Lab Flashcards

1
Q

Assessment: Trendelenburg’s Sign

A

Integrity of gluteus medius or unstable hip

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2
Q

Position: Trendelenburg’s Sign

A

Pt: Standing on one limb, affected sign

PT: Standing behind pt.

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3
Q

Method: Trendelenburg’s Sign

A

Observe alignment of the contralateral limb with the pelvis

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4
Q

Positive Test: Trendelenburg’s Sign

A

Pelvis on opposite side drops when the pt. stands on the affected limb

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5
Q

Biomechanics: Trendelenburg’s Sign

A

Gluteus medius (prime mover) and other hip abductors stabilize the pelvis on the femur

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6
Q

Assessment: Caudal Glide (Hip)

A

Joint mobility

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7
Q

Position: Caudal Glide (Hip)

A

Pt: Supin with hip in 30 flexion, 30 ABD, slight ER

PT: Walk-stance at end of table, facing pt., cradle limb in malleoli

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8
Q

Method: Caudal Glide (Hip)

A

Lean back, apply caudal mobilizing force on LE, gentle, gradual increase amplitude and depth if no pain.

Assess quality of movement and compare bilaterally

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9
Q

Assessment: Inferior Glide (Hip)

A

Joint mobility

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10
Q

Position: Inferior Glide (Hip)

A

Pt: Supine, hip and knee flexed to 90 supported by PT shld

PT: Support LE, wrap ulnar borders around proximal thigh

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11
Q

Method: Inferior Glide (Hip)

A

Apply caudal mobilizing force on proximal femur, gentle, gradual increase amplitude and depth if no pain.

Assess quality of movement and compare bilaterally

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12
Q

Biomechanics: Inferior Glide (Hip)

A

Increases hip joint space and loosens adhesions in the anterior direction

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13
Q

Assessment: Posterior Glide (Hip)

A

Flexion and IR

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14
Q

Position: Posterior Glide (Hip)

A

Pt: Supine with hip in resting position (i.e. 30 flex, 30 ABD, sligh ER)

PT: Mobilizing hand on anterior proximal femur

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15
Q

Method: Posterior Glide (Hip)

A

Mobilizing force straight down

Posterior glide is necessary for flexion and IR

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16
Q

Assessment: Anterior Glide (Hip)

A

Extension and ER

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17
Q

Position: Anterior Glide (Hip)

A

Pt: Side lying, pillow between knees, hip comfortably flexed

PT: Walk-stance perpendicular to side of exam table, palm against posterior lateral trochanter, other hand stabilizes pelvis

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18
Q

Method: Anterior Glide (Hip)

A

Apply anterior force parallel to joint surfaces, gentle, gradual increase amplitude and depth if no pain.

Assess quality of movement and compare bilaterally

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19
Q

Biomechanics: Anterior Glide (Hip)

A

Femoral head glides anteriorly during extension and ER

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20
Q

Assessment: Lateral Glide (Hip)

A

Lateral mobility

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21
Q

Position: Lateral Glide (Hip)

A

Pt: supine, leg extended, can have hip flexed to 90

PT: Stabilize lateral aspect of distal femur and medial aspect of proximal femur

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22
Q

Method: Lateral Glide (Hip)

A

Proximal hand applies a lateral force

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23
Q

Assessment: Hamstring Length (SLR)

A

Length of hamstrings

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24
Q

Position: Hamstring Length (SLR)

A

Pt: Supine, back neutral, knee extended, hip extended

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25
Q

Method: Hamstring Length (SLR)

A

PT passively brings leg up into increasing hip flexion

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26
Q

Positive Test: Hamstring Length (SLR)

A

< 80 of hip flexion indicates tightness in CT of posterior thigh

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27
Q

Assessment: Hip Flexor Length (Thomas Test)

A

Length of hip flexors

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28
Q

Position: Hip Flexor Length (Thomas Test)

A

Pt: sitting at EOB with distal legs supported by table (text); Laying with hips at EOB, legs dangling (picture)

PT: Lower pt. to supine while pt. holds knees to chest, Then hold pts. posterior leg with hand and palpate ASIS and PSIS with other hand. Pt will holds contralateral knee to chest

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29
Q

Method: Hip Flexor Length (Thomas Test)

A

Step 1: Lower leg to table while monitoring lower back

Step 2: If leg does not lower with knee flexed, reattempt with knee straight

Step 3: If leg does not lower with knee straightened, reattempt with knee flexed and abd hip,

