IPPA MST 2 Flashcards
(115 cards)
Describe Non-weight bearing activity of the hip
Open chain
Head of femur moves on acetabulum
Convex on concave
Roll and glide in opposite direction
Describe weight bearing activity of the hip
Closed chain
Acetabulum moves on head of femur
Concave on convex
Roll and glide in same direction
What is medial collapse pattern caused by weak abductors?
Contralateral pelvic drop
Internal rotation of femur
Knee valgus
Internal rotation of tibia
Pronation (Eversion, abduction, dorsiflexion) of foot
Where do you use a cane?
Contralaterally, fix pelvic drop
What could anterior hip pain be?
C-sign (true FA pain)
Pubic Symphysis
Adductors
What could posterior hip pain be?
Sacroiliac joint
Ischiofemoral space
Piriformis/gluteal
What could lateral hip pain be?
Greater trochanter
Gluteal tendons
What is the difference between compensated and uncompensated trendelenberg?
Uncompensated- pelvic drop
Compensated- trunk to ipsilateral side to compensate for contralteral pelvic drop
What are the big signs in differentiating inter articular hip pain and lumbar structure?
HOPC- Valgus, internal rotation, young person sporting vs heavy lifting/sedentary
Aggs- kicking/cycling compared to bending over/walking
Special Q’s- clicking vs pain in cough and sneeze
What is FITTVPP for strength?
F- 2-3 x week
I- >60-70% 1RM or 7/8 out of 10 effort
T- 30-45 s
T- Resistance
V- 8-12 x 2-4
P- 2-4 min rest
P- Progress Load
What is FITTVPP for endurance?
F- 5-7 x week
I- <50% of 1RM
T- >30-45 S
T- Resistance
V- 15-20 x 1-2
P- <30s
P- Progress resistance/reps/sets
What is FITTVPP for stretching?
F- Daily
I- Slight discomfort
T- 10-30 s
T- Sustained stretch
V- 30s x 2-4
P- Most effective when warmed up
P- Progress range throughout hold
What is FITTVPP for aerobic exercise?
F- 3-5 days x week
I- Feeling the effects
T- 30-60 min
T- Rhythmic aerobic
V- Product of FIT
P- Increase time or intensity
What is FITTVPP for neuromuscular control?
F- >2-3 x week
I- Low intensity, about quality of activation
T- >20- 30 min
T- Motor skills and multifaceted (e.g. tai chi)
V-
P-
P- Increase duration and competing demands
What is the difference between alta and baja?
Alta is superior displacement of the patella
Baja is inferior displacement
What is varus and valgus?
Valgus knock kneed
Varus opposite
What degree of flexion/extension is the ACL vulnerable?
30 degrees flexion
How is arthrokinematics different in the knee?
Open chain concave tibia on convex femur, same direction
Closed chain convex femur on concave tibia, opposite direction
When does the locking mechanism occur?
Final 30 degrees extension
What 4 things could cause lateral glide of patella?
Overactive VL
Tight ITB
Shallow trochlear groove
Genu valgus/femoral anteversion increasing Q angle
What 2 things could cause medial glide of the patella?
Weak/delayed activation VMO
Stretched medial retinaculum
What 2 things could cause lateral tilt of the patella?
Tight ITB
Overactive VL
What 2 things could cause medial tilt of the patella?
Ruptured or stretched medial retinaculum
Loss of tone VMO
What is the Q angle and when does it increase?
Angle formed by a line between the ASIS and patella, and tibial tuberosity and patella
It increases with genu valgus, femoral anteversion and external tibial rotation