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final practical kines > goni & MMT - hip > Flashcards

goni & MMT - hip Flashcards

1
Q

flexion goni

A

moving arm: lateral femoral condyle / midline of the femur

fulcrum: greater trochanter

stationary arm: midline of the trunk

stabilize: pelvis

move the: distal femur

subs: IR/ER of hip, ADD/ABD of hip

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2
Q

flexion ROM

A

0-120/135

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3
Q

pt position w/ flexion goni

A

supine

feet on the table

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4
Q

extension goin

A

moving arm: lateral femoral condyle / midline of the femur

fulcrum: greater trochanter

stationary arm: midline of the trunk

stabilize: pelvis, @ end ROM the pelvis rotates anteriorly

move: distal femur

subs: ABD, anterior pelvic tilt, coming out of the plane

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5
Q

extension ROM

A

0-10-30

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6
Q

pt position extension goni

A

prone

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7
Q

ABD goni

A

moving arm: patella, straight down the femur

fulcrum: ASIS

stationary: opposite ASIS

stabilization: iliac crest, end ROM is when iliac crest starts to rise

move: ankle and heel

subs: ER, hip hiking, trunk side bending

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8
Q

ABD ROM

A

0-30-50

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9
Q

ABD pt position goni

A

supine w/ legs extended

move pt all the way to one side of the table

pt can hold the goni

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10
Q

ADD goni

A

moving arm: patella, straight down the femur

fulcrum: ASIS

stationary: opposite ASIS

stabilization: iliac crest, end ROM is when iliac crest starts to drop

move: ankle and heel

subs: IR, pelvic drop, trunk rotation

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11
Q

ADD ROM

A

0-10-30

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12
Q

ADD pt position goni

A

supine w/ legs extended

move pt all the way to one side of the table

pt can hold the goni

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13
Q

ER goni

A

moving arm: midline of the tib b/x malleoli

fulcrum: patella

stationary: perpendicular to the floor

stabilize: distal femur

move: leg medially holding distal tib

subs: thigh ABD, hip flexion, trunk movement, lateral pelvic tilt

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14
Q

ER ROM

A

0-45/60

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15
Q

pt position ER goni

A

seated in neutral

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16
Q

IR goni

A

moving arm: midline of the tib b/x malleoli

fulcrum: patella

stationary: perpendicular to the floor

stabilize: distal femur

move: leg laterally, holding distal tib

subs: thigh ABD, hip flexion, trunk movement, pelvic tilt

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17
Q

IR ROM

A

0-30/50

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18
Q

pt position IR goni

A

seated

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19
Q

MMT flexion muscles

A

iliopsoas

RF

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20
Q

MMT flexion –> pt position

A

seated on the edge of the table

hands will be placed on the table next to their pelvis

good posture

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21
Q

MMT flexion test

A

take through PROM

“can you lift your thigh off the table towards the ceiling?”

ask them to bring it up again

apply resistance at distal femur

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22
Q

MMT flexion gravity min

A

side lying

cradle their leg (w/ knee flexed) in one hand and stabilize the pelvis with the other

support leg through PROM

support leg through AROM

apply resistance to anterior distal thigh

can get a 2 or 2+

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23
Q

MMT flexion subs

A

leaning trunk

ABD the thigh

excessive knee flexion

IR/ER

24
Q

flexion, ABD, ER, w/ knee flexion muscles

A

Sartorius

25
Q

flexion, ABD, ER, w/ knee flexion pt position

A

sitting at the edge of the table

hands placed next to pelvis

good posture

26
Q

flexion, ABD, ER, w/ knee flexion MMT test

A

go through PROM

AROM: “ can you bring your leg up towards the ceiling and out”

AROM again

apply resistance at the thigh and try to push back into ADD & ext

other hand applies resistance at the posterior tib/fib to push pt into IR & knee ext

27
Q

flexion, ABD, ER, w/ knee flexion gravity min

A

supine

place foot of the leg you’re testing onto the opposite shin

PROM

AROM: “ can you slide your foot up your shin right to your knee?”

