LE Various Treatments Flashcards

1
Q

Tibiofemoral BLT

A

slight posterior force caudal or cephalad, approx. femur and tibia with compressive force, internal or external rotation to achieve BLT

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2
Q

Tibiofemoral Supine HVLA

A

Engage restrictive barrier and deliver thrust parallel to long axis of femur (anterior or posterior)

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3
Q

Tibiofemoral seated HVLA

A

spring leg up and down 2-3 times to relax thigh, deliver a posterior or anterior thrust

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4
Q

Tibiofemoral prone HVLA

A

interlace fingers around tibia, flex knee to 90 and plantarflex foot, deliver a superior or inferior force

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5
Q

Supine anterior or posterior fibular head MET

A

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

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6
Q

Supine anterior or posterior fibular head HVLA

A

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

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7
Q

Lateral trochanter TP location

A

just inferior to iliac crust in body of TFL

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8
Q

Lateral trochanter TP positioning

A

abduct and slightly flex knee, slightly internally rotate hip

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9
Q

Iliotibial band TP location

A

along IT band distal to greater trochanter

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10
Q

Iliotibial band TP positioning

A

abduct patient’s hip/thigh and slightly flex

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11
Q

Lateral hamstring TP location

A

distal aspect biceps femoris near attachment to posterolateral surface of fibular head

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12
Q

Lateral hamstring TP positioning

A

knee flexed and tibia externally rotated with slight abduction, compression on calcaneus added to plantar flex ankle

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13
Q

Medial hamstring TP location

A

distal aspect of medial hamstring tendons near attachment to posterior medial surface of tibial condyle

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14
Q

Medial hamstring TP positioning

A

flex knee, internally rotate tibia with slight adduction, compression on calcaneus added to plantar flexed foot

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15
Q

Lateral meniscus LCL TP location

A

lateral aspect meniscus along joint line

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16
Q

Lateral meniscus LCL TP positioning

A

thigh abducted so leg is off table, flex knee 35-40 degrees, tibia abducted and internally or externally rotate

17
Q

Medial meniscus MCL TP location

A

medial knee joint line

18
Q

Medial meniscus MCL TP positioning

A

abduct thigh, flex knee, tibia adducted and internally rotated

19
Q

anterior cruciate TP location

A

superior aspect popliteal fossa adjacent to hamsting tendons

20
Q

anterior cruciate TP positioning

A

pillow under distal femur, apply force to proximal tibia and translate tibia posteriorly

21
Q

posterior cruciate TP location

A

slightly below center of popliteal fossa, pillow under tibia, apply force to distal femur to translate femur posteriorly

22
Q

Popliteus TP location

A

muscle belly just inferior to popliteal space

23
Q

Popliteus TP positioning

A

pt’s knee flexed and tibia internally rotated

24
Q

gastrocnemius TP location

A

within proximal gastrocnemius ms. distal to popliteal margin

25
Q

gastrocnemius TP positioning

A

pt’s knee flexed and dorsum of foot on doc’s thigh, add compressive force thru calcaneus

26
Q

Tibialis anterior inversion TP location

A

anterior and inferior to medial malleolus

27
Q

Tibialis anterior inversion TP positioning

A

apply inversion force to foot and ankle with slight internal rotation

28
Q

Lateral ankle fibularis longus TP location

A

anterior and inferior to lateral malleolus in talocalcaneal sulcus

29
Q

Lateral ankle fibularis longus TP positioning

A

apply eversion force to foot and ankle with external rotation

30
Q

Flexion calcaneus TP location

A

anterior aspect plantar surface of calcaneus at attachment of plantar fascia

31
Q

Flexion calcaneus TP positioning

A

flex knee, dorsum of foot on thigh, flexion while translating calcaneus toward forefoot

32
Q

Navicular TP positioning

A

knee flexed, dorsum foot on doc’s thigh, plantar flex subtalar joint, supinate foot