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OS Final. 100 or bust! > Hip > Flashcards

Hip Flashcards

1
Q

Hip ROM: Flexion (Knee extended:Knee flexed)

A

90 deg. 120-135 deg

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2
Q

Hip ROM: Extension

A

15-30 deg

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3
Q

Hip ROM: Abduction (knee extended)

A

45-50 deg

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4
Q

Hip ROM: Adduction (Knee extended)

A

20-30 deg

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5
Q

Hip ROM: Internal rotation

A

30-40 deg

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6
Q

Hip ROM: External rotation

A

40-60 deg

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7
Q

Hip/Knee Major Muscles: Hip Flexor (4)

A
  1. Iliopsoas M.
  2. Sartorius M. (also externally rotates)
  3. Rectus Femoris M. (also knee extensor)
  4. Tensor Fascia lata/ IT band
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8
Q

Hip/Knee Major Muscles: External rotator (6)

A
  1. Sartorius M. (also Hip Flexor)
  2. Gluteus Maximus M. (also Hip Extensor)
  3. Piriformis (also abduction with hip flexed)
  4. Obturator externus & internus
  5. Sup/Inf gemellus
  6. Quadratus Femoris
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9
Q

Hip/Knee Major Muscles: Knee Extensor (2)

A
  1. Rectus Femoris M. (Also hip flexor)

2. Vastus medialis/intermedius/lateralis M.

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10
Q

Hip/Knee Major Muscles: Hip Adductors (1)

A
  1. Adductor longus/brevis/Magnus M.
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11
Q

Hip/Knee Major Muscles: Hip Abductor (3)

A
  1. Gluteus Medius/minimus M (also medial rotator)
  2. Tensor Fascia lata/IT band (also Medial rotator and hip flexor)
  3. Piriformis with hip flexed (also External rotator)
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12
Q

Hip/Knee Major Muscles: Hip Extensor (4)

A
  1. Gluteus Maximus (also external rotator)
  2. Biceps femoris M. (also knee flexor)
  3. Semitendinosus M. (also knee flexor)
  4. Semimembranosus M. (also knee flexor)
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13
Q

Fascia Lata/IT band release: What are the two possible positions of the patient?

A

Prone and Lateral Recumbent

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14
Q

Fascia Lata/IT band release: When patient is prone where is the physician?

A

On opposite side of IT band to be treated

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15
Q

Fascia Lata/IT band release: When patient is prone what hand contacts the lateral thigh?

A

The cephalad hand

-The caudad hand is used to flex the knee to 90 degrees

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16
Q

Fascia Lata/IT band release: Patient prone, what does the caudad hand do?

A

Caudad hand flexes knee to 90 and pushes the foot and lower leg out laterally which would… internally rotate the hip

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17
Q

Fascia Lata/IT band release: Patient prone, what does the cephalad hand do?

A

Contacts the lateral thigh and applies a posterio-medial force

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18
Q

Fascia Lata/IT band release: Patient LR, where is the doc?

A

Staring into your face!!!

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19
Q

Fascia Lata/IT band release: Where does the doctor place cephalad hand?

A

on the posterior aspect of iliac crest to stabilize

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20
Q

Fascia Lata/IT band release: LR. Caudad hand?

A

Caudaddy makes a fist on distal lateral thigh over IT Band exerting pressure.

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21
Q

Fascia Lata/IT band release: LR Cuadad pressure movement…

A

…towards the greater trochanter and then proximal to distal. Rinse and repeat!

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22
Q

ME Hip Flexion Dysfunction: What position(s) can the patient be in?

A

Prone or supine

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23
Q

ME Hip Flexion Dysfunction: Supine: where is the patient?

A

At the edge of the table

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24
Q

ME Hip Flexion Dysfunction: Supine: What does the doctor do/

A

Stabilize oppo ASIS
Let leg drop of table
Extend hip into barrier
Have patient push hip up into ceiling (flex) against resistance

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25
Q

ME Hip Flexion Dysfunction: Prone: Where does the doctor stabilize

A

Ipsilateral ischial tuberosity

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26
Q

ME Hip Flexion Dysfunction: Prone: What do u doooooo???

A
  1. Have the patient flex knee
  2. Grasp knee proximal to thigh
  3. Extend hip into barrier
  4. Instruct to push leg down against resistance
27
Q

ME Hip Extension dysfunction with straight LE: What position is the patient in?

A

Supine

28
Q

ME Hip Extension dysfunction with straight LE:

What does doc do?

A
  1. Stablize at CONTRALATERAL ASIS
  2. Other hand grasps leg above ankle and flexes hip until barrier reached
  3. Patient pushes leg down to floor
29
Q

ME Hip Extension dysfunction with straight LE:

What is this done for?

A

Hypertonic Hamstrings (tight/contracted)

30
Q

ME Hip Extension dysfunction with straight LE:

Alternative technique and for what?

A

Can be done with knee flexed. Addresses hypertonic gluteus maximus.

31
Q

ME Hip IRotation/ER Dysfuction: What position is the patient in?

A

Supine or prone with hip and knee flexed to 90 deg.

32
Q

ME Hip IRotation: What does doc do?

A

Externally rotate hip into barrier

Have patient internally rotate against resistance

33
Q

ME Hip E-Rotation: What does doc do?

A

Internally rotate hip into barrier

Patient tries to externally rotate

34
Q

ME Hip Abduction/adduction dysfunction: What position is the patient in?