guard/ support the lateral side of the leg (stand on testing side)

any motion is a 2

28
Q

flexion, ABD, ER, w/ knee flexion subs

A

hip flexion

29
Q

extension MMT muscles

A

glutes

hamstrings

30
Q

extension MMT pt position

A

prone w/ legs straight

can put pillow under stomach

31
Q

extension MMT Test

A

stabilize the pelvis for PROM and lift at distal thigh above patella

AROM: can you repeat that motion

apply resistance right above the ankle

32
Q

extension MMT –> isolate the glutes

A

prone w/ knee flexed

stabilize the pelvis and lift the distal thigh

apply resistance @ distal thigh

33
Q

extension MMT gravity min

A

side lying

cradle their leg w/ knee extended and stabilize their pelvis

support their leg as they move through hip extension

use supporting forearm to place resistance

can get a 2 or 2+

34
Q

extension MMT subs

A

pelvis and trunk rotation

Glute isolated: ABD or hip ER

35
Q

ABD MMT muscles

A

glute med

glute min

36
Q

ABD MMT pt position

A

side lying with bottom leg bent

37
Q

ABD MMT test

A

start w/ hip in a bit of extension

PROM: bring leg towards ceiling

AROM: “can you lift your leg towards the ceiling?”

Apply resistance right above the ankle

38
Q

ABD gravity min

A

supine w/ legs straight

ABD the leg

support the weight of the leg

make sure toes dont turn out

slight resistance @ the ankle

can get a 2 or 2+

39
Q

ABD MMT subs

A

pelvic rotation

hip flexion

40
Q

ABD from flexed position muscles

A

TFL

41
Q

ABD from flexed position muscles pt position

A

side lying with the bottom leg bent

hip flexed @ about 45 degrees

42
Q

ABD from flexed position test

A

start w/ hip flexed to 45

PROM: bring leg up towards the ceiling, dorsiflexed foot

apply resistance at the distal femur

43
Q

ABD from flexed position gravity min

A

long sitting while theyre leaning back (support themselves w/ hands)

PROM

AROM

support the weight of the leg

make sure toes don’t turn out

resistance @ distal femur

can get a 2 or 2+

44
Q

ADD MMT muscles

A

adductor magnus

adductor brevis

adductor longus

pectineus

gracilis

45
Q

ADD MMT pt positon

A

side lying

testing the bottom leg

46
Q

ADD MMT test

A

support the op leg

PROM: lifting the bottom leg off the table

AROM

resistance at end ROM @ the distal femur

47
Q

ADD MMT gravity min

A

supine w/ legs extended

move other leg out of the way

start in hip ABD

support the weight of the leg as it moves into ADD

apply slight resistance at distal medial thigh

can get 2 or 2+

48
Q

ADD MMT subs

A

pelvic rotation

IR

ADD of top leg

49
Q

ER MMT muscles

A

obturator internus/externus

gemelli

piriformis

quadratus femoris

glute max

50
Q

ER MMT pt position

A

sitting at the edge of the table in short sittin

hands placed on the table next to pelvis

good posture

51
Q

ER MMT test

A

PROM: stabilize at distal thigh and take through motion by lateral ankle

ER is moving the lower leg towards your other leg

apply resistance at end ROM on the medial side of the ankle

counterforce @ distal lateral thigh

52
Q

ER MMT gravity min

A

supine w/ legs extended

have pt flex opposite knee to get it out of the way

start in IR

have them turn leg from inwards to outwards

any range is a 2

53
Q

IR MMT muscles

A

glute med

glute min

TFL

54
Q

IR MMT pt position

A

sitting at the edge of the table in short sittin

hands placed on the table next to pelvis

good posture

55
Q

IR MMT test

A

PROM: stabilize at distal thigh and take through motion by medial ankle

IR is moving the lower leg away from your other leg

apply resistance at end ROM on the lateral side of the ankle

counterforce @ distal medial thigh

56
Q

IR MMT gravity min

A

supine w/ legs extended

have pt flex opposite knee to get it out of the way

start in ER

have them turn leg from outwards to inwards

any range is a 2

final practical kines (3 decks)

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