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30
Q

Normal response: Hip Flexor Length (Thomas Test)

A

Leg lowers to table with knee flexed

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31
Q

Positive Test: Hip Flexor Length (Thomas Test)

A

Does not lower with knee straight = tight iliopsoas

Lowers with knee straight = tight rectus femoris

Lowers with knee flexed and hip abd = tight tensor fascia latae

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32
Q

Biomechanics: Hip Flexor Length (Thomas Test)

A

Hip flexors under examination are: iliopsoas, rectus femoris, and TFL

Hip should be able to reach neutral with spine flat if all hip flexors normal length

To bias rectus femoris = knee straight

To bias TFL = hip ABD

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33
Q

Assessment: IT band (Modified Ober test)

A

Length of iliotibial band

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34
Q

Position: IT band (Modified Ober test)

A

Pt: Side lying with leg on table having knee and hip flexed

PT: Behind pt., stabilize pelvis, and use other hand to support under leg with hand around knee cap

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35
Q

Method: IT band (Modified Ober test)

A

Bring leg into extension, ER (to prevent IR), then drop leg into adduction

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36
Q

Positive Test: IT band (Modified Ober test)

A

Leg drops less than 10 degrees from horizontal

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37
Q

Biomechanics: IT band (Modified Ober test)

A

A tight IT band/TFL will cause hip abduction and IR of the femur

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38
Q

Q: What are the 4 tests for hip muscular length?

A
  1. SLR (hamstring)
  2. Thomas (hip flexor)
  3. Modified Ober (IT band)
  4. Hip IR/ER
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39
Q

Q: What are the 6 hip special tests?

A
  1. Scour
  2. Femoral-acetabular impingement test
  3. FABER
  4. Piriformis
  5. Craig’s
  6. Ely’s
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40
Q

Assessment: Scour Test (flexion and adduction)

A

Pathology in the articulating surface of the hip joint as with OA, Labral tear, Bursitis

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41
Q

Position: Scour Test

A

Pt: Supine, hip flexed 90 with knee bent and hip adducted

PT: Standing, facing pt., grasp knee with both hands

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42
Q

Method: Scour Test

A

Apply an axial load while moving the patient from adduction to abduction

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43
Q

Positive Test: Scour Test

A

Grinding or snapping

Location should indicate cause

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44
Q

Assessment: FABER

A

ROM of hip and pain

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45
Q

Position: FABER

A

Pt: Supine with foot resting on top of the knee of the opposite leg (Hip flexion, ABD, ER)

PT: Standing on side of table one hand on ASIS of contralateral hip and other handon bent knee

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46
Q

Method: FABER

A

Apply pressure to ABD the hip on the test side and pressure to stabilize the hip on the contralateral hip

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47
Q

Positive Test: FABER

A

Knee does not lower to the level of the opposite hip

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48
Q

Assessment: Piriformis Test

A

Piriformis involvement

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49
Q

Position: Piriformis Test

A

Pt: Sidelying with test hip flexed 60 and knee flexed

PT: Facing pt., one hand stablizing the hip, the other on knee

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50
Q

Method: Piriformis Test

A

Apply downward force on the knee

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51
Q

Positive Test: Piriformis Test

A

Sciatica pain or tightness of piriformis

Movement of the hip under PT hand

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52
Q

Assessment: Craig’s Test

A

Measure of femoral anteversion

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53
Q

Position: Craig’s Test

A

Pt: Prone, knee flexed to 90

PT: Standing on side, holding ankle and palpating greater trochanter

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54
Q

Method: Craig’s Test

A

Passively IR/ER the hip until the greater trochanter is in its most lateral position (parallel to table), then measure angle between lower leg and vertical

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55
Q

Normal Test: Craig’s Test

A

8-15 degree angle

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56
Q

Biomechanics: Craig’s Test

A

Excessive anteversion = IR, toe in

Excessive retroversion = ER, toe out

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57
Q

Assessment: Ely’s Test

A

Length of rectus femoris

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58
Q

Position: Ely’s Test

A

Pt: Prone, legs together

PT: Standing on the side, hand on ankle and on pelvis (posterior or anterior)

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59
Q

Method: Ely’s Test

A

Passively flex knee, stabilizes pelvis

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60
Q

Positive Test: Ely’s Test

A

Anterior pelvic til or limited knee flexion = tight rectus femoris

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61
Q

Functional Test: Lift foot onto 20 cm step/return (hip flexion>ext)

