Knee Mobilizations Flashcards
What is the resting position for tibiofemoral joint?
25 degrees flexion
What is the closed packed position of the tibiofemoral joint
full extension and lateral rotation
“Screw home mechanism”
What is the capsular pattern of the tibiofemoral joint?
Flexion > extension
What is the highest distraction grade you should do to the tibiofemoral joint?
Grade II
How to do a distraction of the tibiofemoral joint
- With belt- pt sitting with leg off table. Towel placed under thigh. therapist places belt and crosses it in front of the ankle of pt and applies a downward force
- Same pt position. Instead this time use therapist thighs at ankle joint instead of gait belt. This way you can palpate the joint
- Pt is prone with two pillows placed behind knee. Therapist rests on pillows to stabilize the thigh and grabs around ankle and distracts
Can do at various positions of knee flexion
What does a posterior glide of the tibia increase?
Flexion
What does a ventral glide of the femur increase?
flexion
How to do a posterior glide of the tibia
- Supine with pillow under thigh. Then glide tibia posterior
- Pt sitting with leg off table. Then can add a little distraction and posterior glide at the same time
- Unicondylar glide to gain internal rotation= flexion
Pt with knee in flexion and do a posterior glide with more pressure though medial knee
How to do an anterior glide of the Femur
“flexion”
Pt is prone with pillow under stomach and thigh
let into 25 degrees of flexion and stabilize shin and do an anterior glide through femur
What does an anterior glide of the tibia increase?
Extension
What does a dorsal glide of the femur increase?
Extension
How to do a anterior glide of the tibia
- Supine- you can sit on the pt foot to stabilize. and apply an anterior glide
- Pt is prone and knee slightly flexed with pillow under tibia. Then apply an anterior glide through tibia with a diffuse grip
- Pt is sitting with leg off of table. Can apply a slight distraction with an anterior glide
- Supine Unicondylar. apply an anterior glide to medial tib and posterior glide to lateral tib= getting ER
How to do a posterior glide of the femur
“extension”
Pt is supine and towel is placed under tibia and a posterior glide is applied through femur
What is the resting position of the patellofemoral joint
0-5 degrees of flexion
avoid hyperextension
What is the closed packed position of the patellofemoral joint
Full flexion