Hip and Knee

Question 1

indications for MET

Answer 1

• Balance muscle tone
• Strengthen weak muscles
• Reduce asymmetrical motion
• Enhance circulation of bodily fluids
• Length shortened muscle
• well tolerated in all age groups
• Apply ART when ME is not indicated

Question 2

contraindications to MET

Answer 2

• Fractures or acute sprains
• Dislocations
• Spinal segmental/joint instability
• If technique promotes tendon avulsion
• Situations worsened by muscle activity
(eg. Post-surgery, post-MI, metastasis)
• Neurovascular compromise
• Unable/Unwilling to follow verbal
commands
Refer to Dr. Joy’s “Mus

Question 3

Hip ROM

Answer 3

flexion (knee flexed) 120-135
flexion (knee extended) 90
extension 15-30
adduction 20-30
abduction 45-50
external rotation 40-60
internal rotation 30-40

Question 4

What do you check for symmetry of the hips?

Answer 4

gluteal folds
greater trochanter
quad fullness

Question 5

pathophysiology for hip abduction SD

Answer 5

due to hypertonic iliotibial band (ITB), gluteus medius/minimus, or sartorius

Question 6

pathophysiology for hip adduction SD

Answer 6

hypertonic long or short adductors

Question 7

What OMT diagnosis uses the FABER position?

Answer 7

hypertonic short adductors: there should be no more than a hand’s width between the thigh being tested and the table top

Question 8

pathophysiology for hip IR SD

Answer 8

hypertonic tensor fascia lata, gluteus medius, or gluteus minimus

Question 9

pathophysiology for hip ER SD

Answer 9

hypertonic gluteus maximus, piriformis, sartorius, obturator internus/externus, superior/inferior gemellus, quadratus femoris

Question 10

pathophysiology for hip extension SD

Answer 10

hypertonic hamstrings (straight leg) or gluteus maximus (knee bent)

Question 11

How is hip flexion SD diagnosed?

Answer 11

Thomas test

Question 12

pathophysiology of hip flexion SD

Answer 12

hypertonic hip flexors: commonly iliopsoas

Question 13

What are the major and minor motions of the knee?

Answer 13

major: flexion 145-150, extension 0
minor: internal rotation 10, external rotation 10, anterior/posterior glide, ABduction/ADduction

Question 14

What motion is coupled with posterior glide of the knee?

Answer 14

knee flexion: tibia on femur

Question 15

What motion is coupled with anterior glide of tibia on femur?

Answer 15

knee extension

Question 16

How do you assess knee anterior/posterior glide?

Answer 16

anterior/posterior drawer test

Question 17

What is a positive SD from an anterior drawer test?

Answer 17

a hard end feel and the posterior drawer has a soft or empty feel but not greater than 1 mm of slide.
Normal is a firm end point with a recoil from viscoelastic response.

Question 18

What way is ABduction of the knee?

Answer 18

distal tibia with a VALGUS force

Question 19

anterior fibula SD is paired with ____

Answer 19

foot pronation: dorsiflexion, eversion, and abduction

Question 20

posterior fibula SD is paired with ___

Answer 20

foot supination: plantarflexion, inversion, and adduction