Final Flashcards
hip ROM for gait
30 flex
10 ext
5 ab & ad duction
5 IR & ER
orientation of acetabulum
anterior
inferior
lateral
orientation of femur
anterior
superior
medial
PAILS vs RAILS
PAIL - contract muscle want to lengthen
- in lengthening positioned
RAIL - contract mm that brings further into desire motion
- in shortened position
when does hip IR occur?
extending from flexed position
hip flexion b/w 60-100
purpose of hip
drive forces into ground
hip OA CPG
insidious onset (w/ WB)
moderate anterior or lateral hip pain w/ WB
morning stiff <1 hr
hip IR <24
IR & hip flex 15 or less than painful side
increased hip pain with passive hip IR
Sutlive hip OA CPG
self-report squatting worst activity
active hip flex –> lateral hip pain
active hip extension –> hip pain
scour with adduction –> lateral hip or groin p!
passive IR </= 25
S/S of Legg-Calve Perthes
4-8 yo
LE tends to be shorter
deformity of FEMORAL HEAD
S/S of SCFE
10-15 yo
overweight
displaced FEMORAL NECK
usually needs surgery
Altman’s criteria for knee OA
> 50
knee crepitus
palpable bony enlargement
palpable bony tenderness
morning stiffness <30 mins
no palpable warmth
strong evidence CPG recs for knee OA
exercise!
NSAIDs and acetaminophen
self management
patient ed
moderate evidence CPG recs for knee OA
unloading (cane, brace)
neuro re-ed
weight loss
intra-articular corticosteroid injection
hallmark features of patellar tendinopathy
- pain localized to inferior patellar pole
- load-related pain that increases with the demand on knee, esp. in activities that load and store energy in patellar tendon
- rarely pain at rest
order of tendon rehab
stage 1) isometrics
stage 2) isotonic loading (eccentric)
stage 3) energy storage (plyometrics)
stage 4) return to sport
rehab for meniscal and articular cartilage lesions (grade B)
progressive knee motion
progressive WB
(slow progress)
ACL rehab acute/protective phase timeline and criteria
1-4 weeks
achieve full knee ROM (esp. ext)
minimal swelling & pain
SLR with no lag
normal gait without AD or brace
when should SL squat be started post ACL surgery?
6 weeks
ACL rehab strengthening phase timeline and criteria
4-8 weeks
equal squat
SL squat
what ROM is safe for ACL post-op?
90-40 deg of flex
ACL rehab functional phase timeline and criteria
8-16 weeks
run normally on treadmill w/o pain
normal double leg landing mechanics
normal SL squat
return to run criteria post ACL!!
95% knee flexion ROM
full extension ROM
no effusion
limb symmetric index >80% for quads
LSI >80% eccentric impulse during countermovement jump
pain-free aqua and Alter-G jogging
pain-free SL hop
ACL rehab return to sport phase timeline and criteria!
16 weeks - 6 months
Y balance w/i 4 cm
SL hop test 90% of contra limb
5-10-5 and direction change normal
quads and hams 90% of contra limb**
ACL post-op return to sport criteria
quad/ham/glute index >/=90%
ham/quad ratio >/= 66%
hop test >/= 90% w/ good landing
normal NM control
