LE MMT/ROM/Capsular patterns

Question 1

hip flexion palpation

Answer 1

distal to inguinal lig on medial side of sartorius

Question 2

hip flexion MMT sub

Answer 2

sartorius - ER/abd

TFL - IR/add

Question 3

sartorius palpation

Answer 3

below ASIS

Question 4

sartorius MMT sub

Answer 4

iliopsoas or RF - no abd or ER

Question 5

glut med/min palpation

Answer 5

prox to greater troch

Question 6

glut med/min MMT substitution

Answer 6

hip hike
hip flexors - ER/pelvic retraction
TFL - hip flexes

Question 7

adductors palpation

Answer 7

prox medial thigh

Question 8

adductors MMT substitution

Answer 8

hip flexion - IR/post pelvic tilt + turn toward supine

hamstrings - ER/ant pelvic tilt + turn toward prone

Question 9

hip ER palpation

Answer 9

not palpable

Question 10

hip ER MMT substitution

Answer 10

lift contralateral hip or trunk leaning
knee flexion
hip abduction

Question 11

hip IR palpation

Answer 11

not palpable

Question 12

hip IR MMT substitution

Answer 12

lifting ipsilateral pelvis or trunk leaning
knee extension
hip add/ext

Question 13

hamstring palpation

Answer 13

tendons just posterior above knee

Question 14

hamstring MMT sub

Answer 14

hip flexion, ER, add, DF

Question 15

PF palpation

Answer 15

gastroc - midcalf above soleus

soleus - posterolateral surface of distal calf

Question 16

PF MMT sub

Answer 16

trunk should remain erect
long toe flexors - see PF or forefoot w decreased motion at calcaneus
eversion
inversion

Question 17

tib ant palpation

Answer 17

lateral to shin

Question 18

tib ant MMT sub

Answer 18

toe extension

Question 19

tib post palpation

Answer 19

tendon between medial mal and navicular

Question 20

tib post MMT sub

Answer 20

toe flexion

Question 21

tib ant vs tib post movements

Answer 21

DF + inversion vs. just inversion

Question 22

peroneus longus palpation

Answer 22

lateral leg just below fib head

Question 23

peroneus brevis palpation

Answer 23

between lat mal and prox base of 5th MT

Question 24

MP flexion palpation

Answer 24

not palpable

Question 25

MP flexion MMT sub

Answer 25

IP joint flexes and MP joint may hyperextend

Question 26

IP flexion palpation

Answer 26

plantar surface of prox phalanx of 1st toe

Question 27

muscles responsible for MP flexion

Answer 27

lumbricals and FHB

Question 28

muscles responsible for IP flexion

Answer 28

FDL, FDB, FHL

Question 29

muscles responsible for toe extension

Answer 29

EDL, EDB, EHL

Question 30

EDL palpation

Answer 30

tendons over dorsum of MTs

Question 31

EDB palpation

Answer 31

lateral side of dorsum of foot just in front of mal

Question 32

peroneal movement

Answer 32

eversion + PF

Question 33

hip capsular pattern

Answer 33

flexion, abduction, internal rotation, sometimes ext

Question 34

knee capsular pattern

Answer 34

flexion, extension

Question 35

tib-fib capsular pattern

Answer 35

pain when upper tibfib lig is stretched

Question 36

ankle capsular pattern

Answer 36

plantarflexion, dorsiflexion

Question 37

subtalar capsular pattern

Answer 37

increasing limitation of varus until joint fixes in full valgus. end of available varus range is painful

Question 38

midtarsal capsular pattern

Answer 38

DF, PF, adduction, internal rotation

Question 39

first MTP capsular pattern

Answer 39

extension, slight lim of flexion

Question 40

toe MTP capsular pattern

Answer 40

flexion>extension

Question 41

DF/PF axis, SA, MA

Answer 41

axis: distal to but in line with lat mal SA: lateral midline of fib MA: in line with inferior aspect of calcaneus

Question 42

DF/PF ROM substitution

Answer 42

ankle inversion/eversion

Question 43

normal DF ROM

Answer 43

0-20º

Question 44

normal PF ROM

Answer 44

0-40/50º

Question 45

sup/pro axis, SA, MA

Answer 45

axis: ant midline of talocrural joint SA: ant midline of tib, in line with tibtub MA: ant midline of 2nd MT

Question 46

normal sup ROM

Answer 46

0-30/35º

Question 47

normal pro ROM

Answer 47

0-15/20º

Question 48

end feel of pronation

Answer 48

firm or hard

Question 49

end feel of supination

Answer 49

firm

Question 50

inv/ev axis, SA, MA

Answer 50

axis: calc tendon in line with malleoli SA: post midline of tib MA: post midline of calcaneus

Question 51

inversion/eversion ROM

Answer 51

eversion 0-10º | ratio inv:ev 2:1

Question 52

scoring for PF MMT

Answer 52

``` N: 20 G: 10-19 F: 1-9 P+: max resistance in prone P+/-: standing and clears heel ```