Exam 2: Hip and Knee Exercises Flashcards
Progression of Exercise
- Joint motion (ROM)
- Strength ( isometric, isotonic, multiplayer, open/closed)
- Function
- balance/ proprioception
Components of joint motion
PROM
AROM
Stretching
Mobs
Components of strength
isometric
isotonic
multiplaner
open/closed chain
Examples of multiplanar exercises (strength)
PNF
manual resistance
theraband
kettle bell weights
Benefits of closed chain
greater joint surface congruity
proprioceptive input
muscular co-contraction
contraindications for closed kinetic chain
- sever joint instability
- restricted weight bearing
- severely restricted joint sense
- pain, swelling, undue apprehension, abnormal mvmt
quick rapid movement that involves pre stretching the contracting muscles to activate the stretch shortening cycle
plyometrics
Describe the stretch shorten cycle:
eccentric lengthening
amortization phase
concentric shortening
objectives of plyometrics
- improve excitability of nervous system
- improve power
- neuromuscular reactivity
guidelines for plyometrics
- 80-85% normal strength
- 90-90% normal ROM
- specific to performance
improved speed of stretch reflex
desensitized GTO
improved neuromuscular coordination
rate of stretch is most important
training effects of plyo
Lateral ligaments of the ankle
anterior talofibular
calcaneofibular
posterior talofibular
deltoid ligaments
anterior, posterior tibiotalar
tibiocalcaneal
tibionavicular
ottawa rules for the ankle
- tender over distal 6 cm of middle to post. lateral/medial malleolus
- tenderness of navicular
- tender over base of 5th MTP
- inability to bear four steps
what grade: stretching of ligament, point tenderness, limited dysfunction, no laxity, full weight bearing, minimal edema
grade 1 ankle sprain
what grade: partial tearing of ligaments, point tenderness and diffuse, moderate dysfunction, slight laxity, anatalgic gain, pain with FWB, mild to mod edema
Grade 2 Ankle Sprain
what grade: substantial tearing of ligaments
point and diffuse tenderness
moderate to severe laxity and dysfunction
limited ability to bear weight
severe edema
grade 3 ankle sprain