LE alignment Flashcards
factors that contribute to overuse injuries
extrinsic and intrinsic factors
Extrinsic factors that contribute to overuse
equipment
surface
load
recovery
intrinsic factors that contribute to overuse
biomechanics (alignment, flexibility)
other (nutrition, injury baggage, bone health)
what can PT do for overuse injuries
even though equipment puts you over the injury line, the extrinsic factor of training load we can do
PT management in principles
decrease stress to tissue
increase capacity to withstand stress (stretch, strength, power, stability)
gradually inc load
Q angle is between
ASIS
mid point patella
tibial tubercle
__ key risk factor in patellofemoral pain and IT band synods
LE control in frontal and transverse plane
___ risk factor for hamstring injuries
dynamic lumbopelvic and knee control
link between ___ and ___ during running and jumping
kinematics during LE functional tests
how to evaluate LE alignment
single leg squad
small knee bend
drop jump / land
how to improve validity of LE evaluation
dichotomous (in relation to ft for example)
slow motion video
what to look for in video
position of knee at max flexion
mark centre of knee joint
ASIS
medial malleoli
how to do single leg squat test
go at least 45 deg
do a 5 second could
(start , 3 is deepest, 5 is end)
small knee bend test double leg
go until max DF without lifting heels in standing
small knee bend single leg
opposite knee to atleast 80 degs
same as double leg
drop jump test
stand on 35 cm box and drop
jump vertically on landing
what do you asses during drop jump test
varus / valgus in relation to ankle at max knee flexion
patellar contact moves from ___ to ___ to odd facet as knee flexes
inferior to superior
most common patellar abnormality
insufficient medial excursion
whats normal for the patella
medial >lateral
lower limb alignment what do we look at
femoral adduction /IR
q angle
Tib rotation
pronation
why we care about mm imbalance
allows / create alignment / loading faults
lateral patellar retinaculum superficial band
resists medial glide
lateral patellar retinaculum deep band
rests medial tilt
VMO is a active ___ stabilizer
medial
how to recruit VMO
cue isometric quad hold (pull knee cap up and in)
general quad strengthening
exercises VMO:VL ratio close to 1
types of patella taping
medial glide
medial tilt
medial rotation
foot orthosis minimize pain?
need more research
proximal weaknesses of plantar fasciitis
weak glue med, min TFL or quads because dec control of pronation
plantar fasciitis treatemtn
CKC exercises with focus on alignment and eccentric capacity
