Greatest Hits Flashcards

1
Q

normal hip flexion ROM

A

120

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2
Q

normal hip extension ROM

A

20

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3
Q

normal hip IR ROM

A

45

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4
Q

normal hip ER ROM

A

45

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5
Q

normal hip abduction ROM

A

45

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6
Q

normal hip adduction ROM

A

20

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7
Q

normal SLR ROM

A

males: 70
females: 90

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8
Q

end feels of hip ROM

A

flexion: soft
IR, ER, add, abd, ext: firm

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9
Q

what is the capsular patterns of the hip?

A

IR –> Ext –> Abd

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10
Q

how much and what hip ROM is needed for rising from a seated position?

A

100 degrees flexion

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11
Q

how much and what hip ROM is needed to tie own shoes?

A

115 degrees flexion
18 degrees of abd
13 degrees ER

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12
Q

how much and what hip ROM is needed to sit cross-legged?

A

85 degrees flexion
35 degrees abd
45 degrees ER

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13
Q

which hip outcome measure is for the athletic population? acute care?

A

athletes: HOOS
acute: Harris

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14
Q

is the Harris an ability or disability scale?

A

ability (for hip)

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15
Q

is the HOOS an ability or disability scale?

A

disability (for hip)

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16
Q

which hip outcome measure has psychological questions?

A

HOOS

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17
Q

which hip outcome measure has objective hip measurements?

A

Harris

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18
Q

which hip outcome measure asks about ADs?

A

Harris

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19
Q

what is a CAM impingement?

A

form of FAI where there is excess bone growth on the femoral neck and head

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20
Q

what is a pincer impingement?

A

form of FAI where there is excess bone growth on the acetabulum

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21
Q

which type of FAI is more common?

A

mixed (both CAM and pincer togther)

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22
Q

which FAI is seen more in young males? females?

A

males: CAM
females: pincer

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23
Q

what complications does FAI lead to?

A

labral tears
osteoarthritis (CAM)
“C” sign holding anterolateral hip
deep hip pain

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24
Q

which hip motion is most indicative of hip OA?

A

IR

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25
Q

Hip OA classification criteria

A

pain in hip
IR ≥ 16
morning stiffness of hip ≤ 60 minutes
over 50 years of age

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26
Q

what are the 5 variable of predicting hip OA?

A

1) squatting was an aggravating factor
2) active hip flexion caused lateral hip pain
3) scour test with adduction cause lateral hip pain or groin pain
4) active hip extension caused pain
5) passive IR of ≤ 25 degrees
3/5 = 68% chance of hip OA
4/5 = 91% chance of hip OA

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27
Q

which outcome measures are ACL specific?

A

Lysholm Knee Scale
Tegner Activity Scale

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28
Q

which MMT should be tested on every knee pt?

A

glut med or hip abd

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29
Q

if there is no direct trauma to the knee, where is the cause of knee issues likely from?

A

hip or ankle/foot

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30
Q

a SLR stretches which nerve?

A

sciatic

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31
Q

SLR with plantarflexion stretches which nerve?

A

fibular

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32
Q

a SLR with DF and inversion stretches which nerve?

A

sural

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33
Q

a SLR with DF and eversion stretches which nerve?

A

tibial

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34
Q

the tibiofemoral angle is a _____ angle

A

lateral

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35
Q

what is a normal lateral tibiofemoral angle?

A

165-175 degrees

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36
Q

what lateral tibiofemoral angle is genu valgum?

A

< 165 degrees

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37
Q

what lateral tibiofemoral angle is genu varum?

A

> 175 degrees

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38
Q

the Q-angle is measured ____ and _____ (directions)

A

medial and superior

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39
Q

what are the landmarks for the Q-angle?

A

ASIS to midpatella, line from central patella to tibial tuberosity

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40
Q

what is a normal Q-angle?

A

10-15 degrees

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41
Q

a Q-angle >___ degrees is considered malalignment?

A

20

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42
Q

which malalignments cause an increased Q-angle cause?

A

genu valgum
excessive femoral anteversion
tibial external rotation

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43
Q

an increased Q-angle increases the risk for _____

A

lateral patellar subluxation

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44
Q

how much knee flexion is need for walking?

A

60-70 degrees

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45
Q

how much knee flexion is need to safely climb stairs?

A

83 degrees

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46
Q

how much knee flexion is need to safely descend stairs?

A

90 degrees

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47
Q

how much knee flexion is need for getting up from a chair?

A

105 degrees

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48
Q

how much knee flexion is need to ride a bike?

A

115 degrees

49
Q

what is normal knee flexion ROM?

A

140 degrees

50
Q

what is normal knee extension ROM?

A

0 - 5 hyper

51
Q

end feel of knee ROM

A

flex: soft
ext: firm

52
Q

what is the capsular end feel of the knee?

A

extension –> flexion

53
Q

what can lead to patellofemoral pain syndrome?

A

genu valgum
hip abductor weakness

54
Q

what complaints will pt with patellofemoral pain syndrome have?

A

probs DESCENDING stairs
pain with activation of quads
grinding

55
Q

what complaints will pt with patellar tendonitis have?

A

probs with ACENDING stairs
gritty at the patellar tendon

56
Q

if a pop if heard with a knee pt think

A

ACL

57
Q

if no pop is heard and swelling happens later with knee pt think

A

meniscus

58
Q

cause of meniscal tear

A

torsional injury with weightbearing

59
Q

which axis does abduction/adduction of the foot occur on?

A

vertical axis

60
Q

which axis does eversion/inversion of the foot occur on?

A

AP axis

61
Q

which axis does DF/PF of the foot occur on?

A

ML axis

62
Q

which movements are combined to produce foot pronation?