  1. 5-6 reps
  2. 3-4 reps
  3. 1-2 reps
  4. 0 reps
A
  1. Functional
  2. Functional Fair
  3. Functional Poor
  4. Nonfunctional
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62
Q

Functional Test: Sit in chair and stand (hip ext>flexion)

  1. 5-6 reps
  2. 3-4 reps
  3. 1-2 reps
  4. 0 reps
A
  1. Functional
  2. Functional Fair
  3. Functional Poor
  4. Nonfunctional
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63
Q

Functional Test: Standing, lift leg to balance keeping pelvis straight (hip ABD)

  1. Hold 1-1.5 min
  2. Hold 30-59 sec
  3. Hold 1-29 sec
  4. Cannot Hold
A
  1. Functional
  2. Functional Fair
  3. Functional Poor
  4. Nonfunctional
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64
Q

Functional Test: Walk sideways 6m (Hip ADD/ABD)

  1. 6-8m one way
  2. 3-6m one way
  3. 1-3m one way
  4. 0m
A
  1. Functional
  2. Functional Fair
  3. Functional Poor
  4. Nonfunctional
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65
Q

Functional Test: Tested leg off floor, IR nonWB hip OR ER nonWB hip

  1. 10-12 reps
  2. 5-9 reps
  3. 1-4 reps
  4. 0 reps
A
  1. Functional
  2. Functional Fair
  3. Functional Poor
  4. Nonfunctional
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66
Q

Q: In standing which should be higher, PSIS or ASIS and by how much?

A

PSIS

men = 5 degrees higher

women = 10-15 degrees higher

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67
Q

Assessment: Bending Forward

A
  1. Hip Compensation
  2. Knee flexion/hyperextension
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68
Q

Normal: Bending Forward

A

Hip flex to 90 followed by back bend

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69
Q

Positive Test: Bending Foward

A

Hip flex < 90 followed by back bend = tight hamstrings and hip flexors

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70
Q

Q: What is the purpose of passive hip movement in single leg stance?

A

Loading joint to see if symptoms are reproduced with certain movements

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71
Q

Stretching: UE: Supine or Sidelying: Shoulder Flexion/Elevation (3)

A
  1. Scapula is stabilized: 120 degrees of shoulder flexion/elevation
  2. Humerus externally rotated

OR

  1. Stabilize pelvis for full flexion/elevation
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72
Q

Stretching: UE: Supine or Sidelying: Shoulder ER (4)

A
  1. Abduction or elevation plane
  2. 90 elbow flexion; initially 30 or 45 of elevation
  3. Stabilize shoulder with one hand and elbow forearm with another hand
  4. Externally rotate the shoulder
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73
Q

Stretching: UE: Supine or Sidelying: Shoulder Horz ABD (4)

A
  1. Pec. major stretching
  2. Pt in the edge of the table
  3. Begin with shoulder in 60 to 90 degrees of abduction/pt’s elbow flexed.
  4. Stabilize anterior shoulder and grab the distal humerus
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74
Q

Stretching: UE: Supine or Sidelying: Elbow extension (2)

A
  1. Watch for shoulder and elbow compensations
  2. Stabilize shoulder/humerus with one hand/ apply the extension force on the forearm, use towel to support the humerus.
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75
Q

Stretching: UE: Supine or Sidelying: Wrist Extension

A

Forearm pronated on the treatment table; use a towel to support the forearm. Grasp the patient’s palmar aspect of the hand. If the contracture in flexion is severe, place the pt’s hand over the edge of the table.

76
Q

Stretching: UE: Sitting: Shoulder Horz ABD (3)

A
  1. Pec. major stretching
  2. Therapist behind the patient, both grabs both patient’s elbow with shoulder at 90
  3. Apply shoulder horizontal abduction (contract-relax technique when needed)
77
Q

Stretching: LE: Supine: Hip Flexion (3)

A
  1. Hamstrings stretching
  2. Flex the hip with knee in extension
  3. Stabilize the opposite thigh (hand or towel)
78
Q

Stretching: LE: Supine: Hip Extension (3)

A
  1. Thomas test position (stretch the psoas, rectus femoris, TFL)
  2. Extend the hip holding (stabilizing) the contralateral hip in total flexion
  3. Apply hip adduction and knee flexion when necessary
79
Q

Stretching: LE: Sidelying: Hip ABD/Extension (3)

A
  1. Stretch the TFL: Ober test position
  2. Adduction/ extension of the hip in neutral rotation; stabilize pelvis
  3. Flex knee if to increase the stress.
80
Q

