Greatest Hits Flashcards
1
Q
normal hip flexion ROM
A
120
2
Q
normal hip extension ROM
A
20
3
Q
normal hip IR ROM
A
45
4
Q
normal hip ER ROM
A
45
5
Q
normal hip abduction ROM
A
45
6
Q
normal hip adduction ROM
A
20
7
Q
normal SLR ROM
A
males: 70
females: 90
8
Q
end feels of hip ROM
A
flexion: soft
IR, ER, add, abd, ext: firm
9
Q
what is the capsular patterns of the hip?
A
IR –> Ext –> Abd
10
Q
how much and what hip ROM is needed for rising from a seated position?
A
100 degrees flexion
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
12
Q
how much and what hip ROM is needed to sit cross-legged?
A
85 degrees flexion
35 degrees abd
45 degrees ER
13
Q
which hip outcome measure is for the athletic population? acute care?
A
athletes: HOOS
acute: Harris
14
Q
is the Harris an ability or disability scale?
A
ability (for hip)
15
Q
is the HOOS an ability or disability scale?
A
disability (for hip)
16
Q
which hip outcome measure has psychological questions?
A
HOOS
17
Q
which hip outcome measure has objective hip measurements?
A
Harris
18
Q
which hip outcome measure asks about ADs?
A
Harris
19
Q
what is a CAM impingement?
A
form of FAI where there is excess bone growth on the femoral neck and head
20
Q
what is a pincer impingement?
A
form of FAI where there is excess bone growth on the acetabulum
21
Q
which type of FAI is more common?
A
mixed (both CAM and pincer togther)
22
Q
which FAI is seen more in young males? females?
A
males: CAM
females: pincer
23
Q
what complications does FAI lead to?
A
labral tears
osteoarthritis (CAM)
“C” sign holding anterolateral hip
deep hip pain
24
Q
which hip motion is most indicative of hip OA?
A
IR
25
Hip OA classification criteria
pain in hip
IR ≥ 16
morning stiffness of hip ≤ 60 minutes
over 50 years of age
26
what are the 5 variable of predicting hip OA?
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
27
which outcome measures are ACL specific?
Lysholm Knee Scale
Tegner Activity Scale
28
which MMT should be tested on every knee pt?
glut med or hip abd
29
if there is no direct trauma to the knee, where is the cause of knee issues likely from?
hip or ankle/foot
30
a SLR stretches which nerve?
sciatic
31
SLR with plantarflexion stretches which nerve?
fibular
32
a SLR with DF and inversion stretches which nerve?
sural
33
a SLR with DF and eversion stretches which nerve?
tibial
34
the tibiofemoral angle is a _____ angle
lateral
35
what is a normal lateral tibiofemoral angle?
165-175 degrees
36
what lateral tibiofemoral angle is genu valgum?
< 165 degrees
37
what lateral tibiofemoral angle is genu varum?
> 175 degrees
38
the Q-angle is measured ____ and _____ (directions)
medial and superior
39
what are the landmarks for the Q-angle?
ASIS to midpatella, line from central patella to tibial tuberosity
40
what is a normal Q-angle?
10-15 degrees
41
a Q-angle >___ degrees is considered malalignment?
20
42
which malalignments cause an increased Q-angle cause?
genu valgum
excessive femoral anteversion
tibial external rotation
43
an increased Q-angle increases the risk for _____
lateral patellar subluxation
44
how much knee flexion is need for walking?
60-70 degrees
45
how much knee flexion is need to safely climb stairs?
83 degrees
46
how much knee flexion is need to safely descend stairs?
90 degrees
47
how much knee flexion is need for getting up from a chair?
105 degrees
48
how much knee flexion is need to ride a bike?
115 degrees
49
what is normal knee flexion ROM?
140 degrees
50
what is normal knee extension ROM?
0 - 5 hyper
51
end feel of knee ROM
flex: soft
ext: firm
52
what is the capsular end feel of the knee?
extension --> flexion
53
what can lead to patellofemoral pain syndrome?
genu valgum
hip abductor weakness
54
what complaints will pt with patellofemoral pain syndrome have?
probs DESCENDING stairs
pain with activation of quads
grinding
55
what complaints will pt with patellar tendonitis have?
probs with ACENDING stairs
gritty at the patellar tendon
56
if a pop if heard with a knee pt think
ACL
57
if no pop is heard and swelling happens later with knee pt think
meniscus
58
cause of meniscal tear
torsional injury with weightbearing
59
which axis does abduction/adduction of the foot occur on?
vertical axis
60
which axis does eversion/inversion of the foot occur on?
AP axis
61
which axis does DF/PF of the foot occur on?
ML axis
62
which movements are combined to produce foot pronation?
eversion
DF
abduction
63
which movements are combined to produce foot supination?
inversion
PF
adduction
64
which foot outcome measure asks about sleep?
