LE Various Treatments Flashcards
Tibiofemoral BLT
slight posterior force caudal or cephalad, approx. femur and tibia with compressive force, internal or external rotation to achieve BLT
Tibiofemoral Supine HVLA
Engage restrictive barrier and deliver thrust parallel to long axis of femur (anterior or posterior)
Tibiofemoral seated HVLA
spring leg up and down 2-3 times to relax thigh, deliver a posterior or anterior thrust
Tibiofemoral prone HVLA
interlace fingers around tibia, flex knee to 90 and plantarflex foot, deliver a superior or inferior force
Supine anterior or posterior fibular head MET
pillow under knee, thenar eminence on anterior or posterior fibular head, caudad hand on malleoli; internally rotate leg for anterior fib head, externally rotate leg for posterior fib head; pt add activating force
Supine anterior or posterior fibular head HVLA
pillow under knee, thenar eminence on anterior or posterior fibular head, caudad hand on malleoli; internally rotate leg for anterior fib head, externally rotate leg for posterior fib head; direct medial thrust at fibular head or anterior lateral pull
Lateral trochanter TP location
just inferior to iliac crust in body of TFL
Lateral trochanter TP positioning
abduct and slightly flex knee, slightly internally rotate hip
Iliotibial band TP location
along IT band distal to greater trochanter
Iliotibial band TP positioning
abduct patient’s hip/thigh and slightly flex
Lateral hamstring TP location
distal aspect biceps femoris near attachment to posterolateral surface of fibular head
Lateral hamstring TP positioning
knee flexed and tibia externally rotated with slight abduction, compression on calcaneus added to plantar flex ankle
Medial hamstring TP location
distal aspect of medial hamstring tendons near attachment to posterior medial surface of tibial condyle
Medial hamstring TP positioning
flex knee, internally rotate tibia with slight adduction, compression on calcaneus added to plantar flexed foot
Lateral meniscus LCL TP location
lateral aspect meniscus along joint line
Lateral meniscus LCL TP positioning
thigh abducted so leg is off table, flex knee 35-40 degrees, tibia abducted and internally or externally rotate
Medial meniscus MCL TP location
medial knee joint line
Medial meniscus MCL TP positioning
abduct thigh, flex knee, tibia adducted and internally rotated
anterior cruciate TP location
superior aspect popliteal fossa adjacent to hamsting tendons
anterior cruciate TP positioning
pillow under distal femur, apply force to proximal tibia and translate tibia posteriorly
posterior cruciate TP location
slightly below center of popliteal fossa, pillow under tibia, apply force to distal femur to translate femur posteriorly
Popliteus TP location
muscle belly just inferior to popliteal space
Popliteus TP positioning
pt’s knee flexed and tibia internally rotated
gastrocnemius TP location
within proximal gastrocnemius ms. distal to popliteal margin
gastrocnemius TP positioning
pt’s knee flexed and dorsum of foot on doc’s thigh, add compressive force thru calcaneus
Tibialis anterior inversion TP location
anterior and inferior to medial malleolus
Tibialis anterior inversion TP positioning
apply inversion force to foot and ankle with slight internal rotation
Lateral ankle fibularis longus TP location
anterior and inferior to lateral malleolus in talocalcaneal sulcus
Lateral ankle fibularis longus TP positioning
apply eversion force to foot and ankle with external rotation
Flexion calcaneus TP location
anterior aspect plantar surface of calcaneus at attachment of plantar fascia
Flexion calcaneus TP positioning
flex knee, dorsum of foot on thigh, flexion while translating calcaneus toward forefoot
Navicular TP positioning
knee flexed, dorsum foot on doc’s thigh, plantar flex subtalar joint, supinate foot