Stretching: LE: Prone: Hip ER/IR (2)

A
  1. Knee bent at 90o, stabilize contralateral hip
  2. Apply either external or internal rotation
81
Q

Stretching: LE: Prone: Knee Extension (Stretch Knee Flexors) (2)

A
  1. Supporting the knee with a towel; therapist grasp the tibia in external rotation and stabilize the posterior thigh with the other hand.
  2. Apply knee extension
82
Q

Stretching: LE: Supine: Ankle DF (4)

A
  1. Stretch gastrocnemius (knee extended),
  2. Stretch Soleus (knee bent)
  3. Therapist grasp the heel with one hand (forearm on the foot sole) and stabilize tibia with the other hand
  4. Apply dorsiflexion with the subtalar joint in neutral position
83
Q

Global Postural Reeducation/Stretching: Supine/Standing (4)

A
  1. Opening hips
  2. Arms Down
  3. Exhaling practice (90% exhaling)
  4. Keep spine in place/do not move (just breath)
84
Q

Global Postural Reeducation/Stretching: Supine legs againt wall (2)

A
  1. Closing hips
  2. Arms up or down
85
Q

Global Postural Reeducation/Stretching: Standing (2)

A
  1. Closing hips
  2. Arms down (Ballet dancer)
86
Q

Assessment: Patellar Tap Test

A

Swelling inside the joint

87
Q

Assessment: Girth Measurements

A

Atrophy and swelling

88
Q

Landmarks: Girth Measurements

A

For swelling = at joint line

15 cm above or below joint line (muscle swelling/atrophy)

Measure while in 30 knee flexion

89
Q

Knee Palpation (Looking to reproduce symtpoms) (8)

A
  1. Look at position of patella
  2. Fibular head for tenderness
  3. Joint Line for menisci
  4. MCL, medial joint
  5. LCL, lateral joint
  6. Patellar tendon
  7. Fat pads
  8. Pes Anserine
90
Q

Modified Quad MMT: Quad Set (4)

A

Hold for 10 sec

Look for:

  • Contraction
  • Patellar tracking (want superior/lateral motion)
  • VMO
91
Q

Modified Quad MMT: SLR

A

Watch for extensor lag

92
Q

Q: What aggravates knee fat pads?

A

Inferior tilted patella

93
Q

T/F: In general, the patella is slightly medially seated.

A

True, slight but not significant

94
Q

Assessment: Femural-Acetabular Impingement Test

A

Anteriosuperior labral tear

Also stretches/tests piriformis

95
Q

Position: Femural-Acetabular Impingement Test

A

Pt: Supine, flip flexed, abd, ER

PT: stand to side of pt. and support leg

96
Q

Method: Femural-Acetabular Impingement Test

A

Move pt. into adduction, IR, with slight extension

97
Q

Positive Test: Femural-Acetabular Impingement Test

A

Clicking, Pain

Posterior pain = Piriformis

Anterior pain = Labral tear

98
Q

Q: In what plane is the Q angle observed?

A

Sagittal

99
Q

Q: What can you determine by the angle of the popliteal lines?

A

IR/ER of the femur

High on outside = IR

100
Q

Q: What would inhibit a full/deep squat?

A

Tight calfs

101
Q

Assessment: Patellar Tap Test

A

Joint effusion (swelling inside the joint

102
Q

Position: Patellar Tap Test

A

Pt. supine with knee slightly flexed

103
Q

Method: Patellar Tap Test

A

Push/glide patella inferiorly, then tap, compare bilaterally

104
Q

Positive Test:

A

Floating or bouncing sensation

105
Q

Assessment: Posterior Sag

A

Posterior cruciate ligament integrity (tear)

106
Q

Position: Posterior Sag

A

Pt: Supine, hip and knee flexed to 90, feet supported by PT

Alternative: Feet flat on table, hip and knee flexed

PT: at end of bed, supporting heels

107
Q

Method: Posterior Sag

A

Observe the tibial plateaus, have pt. engage hamstrings to exaggerate the effect

108
Q

Normal Response: Posterior Sag

A

Medial tibial plateau is 1 cm anterior to femoral plateau

109
Q

Positive Test: Posterior Sag

A

Tibia drops/sags back

110
Q

Assessment: Posterior Drawer

A

Posterior instability (PCL)

