LE structural Flashcards
What are the parts to the LE exam?
Screening
Regional
Segmental
What are the sections in the screening portion ?
Anterior view
Lateral view
Posterior View
AROM
What is done in the anterior view?
Gait Ankle/Foot Knee LE symmetry Derm (pigment, pallor, erythema)
What is looked for in gait?
Stride length
cadence
int/ext rotation
What is looked at on the and foot?
pes planus/cavus
Supination/pronation
What is looked at on the knees?
genu varm/valgus
What is looked at the LE symmetry?
hypertrophy/atrophy
What is looked at in the lateral view?
Lumbar lordosis normal/excessive/flat
Gravitational line:
(Anterior) Lateral malleolus to Greater trochanter Greater trochanter to Acromion process Acromion process to External auditory meatus
Posture (overall)
What is looked at in the posterior view?
Derm exam (pigment, pallor, erythema)
Iliac Crest Levels; shim (Yes/No)
PSIS Levels
Flexion Tests (PSIS Excursion) Standing neg/pos Seated neg/pos
What are the sections of the regional exam?
PROM Palpatory assessment (TART) Strength test Sensory (light touch only) DTRs Vascular assessment
What is done in the AROM section?
Hip: Flex/Ext, Ab/Adduction, Int/External Rotation
Knee: Flex/Extension
Ankle/Foot: Dorsi/Plantarflexion, In/Eversion
What is done in the palpatory assessment?
Lumbar TA(R)T Level(s) ______ L R
Lower Extremity TA(R)T Level(s)_______
Hip (P) (iliolumbar ligament, piriformis muscle belly
trochanteric bursa)
Knee (medial meniscus, medial collateral ligament
lateral meniscus, lateral collateral ligament)
Ankle (malleolar zones [distal post 6cm of tibia/fibula])
Foot (midfoot zones [navicular tubercle,
proximal aspect of 5th metatarsal])
Correct palpation
What is the grading and what must be tested in the Strength test?
grade 0-5/5
Hip Flex/Ext
Knee Flex/Ext
Ankle Dorsiflexion/Plantar
flexion Extensor Hallicus Longus
What areas are done for light touch?
L2-S1
What is the grading and what must be done for DTRs?
grade 0-4/4
Patellar (L3-4)
Achilles (S1-2)
