Hip/Knee LAB

Question 1

counterstrain

Answer 1

relax intrafusal muscle fibers
reset gamma gain

therapeutic pulse = myofascial release

Question 2

HVLA

Answer 2

direct technique

engages restrictive barrier
should thurst, not push

for SD with first, distinct barrier

Question 3

absolute contraindication for HVLA?

Answer 3

rheumatoid arthritis
no consent
no SD

Question 4

externally rotated tibia MET?

Answer 4

engage restrictive barrier

• posterior and lateral glide of proximal tibia
• internal rotation of distal tibia

have patient externally rotate against you

Question 5

internally rotated tibia MET?

Answer 5

engage restrictive barrier

• anterior and medial glide of proximal tibia
• internal rotation of distal tibia

have patient interally rotate against you

Question 6

anterior fibular head HVLA?

Answer 6

internally rotate lower leg to move fibular posterior
engage barrier, patient inhale and exhale
-corrective force: posterior thrust with slight internal rotation couterforce

Question 7

posterior fibular head HVLA?

Answer 7

flex patient hip and knee
-externally rotate lower leg

inhale/exhale
-corrective force: flexion of knee with external rotation of lower leg

Question 8

MET for anterior fibular head?

Answer 8

internally rotate patients ankle and apply posterior force to engage restrictive barrier

have patient externally rotate against force

Question 9

MET for posterior fibular head?

Answer 9

flex patients knee and hip
-externally rotate patients ankle and apply anterior force to engage restrictive barrier

have patient internally rotate against force

Question 10

CS for lateral trochanter

Answer 10

TP lateral aspect of greater trochanter

abduction and slight flexion of thigh

muscle - IT band

Question 11

CS for medial meniscus

Answer 11

TP - medial knee along joint line

knee flexed to 40 degrees, abduction/adduction and internal/external rotation of thigh

muscles - pes anserinus, MCL

Question 12

pes anserinus

Answer 12

sartorius
gracilis
semitendinosus

Question 13

CS for lateral meniscus

Answer 13

TP - pateral knee joint line

slight flexion of knee, slight abduction of thigh, external rotation of tibia

muscles - IT band, LCL

Question 14

CS for ACL?

Answer 14

TP - distal aspect of biceps femoris bilaterally

posterior pressure on proximal tibia

muscle - biceps femoris, ACL

Question 15

CS for PCL

Answer 15

TP - midline popliteal fossa

posterior pressure on distal femur

muscles - biceps femoris, PCL