CPA #2 - Knee Tx (Muscle Energy)

Question 1

Dx: Tibiofemoral IR Somatic Dysfunction

Tx: ER Tibiofemoral SD Muscle Energy

Answer 1

Patient - seated with legs off table

Physician - grasps lateral aspect of foot & ankle with one hand & the other hand contacts medial tibial plateau to monitor motion (anteromedial & posterolateral glide)

> Dorsiflex & IR distal tibia to edge of restrictive barrier.

> Instruct patient to turn foot into ER for 3-5 seconds against resistance. Repeat 3-5 times or until motion is fully restored.

Question 2

Dx: Tibiofemoral ER Somatic Dysfunction

Tx: IR Tibiofemoral SD Muscle Energy

Answer 2

Patient - seated with legs off table

Physician - grasps medial aspect of patient’s foot & ankle with one hand & other hand contacts medial tibial plateau to monitor motion (anteromedial & posterolateral glide)

> Dorsiflex & ER distal tibia to edge of restrictive barrier.

> Instruct patient to turn foot into IR for 3-5 seconds against resistance. Repeat 3-5 times or until motion is fully restored.

Question 3

Dx: Flexed TF Joint Dysfunction

Tx: Extended Tibiofemoral SD Muscle Energy

Answer 3

Patient - Prone

Question 4

Dx: Extended TF Joint Dysfunction

Tx: Flexed Tibiofemoral SD Muscle Energy

Answer 4

Patient - Supine

Question 5

Dx: Anterior Fibular Head Dysfunction

Tx: Posterior Fibular Head SD Muscle Energy

Answer 5

Patient - Supine or Seated

Physician - flexes pt’s hip & knee to 90 degrees & holds fibular head between thumb & index finger.

> other hand evert, abducts, & dorsiflex pt’s foot, while also externally rotating lower leg.

> have pt move medially against resistance for ME tx

Question 6

Dx: Posterior Fibular Head Dysfunction

Tx: Anterior Fibular Head SD Muscle Energy

Answer 6

Patient - Supine or Seated

Physician - flexes pt’s hip & knee to 90 degrees & holds fibular head between thumb & index finger.

> other hand invert, adducts, & plantarflexs pt’s foot, while also internally rotating lower leg.

> have pt move laterally against resistance for ME tx