bend the knee in hip extension

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11
Q

What is the end feel for hip extension?

A

Firm; ligamentous, unless there is tight musculature

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12
Q

What is the range of motion for hip abduction?

A

0-45 degrees

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13
Q

What primary muscles are being testing in hip abduction?

A

Glut med and glut min

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14
Q

What is the end feel of hip abduction?

A

Firm; ligamentous unless there is tight musculature

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15
Q

What substitutions do you have to look for with hip abduction?

A
  • “hip hike” by using trunk muscles to move leg
  • ER and flexion substitution
  • TFL substitution
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16
Q

How do you isolate the TFL in hip abduction?

A

place the leg at 45 degrees of hip flesion

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17
Q

What is the range of motion for hip adduction?

A

0-15/20 degrees

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18
Q

What muscles are being tested in hip adduction?

A

Adductor magnus, brevis, and longus; pectine and gracilis

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19
Q

What is the normal end feel for hip adduction?

A

Firm; ligamentous unless there is tight musculature

20
Q

What substitutions do you need to look for in hip adduction?

A

IR at the hip

21
Q

What is the range of motion for hip external rotation?

A

0-45 degrees

22
Q

What muscles are you testing in hip ER?

A

Deep ERs; Obturator externus and internus, quadrates femurs, gemellus superior and inferior, and glut max

23
Q

What is the normal end feel of hip ER?

A

Firm; tendinous, unless there are tight muscles

24
Q

What substitutions do you need to look for?

A
  • Lifting contralateral buttock
  • increased flexion
  • abducting test hip
25
Q

What muscles are you testing in hip IR?

A

Glut min and med, TFL

26
Q

What is the normal ROM for hip IR?

A

0-45 degrees

27
Q

What is the normal end feel of hip IR?

A

Firm; tendinous, unless there are tight muscles

28
Q

Osteokinematics: Within the knee joint, what are the motions permitted, the plane the motion occurs and the axis of rotation?

A 
Flexion/extension = sagittal plane, ML axis
Rotation = transverse plane, vertical axis
29
Q

Arthrokinematics: What happens the motion of the hip in open chain?

A

Concave tibia rolls on the convex femur, and tibia sides in the same direction

30
Q

What is the capsular pattern of the knee joint?

A

Flexion limitation > Extension limitation > no rotation restriction

31
Q

What is the normal ROM of knee flexion?

A

0-135 degrees

32
Q

What muscles are you testing in knee flexion?

A

all hamstrings

33
Q

What are your medial hamstrings?

A

Semimembranosus and tendionosus

34
Q

What are your lateral hamstrings?

A

Long and short head of biceps femoris

35
Q

What is the end feel for knee flexion?

A

Soft; unless firm due to muscle tension

36
Q

What substitutions do you need to watch for with knee flexion?

A
  • hip flexion substitution
  • sartorius substitution (hip flexion, ER of hip)
  • gracilis substitution (hip add)
  • garou substitution (strong dorsiflexion)
37
Q

What is the ROM for knee extension?

A

135 - 0 degrees (may allow to 10 degrees of hyper extension)

38
Q

What muscles are you testing in knee extension?

A

Quadriceps femoris

39
Q

What substitutions do you need to look for in knee extension?

A
  • lifting pelvis

- side lying, hip IR

40
Q

What is the end feel for knee extension?

A

Firm; tendinous

41
Q

What is the capsular patterns for the talocrural joint?

A

Greater limitation in plantar flexion than dorsiflexion

42
Q

What is the capsular pattern for the subtalar joint?

A

Greater limitation of inversion

43
Q

What is the capsular pattern for the transverse tarsal joint?

A

Limitation of inversion (adduction and supination); other motions are full

44
Q

What is the capsular pattern for the MTP joints?

A

Gross limitation of extension and slight limitation of flexion at first MTP, other MTP joints limitation is more restriction of flexion than extension

45
Q

What is the ROM in ankle plantar flexion?

A

0-45 degrees

46
Q

What muscles are tested in ankle plantar flexion?

A

Gastroc and soleus

Kinesiology I (13 decks)

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