FADI
65
which foot outcome measure asks about ADs?
FFI
66
which foot outcome measure asks about work?
FFI
FADI
67
which foot outcome measures asks about swelling?
FADI
FAOS
68
how much great toe extension is needed for normal walking?
70 degrees
69
hallux valgus is an angle between the metatarsal and proximal phalanx of > ___ degrees
15
70
over____ (pron/sup) can lead to hallux valgus. why?
pronationhave
<70 deg great toe ext --> roll on side
71
normal PF ROM
50 degrees
72
normal DF ROM
20 degrees
73
normal foot global inversion ROM
30 degrees
74
normal foot global eversion ROM
20 degrees
75
normal rearfoot (calcaneal) inversion ROM
5 degrees
76
normal rearfoot (calcaneal) eversion ROM
5 degrees
77
normal 1st MTP flexion ROM
45 degrees
78
normal 1st MTP extension ROM
70 degrees
79
normal 1st MTP adduction ROM
30 degrees
80
normal 1st MTP abduction ROM
10 degrees
81
normal 1st IP flexion ROM
60 degrees
82
normal 2-5 toe PIP flexion ROM
35 degrees
83
normal 2-5 toe DIP flexion ROM
60 degrees
84
what are the testing conditions of the modified clinical test for sensory integration on balance (mCTSIB)
eyes open, firm surface
eyes closed, firm surface
eyes open, compliant surface
eyes closed, compliant surface
85
what outcome tools are used for gait?
functional gait assessment
dynamic gait index
86
self report questionnaires for psychological aspects of balance
modified falls efficacy scale (MFES)
activity balance confidence scale (ABC)
fear of falling avoidance behavior quest
87
which phases of the gait cycle are part of the stance phase?
initial contact
loading response
midstance phase
terminal stance
PRESWING PHASE
88
which phases of the gait cycle are part of the swing phase?
initial swing
midswing
terminal swing
89
which part of the gait cycle has the Windlass effect?
preswing
90
___% of the gait cycle is stance
60%
91
____% of the gait cycle is double limb support
20
92
____% of the gait cycle is single limb support
80
93
____% of running gait has double limb support
0
94
what is gait cadence?
number of steps taken per minute
95
what is gait velocity?
the speed that one ambulates
96
gait outcome measures for endurance?
6 min walk test
2 min walk test
2 min step test
97
gait outcome measures for locomotion?
gait speed (50 ft walk test)
10 meter walk test
dynamic gait index
functional gait assessment
figure 8 walk test
98
which side will a pt with compensated Trendelenburg lean?
over weak glud med side
99
in which stage of the gait cycle will DF limitations show?
midstance
100
in which stage of gait cycle will the pelvis rotate back if iliopsoas is tight?
terminal stance
101
ROM norms for initial contact
(hip & knee)
20 degrees hip flexion
5 degrees knee flexion
102
ROM norms for loading response
(hip, knee, ankle)
20 degrees hip flexion
15 degrees knee flexion
5-7 degrees PF (talocrural)
103
ROM norms for midstance
(hip, knee, ankle)
pelvis level (hip neutral)
5 degrees knee flexion
5 degrees DF
104
ROM norms for terminal stance
(hip, ankle)
20 degrees hip extension
0 (neutral) knee
10 degrees DF
105
ROM norms for preswing
(hip, knee, ankle, foot)
10 degrees hip extension
40 degrees knee flexion
15 degrees PF
70 degrees great toe extension
106
which muscles bring the leg forward during preswing?
iliopsoas
rectus femoris
adductor longus (front part)
107
ROM norms for initial swing
(pelvis, hip, knee, ankle)
pelvis posterior tilt
15 degrees hip flexion
60 degrees knee flexion
5 degrees PF
108
ROM norms for midswing
(hip, knee)
25 degrees hip flexion
25 degrees knee flexion
109
ROM norms for terminal swing
(hip, knee, ankle)
20 degrees hip flexion
5 degrees knee flexion
ankle neutral
110
how much should the pelvis move during normal ambulation?
3 degrees or 2 inches
111
which deformities can be viewed anteriorly?
lateral movement:
knee valgum or valgus
hip drop or hike
pronation or supination of foot
112
what is tight in upper cross syndrome? weak?
tight: upper traps, levator, pecs, suboccipitals
weak: deep neck flexors, rhomboids, lower & mid traps, serratus anterior
113
what is tight in lower cross syndrome? weak?
tight: hip flexors, hamstrings
weak: abdominals, glutes
114
how will person's leg look if have hip fracture (femoral neck fx)?
shorter and externally rotated
115
how will person's leg look if hip is dislocated?
internally rotated
116
which position creates the most pressure on the lumbar discs?
slouched seated with weight at side
117
which position has more pressure on lumbar discs: standing or laying down?
standing (100%)
118
which position has more pressure on lumbar discs: standing or sitting?
sitting
