Hamstring Tendinopathy Flashcards
Overview
________ pain!
buttock
Prevalence
Uncommon in ______ population
Common in ______
general
athletes
Structures Involved
HamstrIng _____ tendon
ADD ________ shares fascial connections with Hamstrings
________ Bursa
Rarely ______ nerve
proximal
Magnus
Ischial
sciatic
Risk Factors
Prior _____
________ ________
- ____-______ lumbar hypermobility/instability
- Excessive hip flexor recruitment leads to ______ pelvic tilt and adds to excessive ______/_______
Advanced ______ = pliable ______
Muscle imbalances
Weak ______/____ and ______
Inadequate ______: ______ ratio
Hams > 66% of quads in ______
Hams > 75% of quads in ________
injury
RI
L4-S1
anterior
compression/tension
age
tissue
GMAX
ABD
ADD
HAM; QUAD
males
females
Etiology and Pathomechanics
Abnormal ______ ________
Prior _______
Muscle _______
Repetitive _______ action in Hip ______
- _______ and _______
- _______ errors
Excessive ________ stretching
_______ lifestyle
mechanical
injury
imbalances
hamstring; FLX
running; jumping
training
prolonged
sedentary
Symptoms
Possible ____/____ pain with a _____ ache
Less symptomatic with _____ ____
Worse with activities that ______ hamstring
_______ after prolonged positions
hip
buttock
warm up
lengthen
Stiffness
Signs
Observation- possible atrophy with _____ standing
Functional Tests: P! with activity and _________ (squat/lunge/jump)
ROM- pain and limitation with Hip _____ and Knee ______
Resisted/MMT: possible weakness and pain with Hip ____ and Knee _____ (lengthened)
Neuro Tests: possible + with _____ if sciatic n. involved
LONG
lengthening
FLX; EXT
EXT; FLX
SLR
Special Tests:
_______ _____ ______ test
_____ m. length test
Bent Knee Stretch
Shortened
Palpation
TTP over ______ tendon and ______ bursa @ tuberosity
proximal
ischial
PT Rx
Education
Standing ___ sitting
Avoid low ____ and ______ sitting
> seats; prolonged
Excercise Prescription Order
Hip EXT with Knee FLX from shortened position would be considered
Isometric without compression from lengthening
Excercise Prescription Order
Hip EXT and Knee FLX from neutral to a shortened position would be considered….
Isotonic loading without compression from lengthening
Excercise Prescription Order
Hip EXT from flexed position
Knee FLX from extended position would be considered….
Isotonic loading with compression from lengthening
You should do _____ mobilizations if sciatic n. involved
neural
With isometric loading in WB, you should focus on CC Hip ____/_____/_____
ABD
ER
EXT
