Lower Extremeties Lecture 12 Flashcards

1
Q

What are the locomotor movement functions of the LE?

A

-Limb supports body weight, other swings forward

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2
Q

Why is the sole of the foot important?

A
  • Senses texture

- Friction properties of surface

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3
Q

What do OTs do with the LE?

A
  • Transfers
  • Bed mobility
  • Dressing
  • Positioning
  • Splinting
  • Balance
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4
Q

What role does the hip play?

A

-Support weight of HAT(head and trunk) in static and dynamic postures

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5
Q

Describe the capsule and ligaments of the hip

A
  • Strong and dense
  • Attached to entire periphery of acetabulum
  • Covers entire femoral head: 1. thickest ant./sup. (most stress) 2. thinnest post/inf
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6
Q

Hip flexion

A

Knee flexed: hip flexion is 120-130

Knee extended: hip flexion is 90

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7
Q

Hip extension

A

Knee flexed: hip ext is decreased bc of rectus femoris

Knee extended: hip ext is 30

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8
Q

Typical gait pattern of hip

A

flexion: 30
hyperextension: 10
abb/adb: 5
med/lat rotation: 5

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9
Q

What position is the hip in during anterior pelvic tilt?

A

Hip flexion

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10
Q

What position is the hip in during posterior pelvic tilt?

A

Hip extension

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11
Q

What is hip hike?

A

Adduction of hip on side of hike

Abduction on opposite side of hike

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12
Q

What is pelvic drop?

A

Abduction of hip on side of drop

Adduction on opposite side

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13
Q

Explain pelvic rotation

A
  • Forward rotation of pelvis: medial rotation of hip

- Backward rotation of pelvis: lateral rotation of hip

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14
Q

What are the functions of the hip flexors?

A
  • Primary function: mobility mm to bring LE forward

- Secondary function: resist hip extension forces

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15
Q

What are the 4 primary hip flexors?

A

Iliopsoas(most important)
Rectus femoris(strongest when knee flexed)
Tensor fascia lata
Sartorius

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16
Q

What are the primary hip extensors?

A

Gluteus maximus: strongest

Hamstrings

17
Q

Hip adductors

A

Pectineus
Gracilis
Adductors (longus, brevis, magnus)

18
Q

Hip abductors

A

Gluteus medius/minimus

19
Q

How do weak hip abductors present?

A

-Action during stance phase: opposite limb off ground

20
Q

Trendelenburg’s sign

A

Pelvis drops on unsupported side because abductors on supported side are weak

21
Q

Precautions for ANTERIOR approach hip replacement

A

-NO precautions

22
Q

Precautions for POSTERIOR approach hip replacement

A
  • No internal rotation
  • No adduction across midline
  • Flexion less than 90 degrees
  • Weight bearing as tolerated or foot flat gait