Lower Extremity Flashcards
Hip capsular pattern (3)
flex, Abd, IR
Hip closed pack position (3)
Ext, IR, Abd
Hip open pack position (3)
30* flex, 30* Abd, ER
posterior lurch of trunk to start leg swing
weak hip flexors
poor hip extension, short stride, fwd trunk posture or increased lordosis
tight hip flexors
posterior lurch of trunk at foot contact
weak hip extensors
pelvis rotates inward, leg rotates outward in terminal swing
tight hip extensors
Hip AP mobs increase:
Hip PA mobs increase:
Hip inferior glide increase:
Flexion, IR
Ext, ER
Flexion
PT tx for hip OA (3)
- low impact CV
- strength/ROM
- manage pain
Posterior THA precautions
ADD, IR, flex >90*
Anterior THA precautions
ADD, ER, Flex >90*
stable vs unstable pelvic fractures
Stable: pain limiting factor
unstable: NWB 6-8 wks
most common hip fractures
intertrochanteric
pain due to mm strain occurs with…
passive stretch
active contraction w/ resistance
anterior hip or groin pain associated w/ structural abnormalities of femur or acetabulum, associated tears in the labrum
Femoral Acetabular Impingement FAI
Peds pathology more common in boys 4-8yrs. Flattening of femoral head at WB surface
Legg-Calve-Perthes
larger, crescent shaped meniscus of the knee
medial meniscus
knee capsular pattern
flex, ext
knee closed pack position
ext, tibia ER
knee open pack position
25* flex
knee buckles in stance or trunk leans fwd at heel strike
weak quads
poor control in terminal swing, hyper ext in stance
weak hamstrings
knee flexion in stance
tight hamstrings
AP tibia on femur
increases flexion
PA tibia on femur
increases ext
AP femur on tibia
increases ext
lig injury w/ min pain, little to no swelling, no loss of jt function, and no instability
Grade 1
lig injury w/ mod pain and swelling, some loss of jt function and stability
Grade 2
lig injury w/ profound pain, intense swelling, loss of jt function and instability
Grade 3
ACL graft w/ HS or patellar tendon
Autograft
ACL graft is most weak…
6-8 weeks s/p
with ACL graft, avoid…
OKC w/ resistance
ACL phase 1 goals (0-2wks)
full extension
ACL phase 2 goals (3-5wks)
full ROM
ACL phase 3 goals (6-12wks) (2)
Proprioception
CKC
ACL phase 4 goals (12wks)
return to PLOF
MCL rehab
Early ROM
Which portion of the meniscus is vasular?
outer 1/3
Unhappy triad
- medial meniscus
- ACL
- MCL
patellofemoral pain syndrome PFPS s/s (3)
- pain stair descending > ascending
- pain at end range
- increased Q angle
PFPS rehab emphasis
CKC exercise
Tendonosis rehab
eccentric strengthening
TKA non cemented WB status
TTWB 6-8 weeks
TKA ROM goal
0-120*
many overuse symptoms of the foot are associated with…
excessive pronation
PA talocrural increases
plantar flexion
AP talocrural increases
dorsiflexion
All 3 lat ankle ligs rupture
3rd degree sprain
WB status for TAA
2-6 weeks NWB/Limited WB
acute or chronic elevated tissue pressure within a closed fascial space, resulting in occlusion of vessels and compromised neuromuscular function. Medical emergency!
compartment syndrome
5 p’s s/s of compartment syndrome
- pain
- paralysis
- paresthesia
- pallor (pale)
- pusles
Medial tibial stress syndrome (shin splints) grades 1-4
- pain after activity
- pain during and after activity
- pain before during and after activity
- no activity attempted due to pain
DVT s/s (4)
- pain
- redness
- swelling
- heat
Tendinitis to approach (3)
- Anti-inflammation
- Stretch
- Rest