Key Movement Patterns Flashcards
What is the patient positioning for hip extension?
- prone
- feet off the end of the table
What is the patient asked to do in hip extension?
Raise each leg straight toward the ceiling
What 4 faults are we looking for in hip extension?
What do they mean?
- deviation of lumbar spine or pelvis = glut max inhibition
- early hyper lordosis = glut max inhibition
- use of upper back muscles = those muscles are overactive / compensating
- bending of knee = tight / overactive hamstrings
What should we see in hip extension?
- Which muscles should activate?
- How far should the leg move?
- Gluts first
- Erectors / QLs later
- 20 to 25 degrees
What is the patient positioning for hip abduction?
- side lying
- bottom leg bent
What is the patient asked to do in hip abduction?
Lift straight, top leg up to ceiling
What 4 faults are we looking for in hip abduction?
What is a common cause for all 4?
What else could each of them mean?
Common fault = weak or inhibited glut med
- hip hiking (pulling pelvis cephalad) = overactive QL
- hip flexion = overactive TFL or psoas
- hip extension = overactive piriformis
- pelvic rotation = overactive TFL
- external rotation of thigh = overactive TFL
What should we see in hip abduction?
- Which muscles should activate?
- How far should the leg move?
- Glut Medius
- at least 45 degrees
What is the patient positioning for trunk flexion?
- Supine, neck neutral
- knees bent
- hands crossed over chest
What is the patient asked to do in trunk flexion?
Curl up until shoulder blades come off the table
What are 4 common faults for trunk curl up?
What is a common cause?
What else do they mean?
Common cause = weak or inhibited abdominal muscles
- Back straight / anterior pelvic = overactive psoas
- change in heel pressure against table (increase OR decrease) = overactive psoas
- chin protrusion = overactive SCM
- shaking = overactive adductors
What is the patient positioning for shoulder abduction?
- sitting or standing
- elbows bent at sides
What is the patient asked to do in shoulder abduction?
Abduct arm to 100 degrees while keeping elbows bent
What are 3 common faults for shoulder abduction?
What do they mean?
- elevation of shoulder or scapula early (first 60 degrees) = inhibited middle and lower trap OR overactive upper trap or levator scap
- winging of inferior angle = inhibited serratus anterior OR overactive pecs
If one at a time:
- contralateral flexion = weak shoulder abductors OR overactive QL
What is the patient positioning for neck flexion?
Supine with neck in neutral