A

Supine or prone

35
Q

ME Hip ABduction: What does doc do

A
  1. Adduct hip into barrier
    1b. make sure leg clears non-treated leg
  2. Have patient push laterally against resistance
36
Q

ME Hip ADduction: What does doc do?

A
  1. ABduct hip into barrier

2. Have patient push medially against resistance

37
Q

KNEE ROM: Flexion

A

135-150

38
Q

Knee ROM: Extension

A

0

39
Q

Knee ROM: Internal rotation

A

10

40
Q

Knee ROM: External Rotation

A

10

41
Q

Knee Evaluation match w/tibia on femur motion:

Flex and Ext: Position of patient and…?

A

Patient prone or supine

Note ease of motion and restriction

42
Q

Knee Evaluation match w/tibia on femur motion:

  1. Anteroposterior slide
  2. Flex with posterior glide
  3. Extension with anterior glide
A

Similar to drawer test

  • reduced force, feel for asymmetry of motion and note barriers
  • Both hands wrap around tib/fib, first pull anterior, then push posterior.
43
Q

Knee Evaluation match w/tibia on femur motion:

Internal/external rotation: Position?

A

Slightly flexed knee

44
Q

Knee Evaluation match w/tibia on femur motion:

Internal/external rotation: Where yo handz? They do?

A

Cephalad hand on distal femur (stabilizing)

Caudad hand on lower ankle (inducing internal and external rotation

45
Q

Knee Evaluation match w/tibia on femur motion:

Proximal Fibular Head: Position?

A

Knee flexed with foot flat on the table

46
Q

Knee Evaluation match w/tibia on femur motion:

Proximal Fibular Head: Where do you contact? What do you do??

A

CONTACT! fibular head with dat index finger and thumb

-Check Ant and Post motion of fib head (note ease/restriction of motion)

47
Q

ME Knee Flexion/Extension dysfunction: Patient position? What it do?

A

Flexion dysfunction: Pt supine
Extension dysfunction: Pt prone
Tibia on femur
ME principles

48
Q

ME Posterior Fibular head: What accompanies the dysfunctions?

A

Posterior FH =
1. Plantar flexion, foot inversion, ADduction (Pronation movements)

  1. lower leg internal rotation
49
Q

ME Posterior Fibular head: What you do?

A
  1. Flex Hip and knee to 90
  2. Hold Fib head btw thumb and index finger
  3. Use other hand to Evert, Abduct and dorsiflex pt’s foot - Also externally rotating lower leg.
  4. Have patient move medially against resistance
50
Q

ME Anterior Fibular Head: What accompanies the dysfunction?

A

Anterior FH =
1. Dorsiflexion, Eversion, ABduction

  1. LL externally rotates
51
Q

ME Anterior Fibular Head: What you do?

A
  1. Flex hip and knee to 90 deg
  2. Contact fib head on anterior aspect w/thenar eminence
  3. Use other hand to invert the foot, ADduct, plantar flex and internally rotate lower leg (bring into barrier)
  4. Have pt push foot out laterally against resistance.
52
Q

HVLA Posterior Fibular head: What do you do?

A
  1. Flex hip and knee to 90 deg
  2. Place MCP of one hand on posterior aspect of fibular head
  3. Other hand Dorsiflexes, everts, ABduct and externally rotates lower leg (bring into barrier)
  4. Exert rapid knee flexion w/anterior thrust on fib head
53
Q

HVLA: Anterior Fibular head: What do you do

A
  1. Pt supine with knee extended
  2. One hand inverts, plantar flex, ADduct and internally rotates leg
  3. Place Thenar eminence over anterolateral aspect of fibular head
  4. Slightly flex knee and exert posteromedial thrust through fibular head
54
Q

ME Anterior Fibular Head: What part of hand do you uses

A

thenar eminence on anterolateral aspect of fib head

55
Q

ME Anterior Fibular Head: Force direction?

A

Posteromedial thrust through fib head

56
Q

ME Posterior Fibular Head: Part of Hand?

A

MCP on Post aspect

57
Q

ME Posterior Fibular Head: Force Direction?

A

Rapid knee flexion w/ant thrust on fib head.

58
Q

Myofascial release Tib/Fib-Int/Ext rotation: Where is doc and where is patient?

A

Pt Supine, Doc at side of table

59
Q

Myofascial release Tib/Fib-Int/Ext rotation: Where do you put patient’s ankle?

A

Between your arm and side of body

60
Q

Myofascial release Tib/Fib-Int/Ext rotation: What do you do after setup?

A
  1. Encompass tibia with BOTH hands - thumbs on anterior aspect of tibia and fingers on posterior aspect -choke the tibia
  2. Add slight distraction -then internally/externally rotate tibia (find ease of motion)
  3. Use direct/indirect tissue release technique

Direct: tissue creep
Indirect: tissue relaxation

61
Q

Myofascial release Tib/Fib- A/P sliiiiiiide: Positions??

A

Patient and doc in drawer test

62
Q

Myofascial release Tib/Fib- A/P sllliiiiide: What you do?

A

Direct and indirect technique

Direct: tissue creep

Indirect: tissue relaxation

63
Q

Myofascial release A/P fibular head: Patient position?

A

Ipsilateral hip and knee flexed at 45 deg.

64
Q

Myofascial release A/P fibular head: What does doc do?

A
  1. Hold Fib head btw thumb and index finger
  2. other hand stabilizes tib/fib
  3. Direct or indirect tx
    Direct: tissue creep
    Indirect: tissue relaxation

OS Final. 100 or bust! (6 decks)

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