Hip/Knee MET/ART Flashcards
MET/ART indications
- balanced muscle tone
- strengthen weak muscles
- reduce asymmetrical motion
- enhance circulation of bodily fluids
- lengthen shortened muscles
MET/ART contraindications
fractures, acute sprains, dislocations, joint instability, post-surgery, neurovascular compromise
hip flexion with knee flexed
120-135
hip extension
15-30
hip abduction
45-50
hip adduction
20-30
hip flexion with knee extended
90
hip external rotation
40-60
hip internal rotation
30-40
a hip abduction SD is normally due to
hypertonic iliotibial band
a hip adduction SD is normally due to
hypertonic long or short adductor muscles
hip extension SD is normally due to
hypertonic hamstrings or gluteus maximus
knee flexion
145-150
external/internal rotation of the knee
10
ligament restraints with ER of the knee
MCL/LCL will be taut
ACL/PCL will be lax
ligament restraints with IR of the knee
ACL/PCL will be taut
MCL/LCL will be lax
pronation of the ankle consists of what motions
dorsiflexion, eversion, abduction
supination of the ankle consists of what motions
plantarflexion, inversion, adduction
thomas test
passively flex contralateral hip w/ knee flexed and observe ipsilateral hip to see if it flexes off table
–> dysfunction of hip flexors (iliopsoas)
hamstring hypertonicity MET
pt supine
physician stabilizes at contralateral ASIS and flexes ipsilateral leg
MET gluteus hypertonicity
pt lateral recumbent
stabilize PSIS and grab pts leg and flex at hip and knee, place pts knee on thigh and flex at hip, pt pushes downward against thigh
soft tissue prone abduction SD/iliotibial band restriction
pt prone
stand contralateral to IT band, grab contralateral ankle and push outwards, grab outer contralateral thigh and pull inward
MET hypertonic short adductor of LE
pt supine with tested leg externally rotated and flexed at the thigh and knee
physician stabilizes opposite hip and abducts ipsilateral knee to RB
