Knee Flashcards
Knee Flexion Normal Range ROM
120-140
Knee Flexion ROM testing postion
supine, pelvis neutral, LE extended
Knee Flexion ROM stationary arm position
midline of the femur (greater trochanter to lateral femoral condyle
Knee Flexion ROM active arm position
midline of the lateral fibula to the lateral malleolus
knee flexion normal end feel
soft tissue approximation
Knee Extension normal ROM
0-15
Knee Extension ROM testing position
supine with LE extended, might need to put a block under the ankle to get more length
Knee Extension ROM stationary arm
midline of the femur (greater trochanter to the lateral femoral condyle
Knee Extension ROM moving arm
lateral line of the fibula (lateral femoral condyle to the lateral malleolus)
Knee extension normal end feel
hard (bone)
Knee Flexion main muscles
biceps femoris, semitendionosus, semimebranosus
Knee Flexion minor muscles
gracilis, TFL, sartorious,popliteus, gastrocnemius, plantaris
Knee Flexion MMT grade 0/1
prone with knees slightly flexed; PT should palpate the hamstrings both medially and laterally
Knee Flexion MMT grade 2
sideline with test limb supported by therapist
Knee Flexion MMT grade 3/4/5
prone; to target a specific muscle (biceps or semimebranosis/tensonosis) point the toes toward the muscle you are targeting and pull in the opposite direction
Knee Extension main muscles
rectus femoris and vastuses
Knee extension MMT grade 0/1
supine; PT should palpate on the quad tendon
Knee Extension MMT grade 2
sidelying lower test limb can be flexed to support. test limb should start at 90 degrees of hip flexion
Knee Extension MMT grade 3/4/5
sitting; PT should never press on a locked knee
hamstring test 90/90
patient in supine started with hip at 90 degrees and knee at 90 degrees. Slowly raise the lower leg. Patient gets a negative if knee is able to extend to 180 degrees without pain
Hamstring test straight leg raise
patient in supine with LE extended. Gently raise the LE up. Patient gets a negative if hip is able to get to 90 degrees without pain
Obers Test
Test for IT band tightness. Patient in slideline. leg goes into adduction with toe and knee pointed straight ahead. Negative if leg is at or below horizontal
Elys test
test for quad (vastus) tightness. in prone have patient bend the knee and bring their heel toward their glutes. negative test if nee flexion goes beyond 90 degrees without tail bone raising
thomas test
Hip flexor, quad and IT. Patient need to roll back on table with knees to chest for neutral pelvis position slowly drop testing leg down.
Thomas Test: knee above the table
indicates hip flexor tightness
Thomas test: foot not falling perpendicular to floor
indicates rectus tightness
Thomas test (+J sign): knee lateral to ASIS
indicates IT band tightness