111
Q

Position: Posterior Drawer

A

Pt: Supine, knee flexed 90, foot flat on table

PT: Sitting on foot, thenar eminences on tibial plateaus

112
Q

Method: Posterior Drawer

A

Attempt to push tibia backward, compare bilaterally

113
Q

Positive Response: Posterior Drawer

A

Excessive Posterior translation

114
Q

Assessment: Anterior Drawer

A

ACL integrity

115
Q

Position: Anterior Drawer

A

Pt: Supine, knee flexed 90, foot flat on table

PT: Sitting on foot, grasping the tibia with both hands

116
Q

Method: Anterior Drawer

A

Attempt to pull the tibia forward, compare bilaterally

117
Q

Positive Test: Anterior Drawer

A

Excessive anterior translation of the tibia

118
Q

Q: Why is the Lachmans test better than the Anterior Drawer?

A

The Lachmans has the pt in 30 degrees of knee flexion - the angle at which all the ACL fibers are taut

119
Q

Assessment: Lachman Test

A

ACL integrity

120
Q

Position: Lachman Test

A

Pt: supine, knee flexed 15-30 degrees

PT: Standing, grasping lateral femur and medial tibia

121
Q

Method: Lachman Test

A

Stabilize the femur while exerting an anterior force on the tibia, compare bilaterally

122
Q

Positive Test: Lachman Test

A

Excessive anterior translation of the tibia

123
Q

Assessment: Varus Stress Test

A

LCL integrity

124
Q

Position: Varus Stress Test

A

Pt: Supine with knee flexed 5, and 20-30, lower leg off table thigh resting on the table

PT: Stabilize medial knee, grasp lateral ankle

125
Q

Method: Varus Stress Test

A

Apply varus force at knee

126
Q

Positive Test: Varus Stress Test

A

Excessive gapping of the lateral joint with/without pain

127
Q

Assessment: Valgus Stress Test

A

MCL integrity

128
Q

Position: Valgus Stress Test

A

Pt: Supine with knee flexed 5, and 20-30, lower leg off table thigh resting on the table

PT: Stabilize lateral knee, grasp medial ankle

129
Q

Method: Valgus Stress Test

A

Apply valgus force at knee

130
Q

Positive Test: Valgus Stress Test

A

Excessive gapping of the lateral joint with/without pain

131
Q

Q: What should the end feel be for both the varus and valgus stress test?

A

Hard

132
Q

Q: What is one way to assess the menisci apart from McMurray’s test?

A

Palpate the joint line

133
Q

Assessment: McMurry’s Test

A

Meniscal instability

134
Q

Position: McMurry’s Test

A

Pt: Supine, knee in full flexion

PT: Grasp knee and around distal tibia

135
Q

Method: McMurry’s Test

A

Lateral meniscus: apply IR to tibia and varus force at knee during extension

Medial meniscus: apply ER to tibia and valgus force at knee during extension

136
Q

Positive Test: McMurry’s Test

A

Pain

137
Q

Assessment: Apprehension Test

A

Lateral patella subluxation or dislocation

138
Q

Position: Apprehension Test

A

Pt: Supine, quad relaxed (knee flexed ~30)

PT: Standing on opposite side of test leg, thumbs on medial patella

139
Q

Method: Apprehension Test

A

Carefully/slowly glide patella laterally

140
Q

Positive Test: Apprehension Test

A

Apprehension - facial or quad contraction, then positive for dislocation

141
Q

Assessment: Apley’s Compression & Distraction

A

Compression = Mensicus integrity

Distraction = Ligament integrity

142
Q

Position: Apley’s Compression & Distraction

A

Pt: Prone with knee flexed to 90

PT:

Compression: hand on heel and ankle

Distraction: Shin stabilizes pt. quad, hands around malleoli

143
Q

Method: Apley’s Compression & Distraction

A

Compression: apply downward force while IR/ER tibia

Distraction: distraction joint while IR/ER tibia

144
Q

Positive Test: Apley’s Compression & Distraction

A

Pain, clicking, reproduction of symptoms

145
Q

Assessment: Critical Test

A

Patellofemoral pain

146
Q

Position: Critical Test

A

Pt: Sitting EOB

PT: siiting beside pt. stabilize near knee, hold ankle

147
Q

Method: Critical Test

A

Apply resistance at the ankle through varying degrees of knee flexion (5-90). If pain occurs at a given angle, glide the patella medially and reattempt resistance at that angle

148
Q

Positive Test: Critical Test

A

Decreased pain with medial glide

149
Q

PAM to Gain Knee Extension: 30-15 degrees extension

A

Patient prone; place a towel roll under femur and stabilize the femur; anteriorly glide tibia with external rotation using grade III or IV