A

eversion
DF
abduction

63
Q

which movements are combined to produce foot supination?

A

inversion
PF
adduction

64
Q

which foot outcome measure asks about sleep?

A

FADI

65
Q

which foot outcome measure asks about ADs?

A

FFI

66
Q

which foot outcome measure asks about work?

A

FFI
FADI

67
Q

which foot outcome measures asks about swelling?

A

FADI
FAOS

68
Q

how much great toe extension is needed for normal walking?

A

70 degrees

69
Q

hallux valgus is an angle between the metatarsal and proximal phalanx of > ___ degrees

A

15

70
Q

over____ (pron/sup) can lead to hallux valgus. why?

A

pronationhave
<70 deg great toe ext –> roll on side

71
Q

normal PF ROM

A

50 degrees

72
Q

normal DF ROM

A

20 degrees

73
Q

normal foot global inversion ROM

A

30 degrees

74
Q

normal foot global eversion ROM

A

20 degrees

75
Q

normal rearfoot (calcaneal) inversion ROM

A

5 degrees

76
Q

normal rearfoot (calcaneal) eversion ROM

A

5 degrees

77
Q

normal 1st MTP flexion ROM

A

45 degrees

78
Q

normal 1st MTP extension ROM

A

70 degrees

79
Q

normal 1st MTP adduction ROM

A

30 degrees

80
Q

normal 1st MTP abduction ROM

A

10 degrees

81
Q

normal 1st IP flexion ROM

A

60 degrees

82
Q

normal 2-5 toe PIP flexion ROM

A

35 degrees

83
Q

normal 2-5 toe DIP flexion ROM

A

60 degrees

84
Q

what are the testing conditions of the modified clinical test for sensory integration on balance (mCTSIB)

A

eyes open, firm surface
eyes closed, firm surface
eyes open, compliant surface
eyes closed, compliant surface

85
Q

what outcome tools are used for gait?

A

functional gait assessment
dynamic gait index

86
Q

self report questionnaires for psychological aspects of balance

A

modified falls efficacy scale (MFES)
activity balance confidence scale (ABC)
fear of falling avoidance behavior quest

87
Q

which phases of the gait cycle are part of the stance phase?

A

initial contact
loading response
midstance phase
terminal stance
PRESWING PHASE

88
Q

which phases of the gait cycle are part of the swing phase?

A

initial swing
midswing
terminal swing

89
Q

which part of the gait cycle has the Windlass effect?

A

preswing

90
Q

___% of the gait cycle is stance

A

60%

91
Q

____% of the gait cycle is double limb support

A

20

92
Q

____% of the gait cycle is single limb support

A

80

93
Q

____% of running gait has double limb support

A

0

94
Q

what is gait cadence?

A

number of steps taken per minute

95
Q

what is gait velocity?

A

the speed that one ambulates

96
Q

gait outcome measures for endurance?

A

6 min walk test
2 min walk test
2 min step test

97
Q

gait outcome measures for locomotion?

A

gait speed (50 ft walk test)
10 meter walk test
dynamic gait index
functional gait assessment
figure 8 walk test

98
Q

which side will a pt with compensated Trendelenburg lean?

A

over weak glud med side

99
Q

in which stage of the gait cycle will DF limitations show?

A

midstance

100
Q

in which stage of gait cycle will the pelvis rotate back if iliopsoas is tight?

A

terminal stance

101
Q

ROM norms for initial contact
(hip & knee)

A

20 degrees hip flexion
5 degrees knee flexion

102
Q

ROM norms for loading response
(hip, knee, ankle)

A

20 degrees hip flexion
15 degrees knee flexion
5-7 degrees PF (talocrural)

103
Q

ROM norms for midstance
(hip, knee, ankle)

A

pelvis level (hip neutral)
5 degrees knee flexion
5 degrees DF

104
Q

ROM norms for terminal stance
(hip, ankle)

A

20 degrees hip extension
0 (neutral) knee
10 degrees DF

105
Q

ROM norms for preswing
(hip, knee, ankle, foot)

A

10 degrees hip extension
40 degrees knee flexion
15 degrees PF
70 degrees great toe extension

106
Q

which muscles bring the leg forward during preswing?

A

iliopsoas
rectus femoris
adductor longus (front part)

107
Q

ROM norms for initial swing
(pelvis, hip, knee, ankle)

A

pelvis posterior tilt
15 degrees hip flexion
60 degrees knee flexion
5 degrees PF

108
Q

ROM norms for midswing
(hip, knee)

A

25 degrees hip flexion
25 degrees knee flexion

109
Q

ROM norms for terminal swing
(hip, knee, ankle)

A

20 degrees hip flexion
5 degrees knee flexion
ankle neutral

110
Q

how much should the pelvis move during normal ambulation?

A

3 degrees or 2 inches

111
Q

which deformities can be viewed anteriorly?

A

lateral movement:
knee valgum or valgus
hip drop or hike
pronation or supination of foot

112
Q

what is tight in upper cross syndrome? weak?

A

tight: upper traps, levator, pecs, suboccipitals
weak: deep neck flexors, rhomboids, lower & mid traps, serratus anterior

113
Q

what is tight in lower cross syndrome? weak?

A

tight: hip flexors, hamstrings
weak: abdominals, glutes

114
Q

how will person’s leg look if have hip fracture (femoral neck fx)?

A

shorter and externally rotated

115
Q

how will person’s leg look if hip is dislocated?

A

internally rotated

116
Q

which position creates the most pressure on the lumbar discs?

A

slouched seated with weight at side

117
Q

which position has more pressure on lumbar discs: standing or laying down?

A

standing (100%)

118
Q

which position has more pressure on lumbar discs: standing or sitting?

A

sitting