150
Q

PAM to Gain Knee Extension: 15-5 degrees extension

A

Patient supine; place a towel roll under tibia, posteriorly glide femur with internal rotation using grade III or IV. Emphasize internal rotation of femur

151
Q

PAM to Gain Knee Extension: 5-0 degrees extension

A

Patient supine; hold-relax technique to engage hamstrings

152
Q

Assessment: Anterior Drawer (Ankle)

A

Integrity of the anterior talofibular ligament

153
Q

Position: Anterior Drawer (Ankle)

A

Pt: Sitting EOB

PT: Stabilize anterior tib/fib while grasping calcaneous posteriorly

154
Q

Method: Anterior Drawer (Ankle)

A

Apply anterior force to calcaneous

155
Q

Positive Test: Anterior Drawer (Ankle)

A

Excessive movement of the talus compared to the opposite side

156
Q

Assessment: Talar Tilt

A

Integrity of the calcaneofibular ligament

157
Q

Position: Talar Tilt

A

Pt: Sitting EOB

PT: Stabilize tib/fib anteriorly, grasp lateral talus and calcaneous with other hand

158
Q

Method: Talar Tilt

A

Apply inversion force to talocrural and subtalar joints

159
Q

Positive Test: Talar Tilt

A

Lateral gapping or pain as compared to the opposite side

160
Q

Assessment: Homan’s Sign

A

Length of posterior compartment of calf

161
Q

Position: Homan’s Sign

A

Pt: Supine, foot off bed

PT: Grasp plantar aspect of foot

162
Q

Method: Homan’s Sign

A

Apply DF with knee extended

163
Q

Positive Test: Homan’s Sign

A

Pain in calf

164
Q

Assessment: Squeeze Test

A

Morton’s Neuroma, usually between 2-3 MT

165
Q

Position: Squeeze Test

A

Pt: Supine

PT: Grasp foot around MT head

166
Q

Method: Squeeze Test

A

Squeeze MT heads together

167
Q

Positive Test: Squeeze Test

A

Increased pain between MTs

168
Q

Assessment: Thompson’s Test

A

Integrity of Achilles tendon - rupture

169
Q

Position: Thompson’s Test

A

Pt: Prone, foot off bed

170
Q

Method: Thompson’s Test

A

Squeeze calf at middle of muscle belly

171
Q

Positive Test: Thompson’s Test

A

decreased or absent PF reflex/response

172
Q

Q: What pulse would you assess for compartment syndrome?

A

Pedal pulse

173
Q

Q: Where do you take girth measurements for the ankle?

A

Start = between tibialis anterior tendon and lateral malleolus

To navicular bone

Pull across arch to base of 5th MT

Around ankle to distal tip of medial malleolus

Across achilles tendon

End = distal tip of lateral malleolus

174
Q

Q: What does a posterior ankle glide assess?

A

DF

175
Q

Q: What does distraction at the subtalar joint assess?

A

General mobility of the calcaneus

176
Q

Q: What does an anterior ankle glide assess?

A

PF

177
Q

Q: What does a medial subtalar joint glide assess?

A

Inversion

178
Q

Q: What does a lateral subtalar joint glide assess?

A

Eversion

179
Q

Indication: Longitudinal Caudal Mobilization

A

Lack of general ankle mobility

180
Q

Position: Longitudinal Caudal Mobilization

A

Pt: Prone, knee flexed 90

PT: Knee stabilizing pt thigh, Grasp talus with both hands around the ankle

181
Q

Method: Longitudinal Caudal Mobilization

A

Distract hindfoot combined with inv/ever and DF/PF

182
Q

Indication: Cuboid Whip

A

Cuboid subluxation or decreased mobility of the calcaneocuboid joint

183
Q

Position: Cuboid Whip

A

Pt: prone, knee flexed 75-80

PT: grasp dorsal foot with thumbs on plantar foot over cuboid

184
Q

Method: Cuboid Whip

A

Slightly Df, them thrust into PF and knee extension

185
Q

Indication: Thrust Manipulation of the Talus

A

Hypomobility after inverted ankle sprain

186
Q

Position: Thrust Manipulation of the Talus

A

Pt: Supine, legs straight

PT: Grasp ankle anteriorly and laterally over the talus bone

187
Q

Method: Thrust Manipulation of the Talus

A

Place pt. foot/ankle into sligh DF and eversion/ER. Apply thrust into slight eversion and DF